I am a U.S. citizen.
(U.S. citizenship is a requirement of the pharmacy residency program.)
Letters of recommendation must be from three professionals who can attest to your practice abilities and aptitudes. List names and email addresses of references below.
Instruct the recommender to email (DO NOT MAIL) on organization letterhead preferably in PDF format if able to firstname.lastname@example.org originating from the email address supplied below.
Please provide the following documents with your application.
Do not submit this form without these files.
By checking this box, I certify the information submitted in this application is complete and correct to the best of my knowledge and belief. I grant Memorial Hospital of South Bend permission to request additional information, if necessary, from previous schools and employers concerning my academic records and professional ability.
Have official transcripts addressed to:
Meddie Nazifi, PharmD., MBA
Residency Program Director
Memorial Hospital of South Bend
Department of Pharmacy Services
615 N. Michigan Street
South Bend, IN 46601
© 2013 Memorial Hospital of South Bend