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Submit a General Application

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Applicant Privacy Statement

By submitting my application I confirm that I have read and agree to the employer’s applicant privacy statement:

Applicant Privacy Statement

Resume
Resume:
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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
By submitting this application, I consent to receive SMS updates from Lewis Drug at 8447326048 regarding my employment application. My information will not be shared or used for any other purposes. This application is powered by ApplicantStack on behalf of Lewis Drug. SMS messages will only be sent by Lewis Drug and are used exclusively for hiring-related communications when you have subscribed to receive SMS communications.
Attachments
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Application for Employment
Please submit resume and salary requirements with your application.
PERSONAL INFORMATION
Yes   No
Yes   No
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)
EMPLOYMENT INFORMATION
  
  
Please fill in the hours you are available to work each day below.

Monday

*
*

Tuesday

*
*

Wednesday

*
*

Thursday

*
*

Friday

*
*

Saturday

*
*

Sunday

*
*
Yes   No
Yes   No
EDUCATION – TRAINING INFORMATION
Yes   No
Yes   No
Yes   No
PREVIOUS EMPLOYMENT HISTORY
(Please list employment history in chronological order with the most recent position first.)

Employer 1

Still Employed   Terminated   Resigned   Other
Yes   No

Employer 2

Still Employed   Terminated   Resigned   Other
Yes   No

Employer 3

Still Employed   Terminated   Resigned   Other
Yes   No
REFERENCES
Please provide one to three professional references.

Reference 1

Reference 2

Reference 3

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.
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.

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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