Apply for Pharmacy Clerk

Summary
Title:	Pharmacy Clerk
ID:	14842
Location:	Mitchell, SD
Department:	Pharmacy

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Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Application Information
* Source:
If Referral, please provide name:
If Other, please specify:
Opt-In Confirmation
	I authorize recruiters from Lewis Drug to send text messages from 8447326048 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

PERSONAL INFORMATION

* Are you 16 or older?

Yes No

* Are you eligible to work in the U.S.?

Yes No

Have you ever been convicted, plead guilty, or plea bargained to a crime? (MN RESIDENTS DO NOT COMPLETE)

Yes No

(Conviction for a crime will not necessarily be a bar to employment. Factors such as time since offense, seriousness and nature of violation, and rehabilitation will be taken into account, along with the position you are applying for)

If yes, list convictions and dates of convictions

EMPLOYMENT INFORMATION

* Position you are seeking

Full-Time

Part-time

Seasonal

* Location applying for

* When are you available to start?

* Starting wage you are seeking?

Please fill in the hours you are available to work each day below.

Monday

FROM

Tuesday

FROM

Wednesday

FROM

Thursday

FROM

Friday

FROM

Saturday

FROM

Sunday

FROM

Were you referred to Lewis by a current Lewis employee? If yes, please list their name(s)

Have you previously applied with Lewis?

Yes No

If yes, when?

* Have you ever been employed at Lewis?

Yes No

If yes, please list dates, location(s) & position(s) held.

Are there other positions listed you would like to be considered for as well?

EDUCATION – TRAINING INFORMATION

High School

Did you graduate?

Yes No

Degree or Certificate

College/University

Did you graduate?

Yes No

Degree or Certificate

Other

Did you graduate?

Yes No

Degree or Certificate

List additional training (skills, abilities, certificates, license)

PREVIOUS EMPLOYMENT HISTORY

(Please list employment history in chronological order with the most recent position first.)

Employer 1

Company

Job Title

Duties

Address

Phone #

Start Date

End Date

Supervisor Name

Reason for Leaving

Still Employed Terminated Resigned Other

Other

May we contact this employer?

Yes No

Employer 2

Company

Job Title

Duties

Address

Phone #

Start Date

End Date

Supervisor Name

Reason for Leaving

Still Employed Terminated Resigned Other

Other

May we contact this employer?

Yes No

Employer 3

Company

Job Title

Duties

Address

Phone #

Start Date

End Date

Supervisor Name

Reason for Leaving

Still Employed Terminated Resigned Other

Other

May we contact this employer?

Yes No

* What do you perceive to be the three most important characteristics of customer service and why?

* What company values are so important to you that would make you choose one employer over another and why?

* Provide an example of a time in which you have put others’ needs before your own.

REFERENCES

Please provide three professional references

Reference 1

Name

Relationship

Contact Number

Years you have known this reference

Reference 2

Name

Relationship

Contact Number

Years you have known this reference

Reference 3

Name

Relationship

Contact Number

Years you have known this reference

ACKNOWLEDGEMENT AND WAIVER

In exchange for the consideration of my employment application by Lewis Drugs, Inc., I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other company practices shall serve to create an actual or implied contract of employment, or to confer any right to remain an associate of Lewis Drugs Inc., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned. Both the undersigned and Lewis Drugs Inc., may end the employment relationship at any time, without specific notice or reason. If employed, I understand that Lewis Drugs Inc. may unilaterally change or revise their benefits, policies, and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give Lewis Drugs Inc. permission to contact schools, previous employers (unless otherwise indicated), references, and hereby release Lewis Drugs Inc. for any liability as a result of such contact.

* Signature

* Date

EQUAL EMPLOYMENT OPPORTUNITY

Lewis Drugs, Inc. provides equal employment opportunities to all individuals without regard to race, creed, color, religion, gender, national origin, ancestry, age, marital status, veteran status, disability, medical condition, gender identity, sexual orientation or genetics. Lewis Drugs, Inc. adheres to the equal employment opportunity requirements of all states and locations in which it does business.

Lewis Drugs Inc. is a drug-free workplace.
All applicants offered a position will be required to submit to a drug test and a background check.