Bi Mart Application For Employment Form PDF Details

The Bi Mart Application for Employment is a comprehensive document designed to collect a wide array of information from individuals seeking employment at Bi Mart, a well-regarded retail establishment. Those interested in joining the company are guided through a detailed process starting with a personal introduction that emphasizes the importance of reviewing the job position summary before application completion, underscoring Bi Mart's commitment to creating a safe, productive workspace, and delivering outstanding customer service. This form remains active for one month and includes checks for legal work eligibility in the USA and a mandatory drug test for all potential hires. Applicants are required to meticulously fill out sections regarding personal information, availability for work (acknowledging the company's seven-day operation), previous employment history spanning 15 years, educational background, and other relevant details such as licenses, certifications, and abilities related to the desired position. Moreover, the form probes into the applicant's background with questions about previous employment at Bi-Mart, relationships with current employees, terminations, and criminal convictions, maintaining a stance that such convictions do not automatically disqualify candidates. The form also encourages applicants to disclose any necessary accommodations they might require, thus promoting inclusivity. Skills, interests, and personal goals are explored to paint a fuller picture of the candidate beyond mere professional capabilities. The closing section reiterates Bi Mart's policy of equal employment opportunities and details the conditions of employment acceptance, including an agreement on the at-will employment doctrine, which underscores the lack of a binding employment contract and the mutual freedom of the company and the employee to terminate the employment relationship at any time. This meticulously structured application process reflects Bi Mart's thorough approach to recruitment, aiming to align candidate qualifications and character with the company's values and operational needs.

QuestionAnswer
Form NameBi Mart Application For Employment Form
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesbi mart online application, prescriber, 7-DAYS, YYYY

Form Preview Example

APPLICATION FOR EMPLOYMENT

Dear Applicant:

We are pleased that you are interested in employment at Bi-Mart! To be considered for possible employment, applications must be accompanied by a signed and dated summary of the position for which you are applying. Please review the position summary thoroughly before completing this application. This Application for Employment will be considered “active” for one (1) month from the date signed.

Bi-Mart is strongly committed to providing a safe and productive work environment for its employees and to providing excellent service to its customers. As a part of the hiring process, all applicants considered for employment are required to submit to and pass a drug test.

I N ST RU CT I ON S

PLEASE ANSWER ALL QUESTIONS TO THE BEST OF YOUR ABILITY.

PRINT LEGIBLY WITH AN INK PEN (OR YOU MAY TYPE THE ANSWERS IF YOU ARE COMPLETING AN ONLINE APPLICATION).

DO NOT LEAVE BLANK SPACES—PRINT N/A (NOT APPLICABLE) WHEN NECESSARY.

AREA OF I N T EREST & AV AI LABI LI T Y

POSITION SOUGHT: ____________________________________________________________________________________________________________________________________

 

FULL TIME q

PART-TIME q

TEMPORARY/SEASONAL

q

 

 

 

 

 

Have you previously applied for employment at Bi-Mart? YES q

NO q

 

 

 

 

 

When? _______________________________ For what position? _______________________________ What location? _______________________________

PAY EXPECTED:

$ _____________________________ If “Negotiable”, enter range: _____________________________ Date you can start: _____________________________

 

WE OPERATE 7-DAYS PER WEEK. PLEASE INDICATE WHAT HOURS YOU CAN WORK. WRITE “ANY” IF YOU ARE AVAILABLE ALL HOURS.

AVAILABLE HOURS: MON: ____________ TUE: ____________ WED: ____________

THU: ____________

FRI: ____________

SAT: ____________ SUN: ____________

REFERRED BY:

NEWSPAPER AD: _______________________________ SCHOOL: _______________________________ INTERNET: _______________________________

(CHECK ONE)

 

 

(Specify)

(Specify)

 

 

 

(Specify)

 

STORE ANNOUNCEMENT: q

COMPANY RECRUITER: q

OTHER q

(Explain): _______________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

PERSON AL I N FORM AT I ON

 

 

 

 

 

FULL NAME:

____________________________________________________________________________________________ SS#: _________________________________

 

(LAST)

 

 

(FIRST)

 

(FULL MIDDLE)

 

 

 

ALL OTHER

 

 

 

 

 

 

 

 

 

LAST NAMES USED: _______________________________________________________________ NICKNAME(S): _____________________________________________________

CONTACT

 

 

 

 

 

 

 

 

 

INFORMATION:

HOME PHONE #: __________________________________________ WORK PHONE #: _________________________________________________________

 

CELL PHONE #: ___________________________________________ E-MAIL ADDRESS: ________________________________________________________

CURRENT

 

 

 

 

 

 

HOW

 

 

MAILING ADDRESS:

_____________________________________________________________________________________________ LONG?

_____________________________

 

(NO. & STREET)

 

 

(CITY)

(STATE)

(ZIP CODE)

 

 

(IF LESS THAN 3 YRS. PLEASE

 

 

 

 

 

 

 

 

 

PROVIDE PREVIOUS ADDRESS)

CURRENT

 

 

 

 

 

 

 

 

 

STREET ADDRESS:

_____________________________________________________________________________________________

 

 

 

 

(NO. & STREET)

 

 

(CITY)

(STATE)

(ZIP CODE)

 

 

 

PREVIOUS

 

 

 

 

 

 

HOW

 

 

STREET ADDRESS:

_____________________________________________________________________________________________ LONG?

_____________________________

 

(NO. & STREET)

 

 

(CITY)

(STATE)

(ZIP CODE)

 

 

 

AGE INFORMATION:

ARE YOU 18 OR OLDER? YES: q

NO: q IF HIRED, CAN YOU PROVIDE PROOF OF YOUR AGE? YES: q

NO: q

DRIVER’S LICENSE

 

 

 

 

 

 

 

 

 

OR STATE ISSUED ID: YES: q

NO: q

STATE: ________ NUMBER: _________________________________________ EXP. DATE: ______________________

 

 

 

 

 

 

 

 

 

(MM/DD/YYYY)

CITIZENSHIP:

CAN YOU PROVIDE PROOF OF YOUR LEGAL RIGHT TO REMAIN AND WORK IN THE U.S.A.? YES: q

NO: q

 

PREVIOUSLY

YES: q

NO: q

IF YES, WHAT LOCATION/DEPT.: ______________________________________________________________________________

EMPLOYED

 

 

 

NAME OF

 

DATES

 

 

BY BI -MART?:

JOB TITLE: _______________________________ SUPERVISOR: _______________________________ EMPLOYED: _______________________________

RELATIVE/FRIENDS

YES: q

NO: q

IF YES, NAME: ____________________________________________ RELATIONSHIP: _______________________________

CURRENTLY EMPLOYED

 

 

 

 

 

 

 

 

BY BI -MART?:

LOCATION/DEPARTMENT: ___________________________________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

Revision: 8/09

PAGE 1 OF 5

EDU CAT I ON

SCHOOLS ATTENDED

 

 

CIRCLE HIGHEST

 

WHAT NAME(S) ARE

DIPLOMA OR GED

 

 

GRADE COMPLETED

 

RECORDS UNDER?

YES (ü)

NO (ü)

 

 

 

 

LAST JR. HIGH/MIDDLE SCHOOL:

 

1

2

3

4

5

6

7

8

 

 

 

 

 

 

 

 

(City)

(State)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAST HIGH SCHOOL:

 

 

 

9

10

11

12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(City)

(State)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLEGE/UNIVERSITY OR TECHNICAL/TRADE OR MILITARY SCHOOLS ATTENDED:

 

WHAT NAME(S) ARE

 

DEGREE OR

MAJOR(S)

(Include City and State)

 

 

RECORDS UNDER?

 

CREDITS RECEIVED

 

 

 

 

 

NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(City)

(State)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(City)

(State)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIST ANY CURRENT LICENSES/CERTIFICATES/REGISTRATIONS: ______________________________________________________________________________________________

Are you currently attending school? NO q

YES q Hours / Days attending: _____________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

WORK EX PERI EN CE

LIST YOUR MOST RECENT JOB FIRST—APPLICANTS MUST PROVIDE A COMPLETE RECORD OF ALL EMPLOYMENT IN THE LAST 15 YEARS. INCLUDE MILITARY SERVICE.

AND INDICATE DATES AND REASONS FOR PERIODS OF UNEMPLOYMENT IN EXCESS OF THIRTY (30) DAYS. USE ADDITIONAL SHEETS IF NEEDED .

#

1

 

 

 

 

 

 

 

DATE EMPLOYED

 

 

COMPANY/ORGANIZATION

JOB TITLE/DUTIES PERFORMED

JOB TITLE/DUTIES PERFORMED

 

 

 

 

 

 

 

 

(Month & Year)

 

 

(Complete Name & Address)

AT START OF EMPLOYMENT

AT END OF EMPLOYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

______________________________________

 

 

 

 

MO

YR

MO

YR (Name)

 

 

 

 

 

(FROM)

(TO)

 

 

 

 

 

 

 

TYPE OF BUSINESS?

______________________________________

 

 

 

 

 

 

(Street address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________

 

 

 

 

 

 

 

 

 

(City)

 

(State)

(Zip)

 

 

 

 

 

HOW WAS POSITION

AVG. HRS.

 

SALARY

NUMBER OF

REASON FOR LEAVING OR LOOKING

 

 

 

 

WORKED

AT

UPON

PEOPLE YOU

IMMEDIATE SUPERVISOR

 

 

 

OBTAINED?

 

TO LEAVE (BE SPECIFIC)

 

 

 

 

PER WEEK

START

LEAVING

SUPERVISED

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME: _______________________________________

 

 

 

 

 

 

 

 

 

 

TITLE: _______________________________________

 

 

 

 

 

 

 

 

 

 

PHONE #: ____________________________________

 

 

 

 

 

 

 

 

 

 

MAY WE CONTACT NOW?

YES q

NO q

# 2

DATE EMPLOYED

 

COMPANY/ORGANIZATION

 

JOB TITLE/DUTIES PERFORMED

JOB TITLE/DUTIES PERFORMED

 

 

 

 

(Month & Year)

 

(Complete Name & Address)

 

AT START OF EMPLOYMENT

AT END OF EMPLOYMENT

 

 

 

 

/

 

______________________________________

 

 

 

 

MO

 

YR

MO

YR

(Name)

 

 

 

 

 

 

 

 

(FROM)

 

(TO)

 

 

 

 

 

 

 

 

 

TYPE OF BUSINESS?

 

______________________________________

 

 

 

 

 

(Street address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________

 

 

 

 

 

 

 

 

 

(City)

 

(State)

(Zip)

 

 

 

 

 

HOW WAS POSITION

AVG. HRS.

 

SALARY

NUMBER OF

REASON FOR LEAVING OR LOOKING

 

 

 

 

WORKED

AT

UPON

PEOPLE YOU

IMMEDIATE SUPERVISOR

 

 

 

OBTAINED?

 

TO LEAVE (BE SPECIFIC)

 

 

 

 

PER WEEK

START

LEAVING

SUPERVISED

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME: _______________________________________

 

 

 

 

 

 

 

 

 

 

TITLE: _______________________________________

 

 

 

 

 

 

 

 

 

 

PHONE #: _____________________________________

 

 

 

 

 

 

 

 

 

 

MAY WE CONTACT NOW?

YES q

NO q

PAGE 2 OF 5

WORK EX PERI EN CE CON T I N U ED

#

3

 

 

 

 

 

 

 

DATE EMPLOYED

 

 

COMPANY/ORGANIZATION

JOB TITLE/DUTIES PERFORMED

JOB TITLE/DUTIES PERFORMED

 

 

 

 

 

 

 

 

(Month & Year)

 

 

(Complete Name & Address)

AT START OF EMPLOYMENT

AT END OF EMPLOYMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/

______________________________________

 

 

 

 

MO

YR

MO

YR (Name)

 

 

 

 

 

(FROM)

(TO)

 

 

 

 

 

 

 

TYPE OF BUSINESS?

______________________________________

 

 

 

 

 

 

(Street address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________

 

 

 

 

 

 

 

 

 

(City)

 

(State)

(Zip)

 

 

 

 

 

HOW WAS POSITION

AVG. HRS.

 

SALARY

NUMBER OF

REASON FOR LEAVING OR LOOKING

 

 

 

 

WORKED

AT

UPON

PEOPLE YOU

IMMEDIATE SUPERVISOR

 

 

 

OBTAINED?

 

TO LEAVE (BE SPECIFIC)

 

 

 

 

PER WEEK

START

LEAVING

SUPERVISED

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME: _______________________________________

 

 

 

 

 

 

 

 

 

 

TITLE: _______________________________________

 

 

 

 

 

 

 

 

 

 

PHONE #: ____________________________________

 

 

 

 

 

 

 

 

 

 

MAY WE CONTACT NOW?

YES q

NO q

# 4

DATE EMPLOYED

 

COMPANY/ORGANIZATION

 

JOB TITLE/DUTIES PERFORMED

JOB TITLE/DUTIES PERFORMED

 

 

 

 

(Month & Year)

 

(Complete Name & Address)

 

AT START OF EMPLOYMENT

AT END OF EMPLOYMENT

 

 

 

 

/

 

______________________________________

 

 

 

 

MO

 

YR

MO

YR

(Name)

 

 

 

 

 

 

 

 

(FROM)

 

(TO)

 

 

 

 

 

 

 

 

 

TYPE OF BUSINESS?

 

______________________________________

 

 

 

 

 

(Street address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________

 

 

 

 

 

 

 

 

 

(City)

 

(State)

(Zip)

 

 

 

 

 

HOW WAS POSITION

AVG. HRS.

 

SALARY

NUMBER OF

REASON FOR LEAVING OR LOOKING

 

 

 

 

WORKED

AT

UPON

PEOPLE YOU

IMMEDIATE SUPERVISOR

 

 

 

OBTAINED?

 

TO LEAVE (BE SPECIFIC)

 

 

 

 

PER WEEK

START

LEAVING

SUPERVISED

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME: _______________________________________

 

 

 

 

 

 

 

 

 

 

TITLE: _______________________________________

 

 

 

 

 

 

 

 

 

 

PHONE #: ____________________________________

 

 

 

 

 

 

 

 

 

 

MAY WE CONTACT NOW?

YES q

NO q

# 5

DATE EMPLOYED

 

COMPANY/ORGANIZATION

 

JOB TITLE/DUTIES PERFORMED

JOB TITLE/DUTIES PERFORMED

 

 

 

 

(Month & Year)

 

(Complete Name & Address)

 

AT START OF EMPLOYMENT

AT END OF EMPLOYMENT

 

 

 

 

/

 

______________________________________

 

 

 

 

MO

 

YR

MO

YR

(Name)

 

 

 

 

 

 

 

 

(FROM)

 

(TO)

 

 

 

 

 

 

 

 

 

TYPE OF BUSINESS?

 

______________________________________

 

 

 

 

 

(Street address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

______________________________________

 

 

 

 

 

 

 

 

 

(City)

 

(State)

(Zip)

 

 

 

 

 

HOW WAS POSITION

AVG. HRS.

 

SALARY

NUMBER OF

REASON FOR LEAVING OR LOOKING

 

 

 

 

WORKED

AT

UPON

PEOPLE YOU

IMMEDIATE SUPERVISOR

 

 

 

OBTAINED?

 

TO LEAVE (BE SPECIFIC)

 

 

 

 

PER WEEK

START

LEAVING

SUPERVISED

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME: _______________________________________

 

 

 

 

 

 

 

 

 

 

TITLE: _______________________________________

 

 

 

 

 

 

 

 

 

 

PHONE #: ____________________________________

 

 

 

 

 

 

 

 

 

 

MAY WE CONTACT NOW?

YES q

NO q

- U SE ADDI T I ON AL SH EET S I F N EEDED -

PAGE 3 OF 5

ABI LI T I ES

After reviewing the position summary for the job(s) for which you are applying, do you believe that you can perform all of the functions listed? YES q NO q

If no to the above, please identify any functions of the job which you are unable to perform and describe how you might be able to perform the job with reasonable accommodation(s):

______________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________

 

 

BACK GROU N D

 

 

TERMINATION:

Have you ever been discharged or asked to resign from a job?

YES q

NO q If yes, please explain:__________________________________________________________________________________________________________

*CONVICTIONS:

Have you ever been convicted by a criminal or military court of a felony or misdemeanor, including criminal traffic and criminal non-traffic offenses?

YES q

NO q If yes, please explain: ______________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________________________________

*In most cases, a conviction is not an automatic bar from employment.

SK I LLS AN D I N T EREST S

DO NOT include the names of clubs, organizations, associations, etc., which indicate the race, creed, religion, age, national origin, political views or any other protected class of it’s members. List outside activities while in school (athletics, clubs, offices held):

Related hobbies/interests:

List technical/occupational skills (include level of proficiency):

Personal aptitudes/interests:

Career aims/goals:

COM M EN T S

MAKE ANY ADDITIONAL COMMENTS YOU WISH IN THE SPACE BELOW:

PAGE 4 OF 5

ACCEPT AN CE

It is the policy of Bi-Mart to recruit, employ, transfer, develop and promote individuals without regard to race, national origin, ancestry, religion, age, sex, gender identity, marital status, disability, or any other protected class as provided by law.

1.I declare that all statements and answers herein are true and complete, and understand that any untruth, misleading answer, omission, concealment, or failure to answer questions fully, completely, and accurately are grounds for termination of my employment.

2.I authorize Bi-Mart at any time to investigate my references, to communicate with former employers concerning same, and to make an independent investigation of my character, conduct, employment, criminal, financial, and driver’s records.

3.I agree that Bi-Mart, my previous employers and any other sources used in this investigation shall not be held liable in any respect if an employment offer is not tendered, is withdrawn, or my employment is terminated due to false statements or answers in this application or any other information gained in this investigation.

4.I agree to return all company records, equipment, and uniforms upon termination of employment.

5.I understand that this application for employment is not a contract of employment. All employment at Bi-Mart is strictly “Employment At Will” which means that an employee may voluntarily end his/her employment at any time with or without notice for any reason, and the company maintains the same right. This relationship cannot be modified by anyone other than in writing by the Senior Vice President of Human Resources or the President of the Company. Any representations by any other person contrary to the “Employment At Will” Doctrine, either verbal or written, shall not be relied upon by any employee.

_________________________________________________________________________________________________________

(SIGNATURE OF APPLICANT)

DATE

BUSINESS OFFICE AND DISTRIBUTION CENTER

220 S. SENECA RD. P.O. BOX 2310 EUGENE, OREGON 97402

PHONE 541/344-0681 FAX 800/333-8967

PAGE 5 OF 5

PHARMACY MANAGER

Position Overview

Operate a profitable pharmacy by: controlling expenses, efficiently using payroll dollars, being in stock on basics, practicing good personnel skills and principles, consistently applying policies and procedures, ensuring that the pharmacy is clean and in good repair, recognizing and solving problems, understanding and protecting company assets, and maintaining a high level of employee morale and customer satisfaction. Accountable for the staffing and disciplinary programs in the pharmacy centers, as well as any required administrative paperwork.

Reports to: Regional Pharmacy Manager and Vice President of Pharmacy Operations

Coordinates with: Regional Pharmacy Manager, Vice President of Pharmacy Operations, staff pharmacists, pharmacy interns, pharmacy technicians, pharmacy clerks, store management, area coordinators, and administrative staff.

Essential Job Functions

Accountable for achieving and maintaining a level of satisfaction and friendliness, which exceeds that found in competing pharmacy environments.

Establish and manage the day-to-day activities of employees while maintaining high employee morale.

Accountable for the interview, selection, orientation, training, employee development, promotion, evaluation, communication, and disciplinary programs of pharmacy employees.

Receive prescriptions, consult with prescriber and patient, accurately fill, label, and dispense prescriptions as designated by prescriber in a professional and timely manner and in compliance with local, state, and federal regulations.

Accountable for controlling all potential sources of liability.

Act as a public relations agent with health care professionals, coordinate health fairs, and attend college career fairs.

Accountable for the in-stock position of pharmacy items according to company standards, while managing inventory at budgeted levels.

Accountable for managing controls that prevent internal and external theft, waste and other losses.

Accountable for adherence to and accuracy of the cash handling, check acceptance, and accounting systems in the pharmacy.

Responsible for ensuring a safe working environment.

Accountable for controlling all pharmacy expenses.

Accountable for achieving sales objectives.

Accountable for the maintenance of the pharmacy physical assets.

Bi-Mart Corporation

October, 2003

Provide leadership-by-example to employees by personally following all policies and procedures, and in personal conduct and attitude.

Physical Requirements

Occasionally = up to 1/3 shift

Frequently = up to 2/3 shift

Continuously = throughout shift

Standing: Continuously in combination with walking on hard surface.

Sitting: 0% of the time.

Walking: Continuously in combination with standing.

Worker Mobility: Can change positions frequently throughout work shift.

Carry/Lift: Frequently and independently work with 0-25 pounds depending on product and materials being worked with.

Pushing/Pulling: Occasionally push/pull merchandise on hand trucks or stocking carts. Continuously and independently push/pull single case lots or items while stocking or moving merchandise across the counter.

Bending/Squatting: Frequently throughout work shift while operating register/bagging merchandise, reaching or stocking merchandise and supplies, and cleaning.

Reaching/Handling: Use of fingers/hands/arms continuously. Frequent overhead reaching needed for higher shelf stocking and retrieving.

Grasping/Squeezing: Frequently.

Twisting: Frequently.

Climbing: Occasionally climb ladders to reach higher shelf areas. Occasionally climb stairs to reach stock/supply areas, etc.

Crawling: 0% of time.

Social Skill Requirements

Ability to positively interact with others.

Ability to communicate well verbally and in writing using the English language.

Ability to involve, motivate, and lead others.

Ability to respond sensitively to patient needs and/or situations.

Bi-Mart Corporation

October, 2003

Ability to continuously interact in a positive manner with multiple patients and employees face to face and over the phone.

Solid leadership and management skills.

Aptitude Requirements

Must be able to read English and write it legibly.

Must be able to perform basic and intermediate math functions.

Must have cognitive skills including ability to analyze, reason, and make decisions.

Ability to organize and coordinate multiple tasks with attention to detail.

Must be able to perform a variety of tasks in a reliable and confident manner.

Must be able to learn quickly and retain new skills.

Certification/Licensing Requirements

Must be licensed by the State Board of Pharmacy of the state in which the practice of pharmacy is conducted.

Environmental Factors

Most work is performed in store.

Frequent exposure to outside elements.

Continual risk of exposure to chemicals and/or compounds.

This position summary covers most of the duties performed, however, other duties and responsibilities not listed may be assigned at the discretion of management.

After reviewing this position summary, can you perform all of the functions listed? o Yes o No

If no to the above, please identify any functions that you are unable to perform:

I verify that I have thoroughly reviewed the position summary for Pharmacy Manager and that I understand the job requirements and essential job functions.

Signature: ___________________________________________________ Date: _______________________

Print Name: __________________________________________________

Bi-Mart Corporation

October, 2003

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3. This 3rd segment is considered rather easy, SCHOOLS ATTENDED, LAST JR HIGHMIDDLE SCHOOL, City State, LAST HIGH SCHOOL, City State, COLLEGEUNIVERSITY OR, NAME, City State, NAME, City State, CIRCLE HIGHEST, GRADE COMPLETED, WHAT NAMES ARE RECORDS UNDER, DIPLOMA OR GED, and YES cid - these form fields will have to be completed here.

City State, City State, and SCHOOLS ATTENDED in LEGIBLY

4. Filling in DATE EMPLOYED, Month Year, MO YR MO YR FROM TO, TYPE OF BUSINESS, COMPANYORGANIZATION Complete Name , JOB TITLEDUTIES PERFORMED, AT START OF EMPLOYMENT, JOB TITLEDUTIES PERFORMED, AT END OF EMPLOYMENT, Name Street address City State, HOW WAS POSITION, OBTAINED, AVG HRS WORKED PER WEEK, SALARY, and START is crucial in this fourth form section - be certain to don't hurry and be mindful with each and every empty field!

Part no. 4 of completing LEGIBLY

It is easy to make a mistake while filling in your OBTAINED, hence be sure to reread it prior to deciding to finalize the form.

5. Because you approach the finalization of the document, there are just a few extra requirements that should be met. Notably, TYPE OF BUSINESS, Name Street address City State, HOW WAS POSITION, OBTAINED, AVG HRS WORKED PER WEEK, SALARY, START, UPON, LEAVING, NUMBER OF PEOPLE YOU SUPERVISED, REASON FOR LEAVING OR LOOKING, TO LEAVE BE SPECIFIC, IMMEDIATE SUPERVISOR, NAME TITLE PHONE MAY WE, and PAGE OF must be filled in.

NUMBER OF PEOPLE YOU SUPERVISED, OBTAINED, and START in LEGIBLY

Step 3: Prior to finishing your form, double-check that form fields have been filled in the right way. As soon as you’re satisfied with it, press “Done." After starting afree trial account with us, it will be possible to download OREGON or send it via email right away. The file will also be accessible from your personal cabinet with your changes. FormsPal ensures your information privacy by using a protected method that in no way saves or shares any personal information involved. You can relax knowing your paperwork are kept confidential every time you work with our editor!