Boone Drug Employment Application

Boone Drugs, Inc. Employment Application

Please complete the form accurately to the best of your ability. Boone Drugs, Inc. is an Equal Opportunity Employer. Employment decisions are not based on race, religion, creed, national origin, sex, or sexual orientation.
Today's Date

MonthDayYear
Personal Information

Please complete information below.
Desired Position
Desired Location of Employment
Are you currently a certified technician?
Have you completed a technician certificate program?
If yes, what program?
Please select the type of position desired.
Name:

First NameLast Name
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best time to be Reached

:HourMinutesAM/PM Option
E-mail Address:
example@example.com
How were you referred to us?
Please list availability to work.
Education

Highest Level of education obtained.
Degree, School, & Dates Attended
Upload Resume:

Upload a File
If available Cancelof
Job History: Three most recent employers.

Please list your most recent employment first.
Job 1
Name of Employer
Address of Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last Position Held
End Salary
Reason for Leaving
Job 2
Name of Employer
Address of Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last Position Held
End Salary
Reason for Leaving
Job 3
Name of Employer
Address of Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last Position Held
End Salary
Reason for Leaving
May we contact your previous employers?
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference 2
Name:

First NameLast Name
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you ever been convicted of a felony?
Permission to conduct a background check

Due to the nature of the pharmacy industry, all Boone Drug employees must successfully complete a felony background check.
I, First Name Last Name Signature give Boone Drugs, Inc. permissions to perform a felony background check as a condition of employment. Boone Drugs, Inc. will only perform the felony background check if the applicant is going to be offered employment. This check will not be performed on applicants who are not being considered for a position.
I certify that all of the information submitted by me on this application is true and complete to the best of my knowledge. I understand that false statements can lead to the rejection of my application or the termination of my employment.
The passing of a pre-employment drug test is required and will be arranged by a memeber of management.

If you have questions, please contact our Human Resources Department at:

Boone Drugs, Inc.

345 Deerfield Road

Boone, NC 28607

Amanda Blevins

(P) - 828.355.3345

(F) - 828.264.0543
Should be Empty:

Boone Drugs, Inc. Employment Application

Personal Information

Education

Job History: Three most recent employers.

Permission to conduct a background check