Corporate Enrollment | Pharmacy Tech Scholar

Please fill out this form in its entirety to enroll in our PTCB-recognized Pharmacy Technician Education Program. Your organization should have supplied you with a corporate code to enter on this form, which will allow you to enroll under the group contract. Upon completion of this form, you will be enrolled in our course and will have access using the Username and Password that you set in the form.

"*" indicates required fields

Personal Information

Name*

Date of Birth*

Email*

Phone Number*

Address*

This information is necessary both for payment processing and for our records. The Pharmacy Technician Certification Board can request documentation on who has completed our course when processing exam applications, and this information is necessary for student identification.

Username*

This will be the User ID that you use to log into the course.

Password*

Enter Password Confirm Password

Strength indicator

This will be the password to be used along with your Username to log into the course. You must enter a password that is at least 12 characters long and reaches a strength indicator of “strong”. Try using phrases that you can remember easily but would be hard for others to guess.

Terms of Use

Organization Key Code*

Comments

This field is for validation purposes and should be left unchanged.