Please complete this survey if you would like to join our Pharmacy team responding to the Pandemic .

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* 1. First and Last Name

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* 2. Phone Number

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* 3. Preferred work location

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* 4. Please check all that apply to your education and experience.

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* 5. I have a vulnerable sector clearance that is valid within the last 6 months

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* 6. The following immunizations are required for employment in the hospital:  1) Tetanus / Diptheria vaccination within the last 10 years, 2) Measles, Mumps, Rubella (2 vaccinations OR laboratory evidence of immunity), 3) Documentation of 2 Varicella (chickenpox) vaccinations OR laboratory evidence of immunity, 4) Hepatitis B vaccination, 5) Tb Skin Test (two-step test)

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* 7. Please provide us with a short paragraph about your skills and experience related the position of Pharmacy Assistant and if you have an area of specialty.

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* 8. Please upload a copy of your resume

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