Pharmacist - Part Time - Wolf River

Basics

First Name, Last Name, Email, Phone, Resume/CV, Cover Letter, Location

Short answers (8)

• LinkedIn Profile optional
• Website optional
• How did you hear about this job?
• If referred, please list name of the associate that referred you optional
• To help us align expectations early in the process, please share your target salary range in USD. We understand that this may be negotiable, but having a range helps us use your time efficiently. 
• If you have worked for West Clinic/West Cancer Center or its affiliates in the past, please list positions(s) and any other name or alias used while employed. optional
• How many years’ experience do you have for this position?
• If you are presently under an employment contract, when does it expire? optional

Pick from a list (9)

• Interested in Working, Full-time, Part-time, Supplemental (Check all that apply)
• Have you ever worked for West Clinic/West Cancer Center or its affiliates in the past?
• Have you ever been terminated or resigned in lieu of termination?
• Are you legally authorized to work in the United States?
• May we contact your current employer?
• Are you presently under an employment contract?
• I understand that West Clinic/West Cancer Center does not respond to application status inquires until I have been selected for a position or the position is filled by another candidate?
• I hereby authorize West Clinic/West Cancer Center to conduct work history, education, personal reference, or police record inquires to determine my acceptability for employment. I authorize West Clinic/West Cancer Center and its agents to procure a consume report and/or investigate consumer report about my background, character or reputation, including, but not limited to information as to my employment, education, consumer credit history (if appropriate for certain job descriptions), driving record, social security number verification, criminal record, and/or public record history. I authorize all persons to fully disclose information relevant to this investigation. I release from liability all persons, companies, and government or other agencies disclosing such information. I further authorize that a photocopy of this authorization may be considered an original.
• I understand that by submitting this application, I acknowledge and warrant the truthfulness of the information provided in this document.

Written answers (10)

• List active, relevant certifications and expiration dates
• List any current memberships or volunteer work optional
• Do you have any relatives or household members employed by West Cancer Center? If so, please indicate name, job title, and location. Do not include any information or identification of marital status.
• If you have ever been terminated or resigned in lieu of termination , please explain: optional
• Have you ever been convicted, pled no contest, or pled guilty to a felony or do you currently have a pending charge? Type YES or NO. If yes, please explain:
• Have you ever been convicted, pled no contest, or pled guilty to ANY misdemeanor to include involving fraud, writing bad checks, theft, DUI, or drugs? DO NOT include juvenile cases or cases sealed or expunged by a court. Do not assume charges have been removed. Type YES or NO. If yes, please explain:
• Have you currently or have you previously been excluded, suspended, or otherwise been ineligible for participation in federal programs, or do you have a controlling interest in an entity that has been so excluded or suspended? Have you ever been sanctioned, disciplined, debarred, and/or excluded by a duly authorized regulatory agency, or are there current restrictions/limits on your license or certification? Type YES or NO. If yes, please explain:
• Have you ever served as an expert witness or consultant in healthcare malpractice cases? Type YES or NO. If yes, please explain:
• Please provide 5 professional references to include their name, phone number, and email address.
• Please list any other names used (maiden, alias, nickname) or type NONE.