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*First Name |
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*Last Name, Title |
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*E-mail |
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*Type of Request |
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Comments |
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| Home
Street Address |
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Home City |
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| Home State |
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Home Zip
Code |
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| Mobile Phone
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Home Phone |
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Do U Text Message (SMS) on your Mobile Phone?
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Yes
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Is it okay
for us to call you at your place of work? |
Yes |
| Company |
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Job Title |
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| Business
Phone, Extension |
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Web Page Address |
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Business Street Address |
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Business City |
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Business State |
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Business Zip Code |
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Job-Seeker
Questionnaire |
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Job-Seeker Goals
(to choose more than one, hold down CTRL key
and select choices)
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General Availability or schedule limitations (days, nights,
weekends, etc.) |
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Areas of Expertise
(to choose more than one, hold down CTRL key
and select choices) |
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Areas of Interest
(to choose more than one, hold down CTRL key
and select choices) |
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Preferred Geographic Working Area (max. travel miles from home /
ability to "overnight" or desire to relocate) |
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States Licensed to Practice Pharmacy (LIST ALL & note any
restrictions or citations) |
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Computer Skills & Proficiencies (incl. PC skills, such as Word,
etc,& note type of practice for each system) |
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Work Reference Contacts (at least two superiors or clients, if not
included in resume) |
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Other Skills and Talents (may be non-work) |
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What values will you bring to Flexible
Pharmacy Services? |
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Add me to your email list |
Have
someone contact me |
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Email resume to info@FlexibleRX.com |
Click to Open
Availability Submission Form |
