To request an Intern Application packet or just the Fingerprint Card, e-mail your name and address to pharmacy@ks.gov and include "Intern Application Request" in the subject line.
Use the following applications on our Forms Page:
LA-03 Pharmacy Intern Application
S-100 Background Check
S-150 Personal History
LA-40 Change in Name or Contact Info Form
LA-50 Change in Employment Form
LA-80 Duplicate Pocket Card Application
LA-85 Duplicate Wall License Application
LA-100 Original Wall License Application
All pharmaceutical experience required by law and regulations shall be supervised by a registered pharmacist who has a minimum of 2 years experience in the active practice of pharmacy as a registered pharmacist immediately preceding acceptance by the Board as a preceptor.
Interns shall register with the Board of Pharmacy. Once registered as an intern, all hours to be counted shall be completed within 6 years, not counting military service, unless special permission extending the time period is obtained in writing from the Board.
1500 clock hours as a registered intern working under a registered preceptor. All hours worked when the intern is in regular attendance at an accredited school of pharmacy and during vacation time and other times when the intern is enrolled but not in regular attendance at an accredited school of pharmacy may be counted as qualified hours. However, not more than 60 hours shall be acquired in any one week; or
No time may accrue to a student prior to acceptance in an accredited school of pharmacy.
Proof of pharmaceutical experience shall be by affidavits (Form S-400: Intern Experience Hours) filed with the Executive Secretary of the Board on a quarterly basis. The intern should use the form to itemize specific individual periods and specific individual hours of allowable internship time performed which have been certified by the preceptor. Interns should also keep a copy of every document submitted to the Board
All affidavits which are to be submitted are the responsibility of the intern and not the preceptor.