American Society of Health-System Pharmacists
RESIDENT MATCHING PROGRAM

APPLICANT AGREEMENT

I plan to apply for a postgraduate year one (PGY1) or postgraduate year two (PGY2) pharmacy residency position to start between June 1, 2011 and December 31, 2011. In order to participate in the ASHP Resident Matching Program (the “Match”), I agree:

1.   To abide by the Rules of the ASHP Pharmacy Resident Matching Program (“ASHP Match Rules”) as shown on the Match web site (www.natmatch.com/ashprmp), which are incorporated by reference in and are an integral part of this Agreement.

2.   To abide by the Schedule of Dates of the Match as shown on the Match web site (www.natmatch.com/ashprmp), which is incorporated by reference in and is an integral part of this Agreement.

3.   To provide complete and accurate information to the Match and to all residency programs to which I apply.

4.   Not to make any commitments to or contracts with any participating program prior to the release of the Match results, except that if I am currently a PGY1 resident I may commit to a PGY2 residency position that is offered to me in accordance with the Early Commitment Process. If I choose to accept a position either at a program that is not participating in the Match or at a participating program in accordance with the Early Commitment Process, or if I decide not to participate in the Match for any other reason, then I will submit a withdrawal from the Match, and will NOT submit a Rank Order List for the Match.

5.   To accept appointment to the program with which I am matched. I understand that I cannot avoid accepting appointment to the program with which I am matched without a written release from the program concerned; also, that another program participating in the Match cannot offer me a position unless I have this release.

6.   To pay to National Matching Services Inc. (NMS) a non-refundable, non-transferrable, irrevocable applicant fee of $115.00 U.S. to register for the Match for positions beginning in 2011.

I understand that I am free to make personal contacts with any participating program in which I am interested, to apply to as many of these programs as I wish, and to rank them according to my judgement.

I understand that I must not communicate my ranking intentions to any program, and must not request that a program inform me as to how it intends to rank any applicant. I understand further that participating programs must not communicate their ranking intentions to me and must not request that I state how I intend to rank any program. Any statement or other expression concerning how I intend to rank a program or how any program intends to rank me is a violation of the ASHP Match Rules, and in any event is subject to change based on further considerations.

For the purposes of the Match, my Rank Order List is to be the sole determinant of my order of preference for the programs to which I have applied. Similarly, for the purposes of the Match, the Rank Order List submitted by each program is to be the sole determinant of the program's order of preference for the applicants to the program.

I understand and agree that information concerning my participation in the Match, including my Match result, may be provided to me electronically.

I understand that the result I obtain in the Match, whether I am matched or not and to which residency program I have been matched, may be reported to my school, to programs participating in the Match, and to others, either by mail or electronically.

I understand that my appointment to the program with which I am matched may be contingent on my satisfying eligibility requirements specified by the organization and program.

I understand that the ASHP possesses beneficiary standing to enforce this Agreement, and violations of the terms of this Agreement or the ASHP Match Rules will be reported to the ASHP. I understand that if I violate any of the terms of this Agreement or the ASHP Match Rules, such as refusing to accept a position at the program with which I have been matched, the ASHP may pursue all available remedies, including reporting my actions to my school. Furthermore, the ASHP may impose penalties on me, including barring me from participation in future ASHP Resident Matching Programs.