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Please note that if the demand for a course exceeds the course enrollment limit, a random selection process will be used to determine which interested students will be allowed to enroll in the course.

If you do not want to take a Spring 2005 distance education course, please check the box below and click on the submit preferences button at the end of this page.

I do not want to enroll in any Spring 2005 distance education courses.

The following distance education courses will be offered in Spring 2005.

Required Courses:

1. Respiratory Pharmacotherapy, 728-720, February 2005

2. GI Pharmacotherapy, 728-722, March 2005

Elective Courses:

3. Geriatric Pharmacotherapy, 728-710, 2 credits (January 18-May 6)
4. Herbals, Homeopathy, and Dietary Supplements, 728-672, 2 credits (January 18-May 6)
5. Veterinary Therapeutics, 728-670, 1 credit, (January 18-May 6)
6. Women's Health Pharmacotherapy, 728-675, 2 credits, (January 18-May 6)

1. Distance Education Preferred Courses

Rank the courses that you would like to take in Spring 2005 by using the drop-down menus below. The phrase "no course selected" will indicate that you do not want to take a course at that particular rank.

If space is available, I would like to enroll in ALL of the following distance education courses for Spring 2005:

Rank.....Preferred Spring 2005 Courses

Rank 1. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health Most Important

Rank 2. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health

Rank 3. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health

Rank 4. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health

Rank 5. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health

Rank 6. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health Least Important

2. Substitute Courses

Rank, by using the drop-down menus below, the distance education course(s) that would be acceptable to you as a substitute(s) if any of your preferred courses are not available. The phrase "no course selected" will indicate that you do not want to list a substitute course at that particular rank.

If any of my preferred courses are not available, I will accept the following distance education courses as substitutes:

Rank......Substitute Spring 2005 Courses

Substitute Course 1. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health Most Important

Substitute Course 2. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health

Substitute Course 3. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health

Substitute Course 4. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health

Substitute Course 5. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health

Substitute Course 6. (no course selected) Respiratory Pharmacotherapy GI Pharmacotherapy Geriatric Pharmacotherapy Herbals, Homeopathy, & Dietary Supplements Veterinary Therapeutics Women's Health Least Important

3. Please indicate the maximum number of didactic course credits that you want to take via distance education during Spring 2005 . (Do not include clerkship course credits in this number.) We will not assign you to more didactic course credits than the maximum number indicated on your request

We urge you to print a copy of your completed electronic form prior to submitting it!!

Spring 2005 selections must be submitted electronically no later than November 12, 2004. If you have any questions, contact Larry Mindel, (608)262-2120, lemindel@pharmacy.wisc.edu , Bob Breslow (608)262-5365, rmbreslow@pharmacy.wisc.edu or Lynn Maki, (608)265-6715, lmaki@pharmacy.wisc.edu