Pills, Potions and Poisons Student Application | The Ohio State University College of Pharmacy

Personal Information

First

Last

Street Address

City

State

ZIP Code

Birthdate

Race/Ethnicity

Where did you hear about the program?

Email Address

Gender

Do any of your other potential engagements this summer conflict with the dates/times of Pills, Potions and Poisons?

Yes

Would you like to receive more information regarding our Bachelors of Science in Pharmaceutical Sciences and/or PharmD Programs?

Yes

Parent/Guardian Information

Parent/Guardian's Name

Parent/Guardian's Phone Number

Parent/Guardian's Email

School Information

Current School

Current Grade

GPA (please note GPA scale if possible)

What high school science courses will you have completed by July 2025?

Biology 1

Biology 2 or AP

Chemistry 1

Chemistry 2 or AP

Other…

Have you previously applied to this program?

If 'Yes', please specify which year:

Teacher Nomination

Students applying to the Pills, Potions, and Poisons program must have a nomination from a high school science teacher. Please ask the teacher nominating you to complete the ‘Teacher Nomination Form’ found on our website.

Name of teacher nominating you:

Short Response

Find a recent news article (within the last year) that focuses on a science topic that interests you. Using the space below, write a brief essay (max. 250 words) summarizing the article and explain why you find it interesting. Please cite the source of your article.

Enter Short Response Essay

Signatures

Student Printed Name

Student Signature Date

Parent/Guardian Printed Name

Parent/Guardian Signature Date

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