Bi Mart Application For Employment Form – Fill Out and Use This PDF

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: ____________________________________________________________________________________________________________________________________

EDU CAT I ON

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 .

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WORK EX PERI EN CE CON T I N U ED

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

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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):

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*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:

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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.

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BUSINESS OFFICE AND DISTRIBUTION CENTER

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

PHONE 541/344-0681 • FAX 800/333-8967

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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.

∙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: __________________________________________________