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Employment Application

There are no open positions at this time.

Interested In working for Baya?

Want to work for a company who cares about its employees, who puts family and spiritual life first. Baya is always keeping an eye out for talented people who share the same values. If your interested in working for Baya please fill out the application below and if positions are available that fit your qualifications then we will contact you.

Please note that atleast one (1) year of pharmacy experience is required for those applying for a pharmacy technician position.

Employment Application

Last Name
 First Name
 Middle Initial
 D.O.B. (ex: 01/01/1960)
Street Address
 Apartment/Unit #
City
 State
 Zip
Email
 Phone (ex: 555-555-5555)
Date Available (ex: 01/01/2010)
 Desired Salary
 Social Security Number (ex: 555-55-5555)
Position applied for:
Are you a U.S. citizen?
 If No, Are you authorized to work in the U.S.?
Have you ever worked for this company?
 If so, When? (ie: 01/01/2010)
Have you been convicted of a felony?
If so, Explain?

Education

High School
 Address
 Years
 Did you Graduate?
Degree
College
 Address
 Years
 Did you Graduate?
Degree
Other
 Address
 Years
 Did you Graduate?
Degree

References

Please list three professional references.

Reference 1

Full Name

Relationship

Company

Phone

 Reference 2

Full Name

Relationship

Company

Phone

 Reference 3

Full Name

Relationship

Company

Phone

Previous Employment

Previous Job 1

Company

Address

Job title

Responsibilities

Supervisor

Phone

Starting Salary

Ending Salary

Reason for Leaving

Years there

May we contact them?

 Previous Job 2

Company

Address

Job title

Responsibilities

Supervisor

Phone

Starting Salary

Ending Salary

Reason for Leaving

Years there

May we contact them?

 Previous Job 3

Company

Address

Job title

Responsibilities

Supervisor

Phone

Starting Salary

Ending Salary

Reason for Leaving

Years there

May we contact them?

Other Qualifications

TRADE SCHOOLS & CERTIFICATIONS


Please list all associated skills and certifications

MILITARY SERVICE
Branch
 Years of Service
Rank at Discharge
 Type of Discharge
 If other then Honorable, explain:

Disclaimer and Signature

By typing your Email Address below you acknowledge that it will serve as your signature thus agreeing to the following:

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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