I have reviewed the Program Description and Program Information on the CRC Pharmacy Technician web site. I am aware that I will be responsible for additional cost to this program. The costs are for immunization, background check, drug screen, uniform, and liability insurance. I am also aware that the program is demanding and time consuming. I will be enrolled as a full-time student once I am accepted into the program. I understand that submitting false or misleading information will disqualify my application from further consideration. I certify that all statements on this application are complete and true. I understand that failure to include all required parts of the application by June 10 will result in disqualification for acceptance consideration into the program.