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Menu
Home
Services
>
Mobile App
Rx Discount Card
Free Delivery
Immunizations
Home Health Care
Home Drug Disposal Kit
Vial of Life
Apply
RealPriceofMedication
Photos
Online Refills
Transfer Your Prescriptions
New Patient Form
Book Covid-19 Test
If I Have a Positive Test
Patient Forms
CoronavirusInformation
CoronavirusVaccine
Employment Application
GENERAL
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Position
*
Delivery
Customer Service
Pharmacy Technician
If you are applying for Pharmacy Technician, do you have:
*
Technician Experience
NJ Pharmacy Technician License
Pharmacy Technician Certificate
Are You Legally Authorized To Work In The U.S.?
*
Yes
No
Date You Can Start
*
Have You Applied To Bayshore Pharmacy Before?.
*
Yes
No
EDUCATION
High School
School
*
School
*
Years Attended
*
Years Attended
*
Graduated?
*
Graduated?
*
College
School and Town
*
School and Town
*
Years Attended
*
Years Attended
*
Graduated?
*
Graduated?
*
Have You Served In The Military? Discharge Date
*
EMPLOYMENT HISTORY
Is This Your First Job?
*
Yes
No
Company Name
*
Company Name
*
Company Name
*
Supervisor and Phone Number
*
Supervisor and Phone Number
*
Supervisor and Phone Number
*
Dates Employed
*
Dates Employed
*
Dates Employed
*
SPECIAL PURPOSE QUESTIONS
Any Foreign Languages You Fluently Speak
*
If applying for Driver, do you have a valid N.J. Driver's License?
*
Yes
No
Have you ever been convicted of a misdemeanor other than a traffic violation or a felony?Describe
*
Additional Comments
*
An Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factor
s.
If applying for Driver, do you have any points against your license?
*
Yes
No
I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE. I have read, understand, and by my signature (consent by clicking SUBMIT) to these statements
Submit
Home
Services
>
Mobile App
Rx Discount Card
Free Delivery
Immunizations
Home Health Care
Home Drug Disposal Kit
Vial of Life
Apply
RealPriceofMedication
Photos
Online Refills
Transfer Your Prescriptions
New Patient Form
Book Covid-19 Test
If I Have a Positive Test
Patient Forms
CoronavirusInformation
CoronavirusVaccine