Kex Rx Application for Employment

Kex Rx Pharmacy & Home Care is an equal opportunity employer. All applicants will be considered
regardless of race, color, religion, gender, national origin, age, marital, or veteran status; medical
condition, disability; or any other legally protected status. Equal access to the hiring process, services,
and employment is available to all persons. Applicants requiring accommodations to the application
and/or interview process should contact a Pharmacy manager.

Each question should be answered completely and accurately. No action will be taken on this
application until all questions have been answered and the application has been signed and dated.
Verification of eligibility to work in the U.S. will be required if an employment offer is made.

Kex Rx Pharmacy & Home Care is an equal opportunity employer. All applicants will be considered
regardless of race, color, religion, gender, national origin, age, marital, or veteran status; medical
condition, disability; or any other legally protected status. Equal access to the hiring process, services,
and employment is available to all persons. Applicants requiring accommodations to the application
and/or interview process should contact a Pharmacy manager.

Each question should be answered completely and accurately. No action will be taken on this
application until all questions have been answered and the application has been signed and dated.
Verification of eligibility to work in the U.S. will be required if an employment offer is made.

First Name *

Last Name *

Mobile Phone Number
(Home number if no mobile number) *

Street Address *

City *

State *

Zip Code *

Email Address *

Confirm Email Address *

Which Kex Rx location are you applying for? *

Atchison, KS

Hiawatha, KS

Falls City, NE

What position are you applying for? *

What are your salary requirements? *