Employment

Preferences

Work Experience

Second Most Recent Employer

Third Most Recent Employer

Education History

Example: University Of Texas/ Bachelor Of Science Pharmacy/Yes/ 1996

Job Training

Honors And Awards

References

I hereby certify that the foregoing statements are complete, true and correct and I understand that any false statement or omission contain herein may be considered as sufficient cause for rejection of this application or for termination of my employment if such false statement or omission is discovered later. I authorize any of the persons or organizations referenced in this application to give you any and all information regarding my previous employment, education or any other information they may have with regard to any of the subjects covered by this application, and I release all such persons or organizations from all liability or damages which may result from furnishing such information to you. I understand that a consumer credit report or other background report may be obtained from a third party as a part of the application process and by execution of this application I expressly give my permission to such reports. I understand that, I am subject to pre-employment drug/controlled substance testing, and my execution of this application I expressly give my permission to such testing. I further understand that I am subject to pre-employment polygraph testing, and my execution of this application I expressly give my permission to be polygraphed. I understand that Davila Pharmacy Inc. has the right to search anything brought onto company premises, including handbags, briefcases and vehicles, as well as Company property such as desks and cabinets. I understand that, if I am employed, my employment is for no definite period and that I may be terminated at any time without prior notice. I understand that the company’s receipt of this application does not imply that I will be employed, and that neither this application nor any other company documents are contracts for employment. I acknowledge that nothing has been said to me regarding employment by Davila Pharmacy which conflicts with the above, and that no promises or guarantees regarding employment will be binding upon the company unless they are specifically set forth in writing and signed by the President of the company. I understand that if I am hired by Davila Pharmacy, I agree to conform to the rules and regulations of the company. I understand that Davila Pharmacy prohibits harassment and discrimination of any kind and that if I am hired, I must report any instances of harassment or discrimination of which I am aware.

Sending