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Pharmacy Clinical Coordinator
Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on CPS. Please inform the recruiter if you need assistance completing any forms or to otherwise participate in the application process.

Email Registration

Your email address will be used as your login name allowing you to return to our website to update your profile. Passwords must be at least six (6) characters long. Only digits, letters and underscores are allowed.

If you are a returning applicant, please sign in or reset your password using the Login button.

We are an Equal Opportunity Employer and do not discriminate against any qualified employee or applicant for employment because of race, color, sex, age, national origin, ancestry, religious creed, sexual orientation, gender identity and/or expression, status as a veteran, mental or physical disability or any other federal, state or local protected class.

Please complete all sections of this form as applicable. Accuracy is important. Should you receive an offer of employment, the information you provide will be verified.

The ADA restricts an employer’s ability to ask questions about a candidate’s medical conditions, disabilities and/or to require an applicant to undergo a medical examination until after a “conditional offer of employment” has been made.

Save Time

Use your resume stored on a local computer drive or LinkedIn Profile to fill in many of the fields on this application form.

Returning applicant to a Saved Draft? Caution: Uploading a new resume or LinkedIn Profile will wipe out all previous information. To prevent this, add a new resume or other attachments at step 5 of 6, "Add Attachments".

**NOTE** If you have problems with the application ensure you are using the most current version of Chrome or Edge and clear your browser cookies/cache.

Personal Information

Do not use nicknames

Legal Name:

(do not enter P.O. Box)

ex.Apt/Suite/Unit

Enter only if this is a land line 

Are you known or have you been known by any other name(s)?

How did you hear about us?

How did you hear about this particular position?

If you selected Employee Referral, please list the first and last name of the employee who referred you.

Additional Information

Employment Preferences and Interests

You may select more than one for each. 

Target Job Title/Function

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Target Job Location

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Desired Employment

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Have you previously been employed by CPS or any of its affiliates?  If Yes, this employer must be listed in your Employment History

Are you currently working in a pharmacy that is managed by CPS or any of its affiliates?  If Yes, this employer must be listed in your Employment History

Have you previously worked in a pharmacy that was managed by CPS or any of its affiliates? If Yes, this employer must be listed in your Employment History


Are you aware if any of your relatives are currently employed by CPS or any of its affiliates?

If yes, list the name(s) and relationship to you


May we contact you at work?

All Applicants Must Answer the Following Questions

Have you signed or otherwise agreed to any non-solicitation, non-competition or other similar agreement with any current or past employer?

Answering “Yes” to these questions, below, does not constitute an automatic bar to employment.  Factors such as the date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

At any time, have you been the subject of any professional disciplinary action, investigation, or allegations by a regulatory authority (e.g. surrender, revocation, reinstatement, suspension, fine, probation restriction of your professional license)?  Include such information for all states and for all regulated professions.

If YES, state the name of the Board, licensing or disciplinary authority, the date of the order and, if applicable, the date of the termination of the condition or probation.

Have you ever been subject to a deferred adjudication for a violation of the Controlled Substances Act or the Dangerous Drug Act?

We are an Equal Opportunity Employer and do not discriminate against any qualified employee or applicant for employment because of race, color, sex, age, national origin, ancestry, religious creed, sexual orientation, gender identity and/or expression, status as a veteran, mental or physical disability or any other federal, state or local protected class.

Employment History

List your Past and Present employers starting with the most recent. List Paid Positions only.

The employer's name should match the company that your paycheck comes from (i.e. the name of the agency if applicable).

*Select YES if this pharmacy is currently or has previously been managed by CPS or any of its affiliates

 

Can we contact this employer to verify employment?
(You will be required to provide supporting documentation if we cannot contact)

Add Work History

Education History

List ALL educational institutions you have attended or are currently attending, Highest Level First: Graduate/Professional, College/University, High School/GED.
Do Not include certificate programs i.e. Technician Program.

If you didn’t graduate, list the number of years you completed.

Add Education

We are an Equal Opportunity Employer and do not discriminate against any qualified employee or applicant for employment because of race, color, sex, age, national origin, ancestry, religious creed, sexual orientation, gender identity and/or expression, status as a veteran, mental or physical disability or any other federal, state or local protected class.

Certificates and Licenses

If the position(s) you are applying for require(s) a professional license, registration, or certification, (e.g., Pharmacy Technician, Pharmacist, Director of Pharmacy, Physical/Occupational Therapist, etc), list all your licenses or certifications active and inactive. If you are hired, you will be required to provide a copy of your active license(s).

List ALL professional licenses you have recently applied or held, active, inactive and applied for.

***Non-Pharmacy roles please select N/A or Other***

Are you aware of any current allegations, investigations or pending actions against your license?
Do you have any past actions against this license?
Add License or Certificate

We are an Equal Opportunity Employer and do not discriminate against any qualified employee or applicant for employment because of race, color, sex, age, national origin, ancestry, religious creed, sexual orientation, gender identity and/or expression, status as a veteran, mental or physical disability or any other federal, state or local protected class.

Upload Your Resume

Upload your resume if you have not already done so.

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Cover Letter Text

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Attachments

Upload any additional attachments.

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Questions

CPS is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information [sexual orientation, marital status], or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances.  The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants.

Background Check and Drug Screen Notification 

All employment hires are based upon successfully passing a background check and drug screen. Additionally, you may be required to provide medical records or have medical examinations that are a specific requirement of the location in which you are assigned to work.

Applicant Statement

(1) I certify that all information I have provided in order to apply for and secure work with CPS (the “Company”) is true, complete and correct.

(2) I understand that any information provided by me that is found to be false, incomplete, omitted, or misrepresented in any respect, will be sufficient cause to cancel further consideration of this application or immediately discharge me from the Company’s service, whenever it is discovered.

(3) I expressly authorize, without reservation, the Company, its representatives, employees or agents to contact and obtain information from all references (personal and professional), past and present employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the Company, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

(4) I hereby authorize all past and present employers to release the following information (salary history, dates of employment, positions held, responsibilities and duties performed, reason for leaving, eligibility for rehire and performance) to the Company and its Human Resources department for use in determining my qualifications for employment. In addition to authorizing the release of the information above, I hereby fully waive any rights or claims I have or may have against the Company, all past and present employers and their employees from any and all liability, claims, or damages that may directly or indirectly result from the use, disclosure, or release of any information, whether such information is favorable or unfavorable to me.

(5) I understand that all applicants are required to report any actions taken against them by an authority and are subject to a criminal history background check.

(6) I understand that the Company does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

(7) If I am hired, I understand that my employment is "at-will" and I am free to resign at any time, with or without cause or without prior notice, and the Company reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the Company is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the Company’s president.

(8) I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

(9) I also understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the Company and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.

(10) I hereby certify that, if employed, I will report to my supervisor, a representative of HR, or other member of Management, if I am ever harassed by someone in the company, or at work, or if I ever become aware of any unethical behavior by any employee.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE BACKGROUND CHECK AND DRUG SCREEN NOTIFICATION, AND APPLICANT STATEMENT.

Candidate Sign Off

By signing this application for employment, I certify that I have read, fully understand and voluntarily agree to all terms of the foregoing Applicant Statement.

Application Review

We are an Equal Opportunity Employer and do not discriminate against any qualified employee or applicant for employment because of race, color, sex, age, national origin, ancestry, religious creed, sexual orientation, gender identity and/or expression, status as a veteran, mental or physical disability or any other federal, state or local protected class.