Causey’s Pharmacy
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Pharmacy Section

Application for Employment

We are an equal opportunity employer. We comply with all applicable Federal, State and Local Laws concerning discrimination in employment. No question in the application is intended to elicit information in violation of any such law nor will any information obtained in response to any question be used in violation of any such law.

* In order for Causey's to accept an application, one must have a high school diploma or have a GED.

PERSONAL INFORMATION
LAST NAME
FIRST NAME
MIDDLE
ADDRESS
CITY
 
STATE
ZIP
EMAIL
PHONE 000-000-0000
DATE OF BIRTH MM-DD-YYYY
SOCIAL SECURITY NUMBER 000-00-0000
DRIVERS LICENSE NUMBER (If driving is an essential job function.)
STATE
EMERGENCY CONTACT
PHONE
 
PLEASE ANSWER THE FOLLOWING QUESTIONS
ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THIS COUNTRY?    YES         NO
DATE AVAILABLE TO WORK:
EMPLOYMENT DESIRED:    FULLTIME          PART-TIME          TEMPORARY
CAN YOU MEET THE ATTENDANCE REQUIREMENT FOR THE POSITION?    YES         NO
HAVE YOU BEEN CONVICTED OF A CRIME IN THE PAST SEVEN YEARS?    YES         NO
IF YES EXPLAIN:
EDUCATION AND EXPERIENCE
EDUCATION:  
HIGH SCHOOL   COLLEGE NO. OF YEARS
WORK EXPERIENCE: (Upload Resume)
SIGNATURE
BY PROVIDING YOUR NAME, INITIALS AND DATE, YOU ARE DIGITALLY SIGNING THIS APPLICATION.
FULL NAME (First Last)
INITIALS
DATE MM-DD-YYYY
PLEASE TYPE THE IMAGE SHOWN
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