Visiting Student - School of Pharmacy - Remediation Courses, Fall 2025

Welcome to Shenandoah University, we are delighted you are hoping to join us as a visiting student to take graduate pharmacy courses. Please complete the following form(s) in order to receive the information and resources necessary to get registered for courses.

Be sure to regularly check the email address you list on this application as our School of Pharmacy faculty and Hornet Central team (course registration and billing) will use that for all correspondence with you.

If you have any questions, contact Dr. Alla Marks, PharmD, MBA, and Associate Professor of Pharmacy Practice and Director of Pharmacy Distance Education, at amarks@su.edu.

Student Information

First/Given Name*

Preferred First Name

Middle Name

Last/Family Name*

Suffix

Do you have any previous legal names?

Previous First/Given Name

Previous Last/Family Name

Date of Birth*

Sex Assigned at Birth

Gender Identity

Personal Pronouns

Hispanic/Latino

Race

Contact Information

Permanent Home Address*

Country

Street

City

Region

Postal Code

Phone Number*

Email*

We strongly encourage you to use a personal email account such as Gmail, Outlook, or iCloud. Using your school's email account may cause you to miss important, required enrollment information.

Citizenship Information

Country of Birth*

Citizenship Country*

Dual Citizenship Country

US Felony Information

Have you ever been convicted of a felony within the United States?

Disciplinary Action

Have you ever been placed on probation or suspension by any educational institution?*

Please describe your situation with the educational institution.

By submitting this form you agree to pay tuition and fees and further acknowledge that you agree to reimburse Shenandoah University the fees of any collection agency, which may be based on percentage at a maximum of 33-1/3%, 12% APR on such debt and all costs and expenses, including reasonable attorney’s fees, Shenandoah University would incur in such collection efforts.

Visiting Student - School of Pharmacy - Remediation Courses, Fall 2025

Welcome to Shenandoah University, we are delighted you are hoping to join us as a visiting student to take graduate pharmacy courses. Please complete the following form(s) in order to receive the information and resources necessary to get registered for courses.

I Am A…

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