Forms

UConn University-Wide Forms

Additional Degree Petition

An additional degree allows students to complete majors in two different schools or colleges. To declare a dual degree, students must acquire an Additional Degree Petition Form from the Registrar's Office and get the approval via Pharmacy Advising Center Staff.

Pass/Fail Grading

Students who wish to place a class on pass/fail option during a regular fall or spring semester must do so by completing a Student Enrollment Request Form (SERF), selecting the options for Pass/Fail grading, on the Registrar’s Office website by the deadline found on the Academic Calendar. These dates are different during summer/winter sessions, so make sure to review the Office of Summer and Winter Programs site for additional information.

Courses placed on pass/fail option may not be used to meet major, minor or general education requirements. Students must get permission from their advisor to place a class on pass/fail. Students placing more than one course on pass/fail in a single term must also receive permission from a Dean's Designee in the Pharmacy Advising Center.

Permission to Repeat a Course for a Third Time

Students who wish to repeat a course for a third time may do so with permission from the instructor and their advisor. Students must submit a Student Enrollment Request Form (SERF) to the Registrar's Office. Please note that if a student repeats and fails a course that they previously passed, it can result in loss of credit.

Late Course Addition & Withdrawal

Students who wish to add a class between the 10th day and 4th week of the semester or withdraw from a class after the 10th day but before the 9th week of the semester must complete a Student Enrollment Request Form (SERF) through the Registrar's Office. Please be aware of deadlines available on the Academic Calendar.

Students adding a class between the 10th day and 4th week of the term need the permission of the instructor, their advisor, and the head of the department in which the course is taught. To withdraw from a class anytime between the 10th day and the 9th week of the semester, students need approval from their advisor. Students who wish to drop two courses or more must also get permission from a Dean's Designee in the Pharmacy Advising Center.

School of Pharmacy and Pharmaceutical Sciences Forms

Ambassadors Application

Applications for the Pharmacy Student Ambassadors are currently closed.

Peer Advisors Application

Applications for the Pharmacy Peer Advisors are currently closed.

Student Organization Event & Space Requests

School of Pharmacy and Pharmaceutical Sciences student organizations can work with Susan Corbin to reserve space for events. Please email Susan requests and make sure to include:

Organization name
Primary contact(s)
Intended date(s)
Start and end times (please include set-up and clean-up in these times)
Preferred rooms (if applicable)
Estimated attendance
Technology (if requested)

School of Pharmacy Shadowing Request

Major Change to Pharmacy Studies, Pre-Professional Program

Major Change Request to Pharmacy Studies, Pre-Professional Program

Instagram

This field is for validation purposes and should be left unchanged.

First Name(Required)

Last Name(Required)

Peoplesoft ID (7 digit number)(Required)

UConn Email(Required)

Campus(Required)

Current School or College(Required)

Current Major(Required)

Have you met with a Pharmacy advisor (Lyn Alexander)?(Required)

Yes

Please only fill out this form after you have had an opportunity to discuss the Pre-Professional Program in Pharmacy.

Are you a transfer student from a college or university that is not UConn?(Required)

Yes

Is this your first semester attending college or university since you graduated high school?(Required)

Yes

This does not include any ECE or dual enrollment courses you may have taken in high school.

Are you in good standing?(Required)

Yes

You must be in good standing in order to be eligible to join the Pre-Professional Program in Pharmacy.

Have you completed two pre-professional STEM prerequisite courses in two different departments (or their equivalents) in a single semester, earning a grade of C or higher in both?(Required)

Yes

You must have completed two pre-professional STEM prerequisite courses in two different departments (or their equivalents) in a single semester, earning a grade of C or higher in both, in order to be eligible to join the Pre-Professional Program in Pharmacy.

Do you have multiple semesters of prerequisite courses remaining to complete prior to applying to the professional Pharm.D. program?(Required)

Yes

Students who are in the process of applying via PharmCAS should remain in their declared major.

Affirmation(Required)

I affirm that I am requesting to change my major.

Please check the affirmation box above indicating your agreement and understanding of the eligibility requirements listed above.

Affirmation(Required)

I affirm that I am requesting to change my major.

Please check the affirmation box above indicating your agreement and understanding of the eligibility requirements listed above.

You are not eligible to complete this form at this time.

Pharmacy Studies, Pre-Professional Program Progression Transition Appeal

Pharmacy Studies, Pre-Professional Program Progression Transition Appeal Form

Instagram

This field is for validation purposes and should be left unchanged.

First Name(Required)

Last Name(Required)

Peoplesoft ID (7 digit number)(Required)

UConn Email(Required)

Campus(Required)

Have you been notified that you are subject to transition out of the Pharmacy Studies, Pre-Professional major?

Yes

Which circumstances for eligibility for transition out of the major applies to you?(Required)

Failure to register for two or more pharmacy STEM prerequisite courses in a given semester.

Progression to any higher level required chemistry (CHEM) prerequisite course without a grade of C- or higher in the course’s prerequisite.

Students who have a combined math/science prerequisite GPA of less than 2.5 in the following required courses (or their equivalents): BIOL 1107, CHEM 1127Q, CHEM 1128Q (or CHEM 1124Q, CHEM 1125Q, and CHEM 1126Q), MATH 1131Q, PHYS 1201Q, CHEM 2443, MCB 2610, and PNB 2264, 2274, or 2774.

Failure to apply or successfully gain acceptance to the professional Pharm.D. program after three years or six semesters (fall and spring only) in the Pharmacy Studies, Pre-Professional major

Subject to university academic dismissal

Do you wish to appeal your notice of transition out of the major?(Required)

Yes

Please only fill out this form if you are appealing this decision and wish to stay in the Pharmacy Studies, Pre-Professional major. If you do not wish to appeal, please note that you will be transitioned to the Academic Center for Exploratory Students (ACES) if you do not independently request a change to another major.

Have you discussed your notice of transition from the Pharmacy Studies, Pre-Professional major with a faculty or staff member at UConn?(Required)

Yes

Please provide the name(s) of the faculty or staff member(s) at UConn you have discussed your notice of transition with:(Required)

What are your personal circumstances for not meeting progression requirements?(Required)

Please explain your unique circumstances that led to you not meeting the progression requirements for the Pharmacy Studies, Pre-Professional major.

What do you plan to do differently to meet progression requirements in the future?(Required)

Please explain your plan for meeting the progression requirements for the Pharmacy Studies, Pre-Professional major in future semesters.

Please do not submit copies of any personal medical or legal documentation. You can speak to these situations at your level of comfort in your answers to the above questions; however, we do not request or require copies to be provided to the School of Pharmacy. If you would like to have a UConn faculty or staff member provide a letter of support, please request that they email this directly to Dr. Megan Delaney at megan.delaney@uconn.edu.

I attest that this is my full and complete appeal to my notice of major transition from the Pharmacy Studies, Pre-Professional major and that no additional submissions will be reviewed or acknowledged.(Required)

I attest

Professional Electives Approval Request Form

Pharm.D. Professional Electives Approval Request Form

X/Twitter

This field is for validation purposes and should be left unchanged.

Have you gotten confirmation that this course is eligible for use as a professional elective from the Professional Staff Advisor? If not, please reach out before completing this form.

Name

First Last

Peoplesoft ID (1234567)

UConn Email

Pharm.D. Graduation Year

Is this a UConn course?

Yes

Institution and City

Please provide the name and location of the institution where you took the course if it was not taken at UConn.

Course subject and number (e.g., PSYC 1100)

Course Catalog Description

Please review the educational outcomes for which this course will help you develop as a pharmacist and then choose all applicable options below.

Rationale as professional elective (check all that apply):

Learner

Caregiver

Manager

Promoter

Provider

Problem Solver

Educator

Advocate

Collaborator

Includer

Communicator

Self-Aware

Leader

Innovator

Professional

Explain how this course will help you achieve the learning outcomes you checked above.

Please attach a copy of the syllabus for the course if available.

Max. file size: 250 MB.

This is required if the course is a transfer course that does not have a direct UConn equivalent.

Forms

UConn University-Wide Forms

Additional Degree Petition

Pass/Fail Grading

Permission to Repeat a Course for a Third Time

Late Course Addition & Withdrawal

School of Pharmacy and Pharmaceutical Sciences Forms

Ambassadors Application

Peer Advisors Application

Student Organization Event & Space Requests

School of Pharmacy Shadowing Request

Major Change to Pharmacy Studies, Pre-Professional Program

Major Change Request to Pharmacy Studies, Pre-Professional Program

Pharmacy Studies, Pre-Professional Program Progression Transition Appeal

Pharmacy Studies, Pre-Professional Program Progression Transition Appeal Form

Professional Electives Approval Request Form

Pharm.D. Professional Electives Approval Request Form

Advising Links

Pharmacy Links

Contact Us

Phone:	860.486.2216
E-mail:	pharmacy@uconn.edu
Address:	69 North Eagleville Road, Unit 3092 Storrs, CT 06269-3092