EMPLOYMENT APPLICATION EMPLOYMENT APPLICATION Wiley’s Pharmacy is an Equal Opportunity Employer. We offer both Part Time and Full Time positions at our four locations throughout Lancaster County. Jobs at Wiley’s include a benefits package with: Health, Dental and Eye Care, as well as Paid Vacations and Holidays. Please fill out our employment application below to apply to Wiley’s Pharmacy today. Select Preferred Location Millersville Quarryville Hempfield Strasburg Position Desired How Did You Learn About Us? Advertisement Friend Walk-In Employment Agency Relative Personal Information First Name* Middle Initial Last Name* Address* City* State* Select A State Select A State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces (AA) Armed Forces (AE) Armed Forces (AP) American Samoa Guam Northern Mariana Islands Puerto Rico US Minor Outlying Islands US Virgin Islands International Zip* County* Township / Borough* Phone Number* Email Address* If you are you under 18 years of age, can you provide required proof of your eligibility to work? Yes No Have you ever filled out an application with us before? Yes No Have you ever been employed with us before? Yes No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? Proof of citizenship or immigration status will be required upon employment. Yes No On what date would you be available for work?* What days you are available to work? Monday Tuesday Wednesday Thursday Friday Saturday Sunday What are you available to work? Full Time Part Time Temporary Is there anything that would prevent you from working evenings & weekends? Yes No Are you currently on "lay-off" status and subject to recall? Yes No Have you been convicted of a felony within the last 7 years? Conviction will not necessarily disqualify an applicant from employment. Yes No Education High School (Please state Name and Location of School, # of Years Attended, Subjects Studied and if you received a Diploma/Degree) Undergraduate College / University (Please state Name and Location of School, # of Years Attended, Subjects Studied and if you received a Diploma/Degree) Graduate / Professional (Please state Name and Location of School, # of Years Attended, Subjects Studied and if you received a Diploma/Degree) Describe any specialized training, apprenticeship, skills and extra-curricular activities: Describe any honors you have received: State any additional information you feel may be helpful to us in considering your application: List professional, trade, business, or civic activities and offices held (You may exclude memberships which would reveal sex, race, religion, national origin, age, ancestry, or other protected areas) References Give name, address and telephone number of three references who are not related to you and are not previous employers. Have you ever had any job-related training in the United States military? Yes No Have you been counseled or disciplined for attendance problems on prior jobs? Yes No Employment Experience Start with your present or last job. Include any job-related military service assignments and volunteers activities. You may exclude organizations which indicate race, color, religion, gender, national origin, or other protected status. Employer #1 (Please indicate date started, date ended, name and address of employer, your salary, your position/work performed and your reason for leaving) Employer #2 (Please indicate date started, date ended, name and address of employer, your salary, your position/work performed and your reason for leaving) Employer #3 (Please indicate date started, date ended, name and address of employer, your salary, your position/work performed and your reason for leaving) Employer #4 (Please indicate date started, date ended, name and address of employer, your salary, your position/work performed and your reason for leaving) Special skills and qualifications (Summarize special job-related skills and qualifications acquired from employment or other experience.) Names of relatives employed by us Employment Experience I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should reapply. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such a change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by the rules and regulations of the employer. We are an Equal Opportunity Employer. Date of application *Required fields Submit Application STAY CONNECTED WITH US Loading a post... Loading a post... Loading a post... Watch Our Latest Commercial WATCH MORE COMMERCIALS MILLERSVILLE 507 Leaman Avenue Millersville, PA 17551 (717) 871-1100 STRASBURG 300 Historic Drive Strasburg, PA 17579 (717) 687-6058 HEMPFIELD 903 Nissley Road Lancaster, PA 17601 (717) 898-8804 QUARRYVILLE 112 Townsedge Drive Quarryville, PA 17566 (717) 786-1191 ©2021 Wiley's Pharmacy. All rights reserved. Privacy Policy Sitemap you're currently offline