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Start Date: July 5, 2016

Orientation: June 29 and 30 2016

I plan to pay for school with:

I have read and agree to the Tuition Agreement and Tuition Terms applicable to the program for which I have applied.

I have read and agree to Catalog Supplement A.

I have read and understand the Disclosure Regarding Transferability of Credits.

I have read and understand the Computer Requirements for completing classes at Sullivan University.

Sullivan University is an equal opportunity institution. Neither the University nor the College of Pharmacy discriminates against persons because of age, race, sex, religion, handicap, color, national origin or marital status. You are making application to the accelerated Doctor of Pharmacy Program. This is a three, calendar year; year-round educational experience. A Doctor of Pharmacy student takes classes during four quarters each year of the program. Each quarter is eleven (11) weeks. The full completion of each section of this application is required, as incomplete applications cannot be processed. The deadline for submission of applications for the July 2015 entering class is January 15, 2015. The applicant must fully complete each section of the form.

A non-refundable $100.00 application fee must be included with this application in order for it to be processed. After submitting this application, there will be the option to pay online. All supplemental application fees much be paid online.

Application Check List

The following items must be submitted:

May be emailed to Dr. Frank Facione,
May be mailed to:
Sullivan University, College of Pharmacy
Attn. Dr. Frank Facione
2100 Gardiner Lane
Louisville, KY 40205

Emergency Contact



Alternative Emergency Contact



By typing my initials in the box below, I agree to the terms outlined above, and I understand that making false statements and providing incomplete information may result in the cancellation of my admissions and/or registration. I certify that the information provided in this application is true and correct.

I understand that this information will remain in effect from the date it is signed until revoked by me, in writing, and delivered to Sullivan University.

Please note: The Global and National Commerce Act (E-Sign Act) was enacted by the US federal government in 2000, and stipulates that electronic signatures carry an identical legal enforceability to that of a handwritten signature.