Whitacres Pharmacy Employment Application

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Your Full Name Your E-mail Your Address How long at this address? Your Phone # If under 18, give age Position Wanted Salary Desired Days Available To Work Weekly Hours Requested Full or Part Time? Highest Level of Education Name of School Major/Degree Ever convicted of a crime? If yes, Explain Are You a Licensed Driver How will you get to work? Please list 2 References (name, address, phone) Why would you like to work for Whitacres Pharmacy? Military Service Work History Name & Address of last employer Supervisor Reason for Leaving Name & Address of previous employer Supervisor Reason for Leaving May we contact these employers? In exchange for the consideration of my job application by Whitacre's Pharmacy (hereinafter called "the Company"), 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, policty 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 employee of Whitacre Pharmacy, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President/General Manager of the Company. Both the undersigned adn Whitacre Pharmacy may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company 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 that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract. I also understand that (1.) the Company has a drug and alcohol policy that provides for preemployment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations. I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act. I further understand that my employment with the Companys hall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party. By clicking "Submit", you are affixing your signature to this document. Whitacre's Pharmacy is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications. Thank you for completing this application form and for your interest in Whitacre's Pharmacy. classifieds php