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Online Application Form
Contact Information
First Name
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Last Name
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Address
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City
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State
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Zip Code
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Phone Number
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Secondary Phone Number
Email Address
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Salary and Availability
Which position are you applying for?
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Sales Associate – Part Time
Sales Associate – Full Time
Delivery Driver – Part Time
Pharmacist – Part Time
Pharmacy Technician – Part Time
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Salary Desired
Days/hours available to work
No Pref
Mon
Tues
Wed
Thu
Fri
Sat
How many hours can you work weekly?
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Employment Desired
Full Time
Part Time
When available for work?
Available Now
2 Weeks
Specify Date (mm-dd-yyyy)
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Are you legally authorized to work in the USA?
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Education History
High School Name
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Did You Graduate?
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College Name
Years Completed
Degree / Major
Other
Have you ever been convicted of a crime? “Do not include any information regarding sealed or expunged convictions.”
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If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.
Do you have a driver's license? (Only for Driver Position)
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No
State of issue
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Have you had any accidents during the past three years?
Yes
No
If yes how many?
Have you had any moving violations during the past three years?
Yes
No
If yes how many?
References
Full Name
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Company or Association
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Address
City
State
Zip Code
Phone Number
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An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.
Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.
Work Experience
Name of Employer
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Address
City
State
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Zip Code
Phone Number
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Name of last supervisor
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Employment dates (From-To)
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Pay or salary (Start - Final)
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Your last job title
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Reason for leaving (be specific)
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List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
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Upload Resume (Maximum File Size: 4MB, File Type: *.doc, *.docx, *.pdf)
NOTE: T&F Drugs is an equal opportunity employer. All T&F Drugs employment relationships are "at will" relationships.
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