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Join Our Team!

Want to join our team of dedicated professionals? Please compete the application and attach a resume.

Our policy
National Infusion Services does not discriminate, directly or through contractual agreement, on the basis of race, creed, color, language, national origin, age, sex, gender preference or disability in the practice of admissions to health services and/or in its screening or hiring of employees.
Application for Employment
NATIONAL PHARMACY ACQUISITION IS AN EQUAL OPPORTUNITY EMPLOYER DEDICATED TO NONDISCRIMINATION IN EMPLOYMENT. NATIONAL PHARMACY ACQUISITION SELECTS THE BEST QUALIFIED INDIVIDUAL FOR THE JOB BASED ON JOB-RELATED QUALIFICATIONS REGARDLESS OF RACE, AGE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, ANCESTRY, MARITAL STATUS, SEXUAL PREFERENCE, DISABILITY OR ANY OTHER STATUS PROTECTED BY APPLICABLE LAW. IF NEEDED, YOU MAY REQUEST ACCOMMODATION TO PARTICIPATE IN THE APPLICATION PROCESS. APPLICATIONS WILL REMAIN ON FILE FOR 60 DAYS.

APPLICANT INFORMATION
Desired Position:
Date: Social Security #
Name:
Address: City: State: Zip
Telephone: Date of Birth:
Salary desired: Email Address:
Shifts Available:     Any     Day     Evening     Night
Desired Status:     Full Time     Part Time (Days/Hours)
If hired, can you provide written evidence that you are authorized to work in the U.S.?     Yes    No
 
GENERAL INFORMATION
Have you worked for National Pharmacy Acquisition before?       Yes      No
Is there any information we would need about your name, or use of another name, for us to be able to check your work
record?   
      Yes         No
If yes, lease specify:
Are you related to anyone employed by National Pharmacy Acquisition? If yes, please list:
Have you pleaded guilty to or been convicted of a crime other than minor traffic accidents:         Yes         No
(Note: Conviction of a criminal offense will not necessarily preclude your employment). If yes, describe in full:
Are you able to perform the essential functions of the job, with or without a reasonable accommodation?       Yes        No
If your application is considered favorably, on what date will you be available for work? 
 
EDUCATION
Have you earned a high school or general education diploma?    
If yes, specify name and location of school:
Have you earned a college degree?    
Degree earned: If no degree, indicate any credit hours:
School name: City, State:
Have you had vocational or special training?          Yes       No
If yes, specify name and location of school:
Area of study or specialization and license (If applicable):
Please list any additional information that relates to your ability to perform the job for which you have applied such as licenses, certifications, professional memberships, hobbies, etc.

 
EMPLOYMENT RECORD
Indicate your past work experience starting with your most recent employment and account for the last five year of employment (including any employment lapses). Use an additional sheet if needed.
Present/last employer:
Address: Phone:
Job tile: Pay rate:
Reason for leaving:
MAY WE CONTACT YOUR PRESENT EMPLOYER FOR A REFERENCE:        Yes          No
 
Previous employer:
Address: Phone:
Job tile: Pay rate:
Reason for leaving:
   
Previous employer:
Address: Phone:
Job tile: Pay rate:
Reason for leaving:
 
Previous employer:
Address: Phone:
Job tile: Pay rate:
Reason for leaving:
 

Please copy and paste your Resume below:

 

REFERENCES (Do Not Include Relatives)
Name / Occupation / Years Known / Address /Phone






APPLICANT AGREEMENT (Please read carefully and initial each paragraph.)

I understand that National Pharmacy Acquisition follows an "employment at will" policy in that I or the employer may terminate my employment at any time, with or without reason, consistent with applicable state or federal law. While employment policies or procedures may change from time to time, only a written agreement signed by the company's president or designated individual can change the at-will status. I understand that nothing on this application is intended to create or imply a contractual relationship. If hired, I understand that it is not for any specific time period or duration.

I understand that federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment. If employed, I will be required to complete an Employment Eligibility Verification Form (Form 1-9) on my first day of work and must present the required documentation to show satisfactory evidence of identify and eligibility to work in the U.S. within 3 days.

I understand that I may be required to undergo a medical examination as a means of determining ability to perform job duties after an offer of employment has been made. Failure to undergo a medical examination when required will result in disqualification from employment.

I understand that I am required to take a TB Skin Test. Refusal to do so may result in disqualification from employment. I also understand that a positive result may require further testing.

I understand that I may be required to undergo and pass a substance abuse test in accordance with company policy after an offer of employment has been made. Failure to do so when required will result in disqualification from employment.

I understand that a criminal check, which may include fingerprinting, may be required and give National Pharmacy Acquisition the right to perform a criminal history check.

I voluntarily give National Pharmacy Acquisition the right to make a thorough investigation of my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information.

I understand this application will be active for a period of 60 days; after that time, if I wish to be considered for employment, I must submit a new application.

I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for disqualification from further consideration in the selection process or, if hired, grounds for discharge.

VOLUNTARY
EEO / AFFIRMATIVE ACTION SURVEY


Qualified applicants ore considered for employment by the Company, We consider applicants for all positions without regard to race, color, religion, sex, sexual orientation, national origin, age, citizenship status, marital status, military or veteran status, disability, or any other legally protected class.

As employers/government contractors, we must comply with government regulations and affirmative action responsibilities. The information in this survey will be used for analysis and affirmative action purposes only. To help us comply with federal/state equal employment opportunity record keeping, periodic reporting and other legal requirements, your completion of the EEO/Affirmative Action Survey is appreciated.

Completion of this survey is voluntary and it will not affect the decision regarding your application for employment. The information you provide will be treated in o confidential manner.


Race
American Indian or Alaska Native, not Hispanic or Latino
Asian, not Hispanic or Latino
Black or African American, not Hispanic or Latino
Hispanic or Latino (all races)
Native Hawaiian or Other Pacific islander, not Hispanic or Latino
White, not Hispanic or Latino
Two or more Rocet not Hisponic or Latino
l Prefer Not to Answer

Gender
Female
Male
I Prefer Not to Answer

Your Signature:

Date: