Become a Preceptor

To start the process towards becoming a UM Preceptor, please complete the form below and the Office of Experiential Education will contact you to discuss possible opportunities.

Name(Required)

Email(Required)

Phone

Pharmacist's License State and Number(Required)

Site Name(Required)

Address(Required)

Statement (300 words or less) telling us why you want to take students at your site(Required)