Pharmacy Verifier Form

Thank you for agreeing to be a pharmacist verifier on behalf of the pharmacy applicant.

The Open Polytechnic requires the details of the applicant's 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 the verifier.

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

Applicant details

First name of applicant

Surname of applicant

Open Polytechnic Student Number (if known)

Verifier obligations

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

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

Your details

Your name

Your preferred email address

Your pharmacist registration number

Pharmacy name

Pharmacy address

Pharmacy telephone number

Verifier declaration

I confirm that I will verify the work of the applicant

I have read the information above on verifying pharmacists and I will provide any necessary guidance and training opportunities to assist the applicant.

I will notify Open Polytechnic if there is any change in my eligibility to be a verifier or if there is a change in verifier.

I understand that Open Polytechnic will liaise with me when required and if there are any questions or concerns about the academic work or the study progress of the applicant.