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17
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1
Full Name
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First Name
Middle Name
Last Name
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2
Email Address
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example@example.com
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3
Phone Number
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Please enter a valid phone number.
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4
Cover Letter / Additional Information / Background
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5
Resume Upload
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6
Work Experiance
Company Name
Company Address
Start Date
End Date
Reason for leaving
Pay
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7
Availability to Start (Date)
*
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-
Date
Month
Day
Year
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8
Preferred Work Hours Per Week
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9
References-1 (Name and Contact Info)
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10
References-2 (Name and Contact Info)
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11
This job requires every employee to work at any shift offered during business hours, including weekends. Are you willing to work any shift and weekend?
*
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Please Select
Yes
No
Please Select
Please Select
Yes
No
If no, please provide availibility in comment box at the end of application.
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12
Are you able to come for an in-person interview at the pharmacy?
*
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Yes
No
Please Select
Please Select
Yes
No
If no, please provide availibility in comment box at the end of application.
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13
Have you ever been convicted for any crime except minor traffic tickets?
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Yes
No
Please Select
Please Select
Yes
No
If yes, please provide detain in additional comment box at the end of application.
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14
Additional Comments or Questions
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15
Employment Disclaimer – Hopkinsville Pharmacy Hopkinsville Pharmacy is an equal opportunity employer and is committed to fostering a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, disability, genetic information, marital status, veteran status, or any other legally protected characteristic under applicable federal, state, or local laws. All employment offers are contingent upon the successful completion of a comprehensive background check, which may include criminal, civil, and professional history, as well as a mandatory drug screening. Applicants are required to provide accurate and complete information throughout the hiring process. Any false, misleading, or omitted information on the application or discovered during employment may result in revocation of the job offer or termination of employment. By submitting an application, candidates acknowledge and agree to these terms.
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DO YOU AGREE WITH THIS DISCLAIMER
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Yes
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Please Select
Yes
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16
Signature
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BY SIGNING HERE YOU AGREE THAT ALL PROVIDED INFORMATION IN THIS APPICATION IS TRUE AND CORRECT.
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17
You will be contacted at the contact information provided if selected for an interview.
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