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Adel, GA
Albany, GA
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Dawson Rd.
Downtown
Northwest
Palmyra
South Albany
Byron, GA
Cairo, GA
Centerville, GA
Clayton, GA
Commerce, GA
Cordele, GA
Ft. Valley, GA
Forsyth, GA
Franklin, NC
Griffin, GA
Greenville, GA
Leesburg, GA
Macon, GA
Phenix City, AL
Pine Mountain, GA
Richland, GA
Smiths Station, AL
Spartanburg, SC
Woodbury, GA
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here
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U-Save-It Pharmacy Employment Application
*
Indicates required field
Please specify which store you are applying for:
*
How were you referred to us:
*
Full name:
*
Address:
*
Phone:
*
Email:
*
Date available to start:
*
Social Security Number
*
Salary Requirement
*
If you are under 18 and we require a work permit, can you furnish one?
*
Yes
No
If no, please explain:
*
Have you ever worked for this company?
*
Yes
No
If yes, when?
*
Are you a citizen of the United States?
*
Yes
No
If not, do you have work papers?
*
Yes
No
Type of employment desired:
*
Full-time
Part Time
Temporary
Season
Have you ever pled "guilty" or "no contest" to or been convicted of a crime?
*
Yes
No
If yes, give dates and details:
*
Answering yes to these questions does not constitute an automatic rejection to employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Driver's license number and state if applicable to position:
*
Education
High School:
*
Address:
*
# of Years Completed:
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Did you graduate?
*
Yes
No
GPA:
*
Class rank:
*
College/University:
*
Address:
*
# of years completed:
*
Did you graduate?
*
Yes
No
Degree/Major:
*
GPA:
*
Class Rank:
*
Other:
*
References
Please furnish the names, addresses and telephone numbers of two people to whom you are not related and by whom you have not been employed:
Name:
*
Address:
*
Phone:
*
Name:
*
Address:
*
Phone:
*
Summarize your special skills or qualifications:
*
Previous Employment (begin with most recent position):
Dates if Employment:
*
Position(s) Held:
*
Firm:
*
Address:
*
Phone:
*
Supervisor/Title:
*
Responsibilities:
*
Starting salary and title:
*
Ending salary and title:
*
Reason for Leaving:
*
May we contact this employer for reference?
*
Yes
No
Dates of Employment
*
Position(s) Held:
*
Firm:
*
Address:
*
Phone:
*
Supervisor/Title:
*
Responsibilities:
*
Starting salary/title:
*
Ending salary/title:
*
Reason for leaving:
*
May we contact this employer for reference?
*
Yes
No
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers schools or persons from all liability in responding to inquiries in connection with my application.
In the even I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.
Signature of Applicant:
*
Date:
*
Submit
Home
Travel Vaccines
Locations
Adel, GA
Albany, GA
>
Dawson Rd.
Downtown
Northwest
Palmyra
South Albany
Byron, GA
Cairo, GA
Centerville, GA
Clayton, GA
Commerce, GA
Cordele, GA
Ft. Valley, GA
Forsyth, GA
Franklin, NC
Griffin, GA
Greenville, GA
Leesburg, GA
Macon, GA
Phenix City, AL
Pine Mountain, GA
Richland, GA
Smiths Station, AL
Spartanburg, SC
Woodbury, GA
Rewards Program
Coupons
Online Refills
Careers
Contact Us
FAQ
✕
