Pharmacy Employer Form NZ1886

Thank you for agreeing to fill out this form with employer and verifier details on behalf of the pharmacy applicant.

The Open Polytechnic requires the details of the applicant's employer, and those of a pharmacist verifier for the application to progress.

The verifier is the person who will verify work-based study tasks that may make up some of the assessments. The Open Polytechnic can discuss the student’s enrolment status and academic progress with your verifier. If your organisation has a partnership agreement with the Open Polytechnic, your organisation's nominated coordinator will also receive regular engagement and progress data.

The student’s enrolment cannot be completed until this verification form has been returned.

If you have further questions, please contact pharmacy@openpolytechnic.ac.nz

Please confirm your email address

Employee details

First name of employee applying to study

Surname of employee applying to study

Open Polytechnic Student Number (if known)

Please confirm the applicant is in paid employment by selecting one of the two following options

As a trainee technician in a pharmacy dispensary for a minimum of 20 hours per week, and will be progressing on to study NZ1888 on completion of NZ1886

As a pharmacy assistant, not in the dispensary, for a minimum of 20 hours per week

Employer obligations

As their employer, you will provide opportunities for workplace experience for the student so they can complete programme assignments.

As their employer, you will ensure there is a staff pharmacist to carry out the role of verifier. They will supervise the student completing tasks where verification is required.

Verifier obligations

This programme requires the student to have a workplace verifier who can supervise the student completing tasks where verification is required.

This person will verify work-based study tasks that may make up some of the assessments. The Open Polytechnic can discuss the student’s enrolment status and academic progress with the verifier.

General information on the role of a verifier

1. The work place verifier must be a registered pharmacist and should be someone the trainee meets with on a regular basis to discuss progress of their study.

2. When required, the verifier should be able to verify the student’s written work is an accurate account of what happened in the work place and that any practical tasks have been completed following Standard Operating Procedures and requirements of the workplace.

3. The verifying pharmacist must understand the student's assessment tasks, and the standard of evidence needed for assessments.

4. They should work with the student to ensure evidence meets the standard required.

If you have further questions, please contact pharmacy@openpolytechnic.ac.nz

Verifier's details

Please enter the details below for the person who will be the applicant's verifier.

Even if you will be the verifier we require your details below so the correct form can be emailed to you.

Verifier's name

Verifier's email address

Verifier's phone number