Create Application | Hartig Drug Stores

Education	Order
	School Name & Location Course of Study Number of Years Completed Did you Graduate? Degree or Diploma	Weight for row 1
	School Name & Location Course of Study Number of Years Completed Did you Graduate? Degree or Diploma	Weight for row 2
	School Name & Location Course of Study Number of Years Completed Did you Graduate? Degree or Diploma	Weight for row 3

Employment	Order
	Company Name Address Phone (555) 555-5555 Name of Supervisor Start Date Month Year Still Employed Here? If no, End Date Month Year Weekly Pay Start Weekly Pay Last State Job Title and Describe Your Work Reason for leaving	Weight for row 1
	Company Name Address Phone (555) 555-5555 Name of Supervisor Start Date Month Year Still Employed Here? If no, End Date Month Year Weekly Pay Start Weekly Pay Last State Job Title and Describe Your Work Reason for leaving	Weight for row 2
	Company Name Address Phone (555) 555-5555 Name of Supervisor Start Date Month Year Still Employed Here? If no, End Date Month Year Weekly Pay Start Weekly Pay Last State Job Title and Describe Your Work Reason for leaving	Weight for row 3
	Company Name Address Phone (555) 555-5555 Name of Supervisor Start Date Month Year Still Employed Here? If no, End Date Month Year Weekly Pay Start Weekly Pay Last State Job Title and Describe Your Work Reason for leaving	Weight for row 4
	Company Name Address Phone (555) 555-5555 Name of Supervisor Start Date Month Year Still Employed Here? If no, End Date Month Year Weekly Pay Start Weekly Pay Last State Job Title and Describe Your Work Reason for leaving	Weight for row 5

References	Order
	Name Address Address 2 City State Zip Code Phone Email Relationship to applicant	Weight for row 1
	Name Address Address 2 City State Zip Code Phone Email Relationship to applicant	Weight for row 2
	Name Address Address 2 City State Zip Code Phone Email Relationship to applicant	Weight for row 3

Please read and understand this statement before signing your application:

The information I have provided in this Application for Employment is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.

I authorize the employer to contact and obtain information about me from previous employers, educational institutions and “references” I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.

This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.

This application is not an employment agreement. If I accept an offer of employment I understand I may resign at any time, and the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.

Hartig Drug - Pharmacy

Application for Employment

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Hartig Drug - Pharmacy

Application for Employment

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