Gaughn's Drug Store
348 Pennsylvania Avenue West, Warren PA 16365
Port Allegany Pharmacy
54-56 North Main Street, Port Allegany PA, 16743
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Gaughn's Drug Store - Warren, PA
Port Allegnay Pharmacy - Port Allegany PA
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Gaughn's Drug Store Application for Employment
Port Allegany Pharmacy Application for Employment
Demographic Information
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
example@example.com
Position applied for
*
Pharmacist
Pharmacy Technician
Cashier
Delivery Driver
Days available to work
I am available Monday through Saturday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How many hours per week are you available to work?
Full time (38 hours per week)
30-38 hours
25-30 hours
20-25 hours
Less than 25 hours
Desired hourly salary range
:
dollars/hour
The following information is required for criminal background checks. By completing this form you consent to authorizing this check. All employees are subject to screening for illegal drugs.
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Have you ever been convicted of a crime?
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No
Yes (please explain below)
Please explain if answered yes to above question
Employment History
Most Recent Employer
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References
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By typing my name below I hereby certify that the information I have provided is accurate and true to the best of my knowledge and that any information found to be untrue could be reason for my termination from employment.
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