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South Carolina College of Pharmacy
Board Application Process
USC Campus
Name Information
IMPORTANT
On ALL documents, list your name
EXACTLY as it appears on the government issued ID you
plan to present at testing.
College Affidavit and Certification of Clinical
Experience – Completed Online
 The USC campus Dean will be completing the College
Affidavit (top of page 6) and Certification of Clinical
Experience (page 8) components of the SC Board of
Pharmacy Application for Examination.
 The student is responsible for printing and completing
the rest of the application.
• South Carolina application can be found:
•
http://www.llr.state.sc.us/POL/Pharmacy/PFORMS/Pharmacist%20Licensure%20
by%20Exam%20Complete.pdf
Application for Examination
If you are applying for your license in any other state, let Diane
Wise ([email protected]) know as soon as possible so she can fill
out the necessary forms for those states.
Also, make sure you look up the deadlines for application for your
state as every state’s application process if different. Some states
require you to complete an online application.
Make sure you have met the hours of practical experience
requirements, which may vary according to state.
SCCP Application Process

Students will be notified by email after the college affidavit
portion and certification of Clinical Experience forms have
been completed and are available for pick up in CLS 109.

Application cannot be completed until the student has
completed their final rotation .

Cannot receive school seal from office of enrollment
services until all grades have been posted and verified.
Completed Applications
 If you are out of state and wish for your forms to be
mailed to you, email Diane Wise with the request
and current mailing address [email protected].
 Please do not have someone else pick up your
application!
Practical Experience
(Page 4)
 List practical experience under the supervision of a
licensed pharmacist in chronological order.
 These are your Internship hours, not your rotations.
College Clerkship or Rotations
(Page 4)
There is only room to put 4 of your nine or ten rotations on
this section of the form.
You may list the first four and below write (see attached).
On a separate sheet of paper list the remaining rotations in
chronological order making sure to put your name on the
attachment – or (write see attached) and print your rotations
from e*value. It will have your name printed and your rotations
listed in chronological order.
Previous Examination Record
Previous Licensure as Pharmacist
(Page 4: Practical Experience Section)
 If the applicant has previously taken the Board
examination for pharmacist licensure in this or
any other state, he must disclose places, dates
and results in the provided spaces.
 If none, type N/A.
RECORD OF CHARGES, CONVICTIONS AND FINES
IMPOSED ON APPLICANT
(Page 5)
 Please read the instructions and complete the
statement as listed on the form.
Affidavit Section of Form
PROOF OF QUALIFICATIONS
(Page 5: RECORD OF CHARGES, CONVICTIONS AND FINES IMPOSED ON APPLICANT)
 Make sure you sign this portion of the form.
 Have form notarized by Emily Willingham in
CLS-110A, or other Notary Public.
Proof of Qualifications
Birth Certificates

Have a certified copy of your Birth Certificate. Please note that the
birth certificate you submit will NOT be returned.

Birth Certificates may be obtained by contacting:

Columbia, SC
Office of Vital Records SC DHEC, 2600 Bull Street, Columbia, SC 29201
(803) 898.3630; 8:30am-4pm
http://www.scdhec.gov/administration/vr/birth.htm
Processing: mail order may take weeks, phone or online will take 5-7 business
days, walk-ins will take approx. 1 hour
Processing fee of $12-$17

Charleston County Public Health Department
4050 Bridgeview Drive, Suite 475
North Charleston, SC 29405
(843) 746.3801
http://vitalrec.com/sccounties.html#Charleston
Proof of Qualifications
Birth Certificates

Out of state students will need to check in their respective home
states for a certified birth certificate.

Do not delay as this process could take some time to complete
depending on your place of birth.

In most cases, a simple online search will direct you to the correct
government agency to request a birth certificate.

Be mindful that there will likely be a fee for requesting the birth
certificate.
Character Vouchers
(Page 6)

Students will have this portion completed after they receive the completed
College Affidavit portion from the College with the school seal.

Character Vouchers A & B must be completed and signed by two licensed
pharmacists.

The signatures for Character Vouchers A & B must also be the signatures
on the (A)(B) lines on the back of the pictures (page 7).

One picture will be submitted with the completed application.

One picture will be presented by the applicant at the time of examination.
Certification of Clinical Experience
(Page 8)

Must be completed by the College and signed by the Dean

If you are applying for licensure in another state you will have to
complete this form and send to:
South Carolina Board of Pharmacy
Post Office Box 11927
Columbia, SC 29211-1927
Or you may hand deliver to:
110 Centerview Drive,
Suite 201
Columbia, SC 29210
Affidavit of Eligibility
(Page 9 and 10)
 ALL applicants for a South Carolina license after
July 1, 2008, are required to complete and sign the
Affidavit of Eligibility.
 Please check the acceptable secure and verifiable
document(s). A copy of the verifiable
document(s) must be attached to the Affidavit of
Eligibility.
Application Submission

Submit your entire Application for Examination to avoid confusion and missing segments.

Pay the $100.00 fee.


Enclose a Certified copy of your birth certificate.
Enclose one picture with signed attachment.

*Keep 2nd picture with 2 signatures to present when taking the exam!
Enclose Certification of Clinical Experience signed by Dean.

Enclose attachment stating you have completed the NAPLEX/MPJE registration with the
National Association of Boards of Pharmacy (NABP) sign your name on the attachment (see
example on following slide).

Mail Application to:
South Carolina Board of Pharmacy
Post Office Box 11927
Columbia, SC 29211-1927

Hand deliver application to:
110 Centerview Drive, Suite 201
Columbia, SC 29210
Once the Application is submitted, students may check the status of their Application on
the LLR website. Your application is valid for one year.
Example Statement
I, _________________________________________, have
completed the registration for the NAPLEX/MPJE with the
National Association of Boards of Pharmacy (NABP).
___________________________
Signature
__________
Date
Application Submission

Students may complete the NAPLEX and MPJE registration
processes with the National Association of Boards of Pharmacy
(NABP) prior to submitting their SC Board of Pharmacy
Application for Examination; this is a separate process.

SCCP degree candidates should select:
 SC 104 South Carolina College of Pharmacy from the
School Code List when submitting their NAPLEX and MPJE
registrations.
Application Submission
Applications for GA, ALABAMA, NORTH CAROLINA AND TEXAS as well as SOME
OTHER STATES WILL NOT BE ACCEPTED UNTIL THE DATE OF GRADUATION OR
AFTER GRADUATION. Enrollment Services will not apply the school seal for these
States until the day of Graduation or after . You may pick up the college affidavit portion
of these applications when you receive your Diploma (following graduation), from Diane
Wise in CLS-109.
Make sure you look up the deadlines for application for your state as every state’s
application process is different.
Initial Licensure Process
After passing the NAPLEX and MPJE, you will receive a Pharmacist’s
Initial Licensure Application and an information sheet.
Both forms must be completed and submitted along with a $70 initial
licensure fee.
This process must be completed no more than 30 days after receipt.
Cost Associated with SC
Licensure Process
MPJE
=$210 per state (credit card only)
NAPLEX
=$505 exam fee (credit card only)
Submission fee
=$100 (check or money order)
Initial Licensure
=$70 (check or money order)
Application___________________________________
Total for SC
=$885
Licensure process