Section Ph 1604.01 - Application(a) No person shall perform the functions or duties of a pharmacy intern unless such person is registered by the board.(b) Application form "Pharmacy Intern Initial Registration Form" for registration of pharmacy interns in New Hampshire may be obtained from and shall be filed at the office of the board, identified in Ph 103.03.(c) Each applicant shall provide the following on form PI-1:(1) Name, gender, current mailing address, and home telephone number;(2) Social security number, date of birth, and email address;(3) Name and address of the college or university where currently enrolled in, or graduated from, the pharmacy program;(4) Anticipated date of graduation from accredited pharmacy program;(5) Record of convictions of violations of federal, state, or local drug or pharmacy- related laws or regulations;(6) An indication as to whether the applicant is or ever has been registered or licensed as a pharmacy intern in New Hampshire or any other state and, if so, an indication as to which state(s) and whether such registration or license is currently valid;(7) An indication as to whether the applicant has ever voluntarily surrendered his or her pharmacy intern registration in this or any other state or jurisdiction and, if so, an explanation of such surrender; and(8) Applicant's signature and date.(d) The applicant shall submit with application form PI-1, the prescribed fee of $25.(e) An applicant for registration as a registered pharmacy intern shall meet the following requirements: (1) Be at least 18 years of age;(2) Be enrolled in or possess a pharmacy degree from an accredited college or university pharmacy program;(3) Be of good moral character, as demonstrated by the information provided by the applicant on the registration form and any attachments; and(4) Has not been convicted of a felony or a misdemeanor resulting from a violation of any federal, state, or local drug or pharmacy-related law, rule, or regulation.N.H. Admin. Code § Ph 1604.01
Adopted byVolume XXXIV Number 50, Filed December 11, 2014, Proposed by #10721, Effective 11/22/2014.Amended by Volume XXXVIII Number 50, Filed December 13, 2018, Proposed by #12670, Effective 11/17/2018, Expires 11/17/2028.