Marcrom's General Job Application

Job Application

Thank you for your interest in working at Marcrom's Pharmacy. We strive to provide a team atmosphere and a caring workplace. Marcrom's Pharmacy is a fast paced environment and is not for the faint of heart. An outgoing, friendly personality is a must! The pharmacy industry has become very technologically advanced so the ability to learn computer skills is also a must. At least some computer skills are preferred.

Please be sure to hit submit at the very end. If there is a section that does not apply to you, simply skip to the next one. Thanks!

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Mobile Phone Number *

Email Address *

Confirm Email *

Referred by * 🛈

Applying for *

Full Time

Part Time

Temporary

Education History

High School

High School
(If you have a GED please just note that in the date graduated field.) *

Date Graduated or Expected to Graduate *

Secondary Education

Secondary Education 1

Date graduated or expected to graduate

Degree Expected

Secondary Education 2

Date graduated or expected to graduate 2

Degree Expected 2

Secondary Education 3

Date graduated or expected to graduate 3

Degree Expected 3

Special Skills or Training

Do you prefer to work independently or with a team? Why? *

On a scale of 1-10 please rate your ability to work a computer and trouble shoot MINOR issues? *

Please describe why you gave yourself that rating. *

Please explain why you would be a good fit at Marcrom's Pharmacy: *

Please check ALL of the following that describe you: *

Employment History

Most Recent Employer:

Employer:

Job Title:

Dates Employed?
(Start to Finish)

Starting Wage:

Ending Wage:

Supervisor Name:

Phone Number:

May we contact this employer?

Yes

If no, why not? *

Job Duties:

Reason for leaving?

Next Most Recent Employer:

Employer:

Job Title:

Dates Employed?
(Start to Finish)

Starting Wage:

Ending Wage:

Supervisor Name:

Phone Number:

May we contact this employer?

Yes

If no, why not? *

Job Duties:

Reason for leaving?

Next Most Recent Employer:

Employer:

Job Title:

Dates Employed?
(Start to Finish)

Starting Wage:

Ending Wage:

Supervisor Name:

Phone Number:

May we contact this employer?

Yes

If no, why not? *

Job Duties:

Reason for leaving?

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Position Desired

Please described the type position your are looking for at Marcrom's Pharmacy. Please include desired work hours and days. (We are open M-F from 8am-6pm and Saturdays from 8am-2pm.) *

Availability to start *

References

Other Comments

Please use this section to make us aware of anything else we may need to know about you as we consider you for employment.

Please list at least three (3) references.

Reference One:

First Name:

Last Name:

Time Known and Relationship?

Phone Number:

Email Address:

Reference Two:

First Name:

Last Name:

Time Known and Relationship?

Phone Number:

Email Address:

Reference Three:

First Name:

Last Name:

Time Known and Relationship?

Phone Number:

Email Address:

I certify that statements made by me on this form are true and correct. I understand that, if employed, any false statement on this application can be considered cause for dismissal. I authorize investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision. *

AGREE

DISAGREE