Pharmacy Scholars Summer Program

Tuesday, June 23, 2026 at 9:00 AM until 4:00 PMEastern Daylight Time UTC -04:00

Mercer University College of Pharmacy
3001 Mercer University Dr
Atlanta, GA 30341
United States

Mercer University's Pharmacy Scholars Summer Program will be held on June 24 & 25, 2026. 

This registration form and fee deadline is April 30, 2026. 

Scholar Information

First Name*

Last Name*

Preferred First Name*

Date of Birth*

Date of Birth*

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900

Gender

Gender

Female

Male

Which of the following do you consider yourself to be? Check all that apply.

Which of the following do you consider yourself to be? Check all that apply.

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific

Other

White

What size t-shirt do you wear (adult size)?*

What size t-shirt do you wear (adult size)?*

XS

S

M

L

XL

2XL

3XL

Contact Information

E-mail Address*

Mobile Phone*

Mailing Address*

Mailing Address*

Country

Street

City

Region

Postal Code

School Information

Middle School Name

What year will you graduate from High School?

202820292030203120322033

Parent/Guardian Information

Relationship to you

MotherFatherLegal Guardian

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Mobile Phone

Parent/Guardian's Email

How did you hear about the Mercer Pharmacy Scholars Summer Program?*

The cost of the event will be $50. This payment is nonrefundable. Please enter your payment information below. Once the form has been submitted, the payment will be processed. 

Amount Due
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