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The Pharmacy Association of Nova Scotia would like to establish a roster of immunizers throughout Nova Scotia that pharmacies could call upon should they need additional vaccine administrators at their pharmacy for the upcoming immunization season.

This list will be only be available on the PANS member portal and will not be shared with the public.

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* 1. Full Name (First & Last)

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* 2. Telephone Number

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* 3. Email Address

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* 4. What are you currently registered as?

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* 5. License Number

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* 6. What times are you generally available to work? (check all that apply)

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* 7. Would you be available on short notice?

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* 8. Which of the following health zones would you be willing to work in? (check all that apply)

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* 9. Are there any communities within these zones that you would prefer to work in?

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