Pharmacy Employment Interest Questionnaire
Please complete all applicable fields.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Positions Applying For (select all that apply)
*
Pharmacy Cashier
Pharmacy Delivery Driver
Pharmacy Technician Trainee
Pharmacy Technician
Pharmacist
Customer Service Representative
Preferred Work Locations (select all that apply)
*
Blacksburg Pharmacy
Christiansburg Pharmacy
Shawsville Pharmacy
Giles Pharmacy
Solutions Medical Supplies
Employment Type
*
Full-time
Part-time
Available Start Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Do you have reliable transportation to and from the preferred work location(s)?
*
Yes
No
Do you have customer service experience?
*
Yes
No
Years of Customer Service Experience
What interests you about working with our Pharmacy Team?
Resume Upload
Upload documents
Drag and drop files here
Choose a file
Please upload resume, cover letter, or other supporting documents (PDF, DOC, DOCX, or TXT). Maximum 5 MB per file.
Cancel
of
Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
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