Online Interview

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First Name






Last Name






Address







City





State





ZIP Code





Phone





Email





Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:


Education:




How many years of education have you completed?
Some High School
H.S. Diploma or equivalent
Some College
2-Year College Degree
4-Year College Degree
Beyond 4-year College Degree




Do you have a valid Pharmacy Technician Certification (CPhT)?
Yes
No


Experience:




How many years experience do you have in the position for which you are interested?
No experience
Less than one year
At least 1 to 3 years
At least 4 to 6 years
At least 7 to 9 years
Ten or more years




What type of setting best describes your work experience?
Hospital/Clinical Setting
Home Healthcare/Long-Termcare
Mail-Order PharmacyPharmaceutical Wholesaler
Retail
Hospitality
Office Setting
Manufacturing/Warehouse
Government
Other




Do you have experience greeting and interacting with customers/patients?
Yes
No




Do you have experience completing insurance forms and working with third-party billing such as insurance companies?
Yes
No




Do you have experience ordering supplies and managing or building relationships with vendors?
Yes
No




Do you have experience preparing purchase orders and/or billing invoices?
Yes
No




Do you have experience with multi-line phone systems?
Yes
no




Do you have experience with using software to help manage patient care?
Yes
No




Do you have experience stocking supplies?
Yes
No


Work/Salary:




Would you be interested in temporary assignments or on-call work?
Yes
No




What is your shift preference?
Days
Afternoons
Evenings
Midnights
Any shift




Are you able to work weekends and holidays?
Yes
No




Are you available to rotate your schedule?
Yes
No




Please indicate what hourly base rate you are looking to receive:
Up to $7.00 per hour
Up to $9.00 per hour
Up to $11.00 per hour
Up to $13.00 per hour
Up to $15.00 per hour
$15.00 or more per hour


General:




Are you interested in working full time or part time?
Full time
Part time




Are you currently employed?
Yes
No




How many miles from your home are you willing to travel to work?
Up to 5 miles
Up to 10 miles
Up to 20 miles
Over 20 miles




Would you relocate to another state?
Yes
No




Are you at least 18 years of age and eligible to work in the United States?
Yes
No




Are you bi-lingual or multi-lingual?
Yes
No




In addition to English, in which language are you most fluent?
Spanish
French
Italian
German
Russian
Chinese
Japanese
Other
None




Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing?
Yes
No




Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks?
Yes
No




Are you now or have you been a member of the United States Military, National Guard or Reserves?
No
I am a Veteran of the United States military
I am currently a member of the United States military
I am currently a member of the National Guard or Reserves
I was a member of the National Guard or Reserves



Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.


Additional Info:
 

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