UW-Madison School of Pharmacy

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Instructions: After completing this first page of the application, a PIN will be sent to the email address you enter below. You may use this PIN and your email address to log in and continue your application at a different time. If you do not receive an email with a PIN, please contact the School of Pharmacy Admissions Office .

(Please use appropriate capitalization and punctuation when necessary (e.g., John William Smith, not john william smith or JOHN WILLIAM SMITH). All correspondence will be sent to you in the manner in which you enter your data. It is up to you to enter it accurately.)

First Name:

*(Use exact name as used for PharmCAS)

Middle Name:

Last Name:


PharmCAS ID:


Email Address:

*(Use same email as used for PharmCAS)

Confirm Email Address: