Please complete the form below to officially submit your video entry for ASHP's Pharmacy Technician video competition. You must complete all fields.

Disclaimer: By uploading the video, I am granting to ASHP the sole right and permission, in respect of the video and its statements and images (including but not limited to photographs, video, film and electronic images) to copyright the same, in ASHP’s name or otherwise; to use, re-use, publish and re-publish the video in whole or in part, individually or in conjunction with other images, and in conjunction with any printed matter, in any and all media now or hereafter known, and for any purpose whatsoever by ASHP, for illustration, promotion, art, advertising and trade, or any other purpose whatsoever; and to use my name in connection with this video submission.



Name:
Position:
Email:
Phone:
Address:
City:
State:   ZIP Code:

Topic Addressed in Video Interview:
Please select only ONE. If submitting more than one video, please submit one form per video.

   
The Role of Pharmacy Technicians in the Future

Attach Video File:
All videos must be less than 60 megabytes in size and formatted as MPEG, MOV or AVI files.



                                                               

NOTE: Due to the size of the video files, it may take as long as 10 - 15 minutes to submit this form. Please DO NOT navigate away from this page until you receive a confirmation that the file has successfully uploaded.