Employment Application

EMPLOYMENT APPLICATION

Wiley’s Pharmacy is an Equal Opportunity Employer. We offer both Part Time and Full Time positions at our four locations throughout Lancaster County. Jobs at Wiley’s include a benefits package with: Health, Dental and Eye Care, as well as Paid Vacations and Holidays. Please fill out our employment application below to apply to Wiley’s Pharmacy today.

Select Preferred Location


How Did You Learn About Us?


Personal Information












If you are you under 18 years of age, can you provide required proof of your eligibility to work?
Have you ever filled out an application with us before?

Have you ever been employed with us before?


Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?
Proof of citizenship or immigration status will be required upon employment.

What days you are available to work?
What are you available to work?
Is there anything that would prevent you from working evenings & weekends?
Are you currently on "lay-off" status and subject to recall?
Have you been convicted of a felony within the last 7 years?
Conviction will not necessarily disqualify an applicant from employment.

Education


(Please state Name and Location of School, # of Years Attended, Subjects Studied and if you received a Diploma/Degree)

(Please state Name and Location of School, # of Years Attended, Subjects Studied and if you received a Diploma/Degree)

(Please state Name and Location of School, # of Years Attended, Subjects Studied and if you received a Diploma/Degree)




(You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or other protected areas)

References




Have you ever had any job-related training in the United States military?

Have you been counseled or disciplined for attendance problems on prior jobs?

Employment Experience


Start with your present or last job. Include any job-related military service assignments and volunteers activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or other protected status.


(Please indicate date started, date ended, name and address of employer, your salary, your position/work performed and your reason for leaving)

(Please indicate date started, date ended, name and address of employer, your salary, your position/work performed and your reason for leaving)

(Please indicate date started, date ended, name and address of employer, your salary, your position/work performed and your reason for leaving)

(Please indicate date started, date ended, name and address of employer, your salary, your position/work performed and your reason for leaving)

(Summarize special job-related skills and qualifications acquired from employment or other experience.)

Employment Experience

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should reapply.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by the rules and regulations of the employer.

We are an Equal Opportunity Employer.


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