Society of Veterinary Hospital Pharmacists

To enhance the exchange of educational materials and ideas among veterinary hospital pharmacists.

Fellow:

A licensed pharmacist currently practicing in a veterinary institution for at least 20 hours each week (on average)
Be providing professional service, teaching, and/or research

Associate Member:

Student Member:

Technician/Veterinary Nurse:

Currently practicing in a veterinary institution 20 or more hours per week providing professional service, teaching and/or research.

Please complete the application form and submit by clicking the "Apply" button.
Membership Type*
- Fellow ($60)
- Associate ($60)
- Student ($5)
- Technician/Veterinary Nurse ($25)
- Honorary Fellow ($5)
Name*
First Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
License(s)*
License Number State

NOTE: If you do not have a License #, please complete
the above field with text: "Not Applicable/Unlicensed"
Applying as an Associate, please indicate:
- Pharmacist
- Veterinarian
- Other
Applying for Student/Pharm Tech/Vet Tech membership, please indicate:
- Student
- Intern
- Pharm Tech
- Vet Tech
Describe:
Position
Institution
Institution Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Attach CV or Resume*
Max. file size: 512 MB.
Reference Contact
Reference Name*
First Last
Reference Phone*
Reference Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
“I hereby swear that the information provided above or attached to this application is true and accurate to the best of my knowledge.”*
First Last

Our Mission

The purpose of the Society shall be the furtherance of interests and promotion of education for veterinary hospital pharmacy.

License Number	State