<p>NC Board of Pharmacy Check List for Pharmacy Technicians</p><p>GUIDELINES FOR COMPLETING APPLICATION FOR NEW TECHNICIANS</p><p>*REMEMBER* IF YOU HAVE BEEN REGISTERED IN THE PAST AND ARE CURRENTLY INACTIVE, A COMPLETED REINSTATEMENT APPLICATION IS REQUIRED. REINSTATEMENT FEE IS $60.00.</p><p>1. Social Security number filled in (Required) </p><p>2. Date of birth filled in (Required) </p><p>3. Mailing address (If this is a PO Box, be sure to list separate from physical address) </p><p>4. Home phone number (with area code) </p><p>5. Place of employment AND PHARMACY PERMIT NUMBER (Required) </p><p>6. Date employment began as a technician </p><p>7. Training program </p><p>8. Pharmacist Manager’s license number, signature, and date (Required) </p><p>9. Technician’s signature and date (Required) </p><p>10. Attach Passport photo to Application </p><p>11. The $30.00 fee must accompany application or the application will be returned. </p>