Join Our Team - Sierra Family Pharmacies

Please contact Christal at 775-853-3500 or christal@sierrafamilyrx.com for information on positions accepting applications.

To apply, download the application form, complete it and email back to christal@sierrafamilyrx.com

Download Application Form

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Step 1 of 6

Personal Information

Name(Required)

First Name M.I Last Name

Email(Required)

Today’s Date(Required)

MM slash DD slash YYYY

If applicable, list any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc.:

Address(Required)

Street Address City State ZIP Code

Phone:(Required)

If you are under the age of 18, can you furnish a work permit if it is required?(Required)

Yes

Can you after employment, submit verification of your legal right to work in the United States?(Required)

Yes

Have you ever worked for this company before?(Required)

Yes

Do you have any friends or relatives employed by this company?(Required)

Yes

If yes, give dates and location:(Required)

If yes, please state name(s):(Required)

Have you ever been convicted of a crime (ie: misdemeanor or felony)?(Required)

Yes

If yes, please state: type of crime:(Required)

Location:

Date:

Employment Desired

What position are you applying for?

1st Choice(Required)

2nd Choice

Date Available:(Required)

MM slash DD slash YYYY

Availability to Work:(Required)

Full Time

Part Time

Desired Rate Of Pay:(Required)

If driving is an essential duty of the job which you are applying for: do you have a current driver’s license?

Yes

Issuing State:(Required)

Class:(Required)

Number:(Required)

Expiration:

Education

High School

Schools and/or Branch of Service and City/State(Required)

Level Attained/ Type Of Degree(Required)

College

Schools and/or Branch of Service and City/State

Level Attained/ Type Of Degree

U.S. Military SVC.

Schools and/or Branch of Service and City/State

Level Attained/ Type Of Degree

Trade School

Schools and/or Branch of Service and City/State

Level Attained/ Type Of Degree

Additional skills and qualifications:

References

Please provide three professional references who have known you for at least two years

1. Name(Required)

Telephone(Required)

Relationship(Required)

2. Name(Required)

Telephone(Required)

Relationship(Required)

3. Name(Required)

Telephone(Required)

Relationship(Required)

Employment History

Provide employment history for the past 7 years. Begin with the most recent employer first.
Account for all periods of unemployment in space provided between positions.

Start Date:

MM slash DD slash YYYY

End Date:

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Company Street/City/State/Immediate Supervisor/Telephone

Job Title/Job Duties

Reason for Leaving

Start Date:

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End Date:

MM slash DD slash YYYY

Company Street/City/State/Immediate Supervisor/Telephone

Job Title/Job Duties

Reason for Leaving

Start Date:

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End Date:

MM slash DD slash YYYY

Company Street/City/State/Immediate Supervisor/Telephone

Job Title/Job Duties

Reason for Leaving

Start Date:

MM slash DD slash YYYY

End Date:

MM slash DD slash YYYY

Company Street/City/State/Immediate Supervisor/Telephone

Job Title/Job Duties

Reason for Leaving

Start Date:

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End Date:

MM slash DD slash YYYY

Company Street/City/State/Immediate Supervisor/Telephone

Job Title/Job Duties

Reason for Leaving

Start Date:

MM slash DD slash YYYY

End Date:

MM slash DD slash YYYY

Company Street/City/State/Immediate Supervisor/Telephone

Job Title/Job Duties

Reason for Leaving

Start Date:

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End Date:

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Company Street/City/State/Immediate Supervisor/Telephone

Job Title/Job Duties

Reason for Leaving

I understand that the company is relying upon all of the representations, both written and oral, which I have made or do during the entire process of applying for employment with Sierra Family Pharmacies I acknowledge that Sierra Family Pharmacies has the right to investigate any other information that the company believes relevant including but not limited to, employment history, educational background, references, credit history and conviction records. I hereby agree to hold Sierra Family Pharmacies its officers and agents harmless from any and all liability resulting in any way from such investigation and from any and all attorney fees resulting from any legal action I may institute which is within the scope of this waiver. I also authorize my former employers, schools, and references to provide any information they may have regarding me, whether or not it is in their records. I hereby release them and their company from all liability for divulging same.

In the event that employment is granted, Sierra Family Pharmacies, as employer, may at its discretion, with or without notice, modify, amend, or terminate present or future policies or practices relating to but not limited to, piece-rates, hours, job duties and descriptions, benefits or any other terms of employment.

In the event that employment is granted, I have no objection to making application for security clearance. And if necessary, signing an employee agreement on confidential information and inventions, or taking a job related medical examination.

In the event that employment is granted, in consideration of such employment, I promise to ascertain and abide by all pertinent rules and regulations, and I understand that failure to do so may be cause for discharge from such employment.

I understand that if Sierra Family Pharmacies, employs me, my employment will be “at will” and I may terminate my employment at any time, with or without notice and with or without reason. Similarly, Sierra Family Pharmacies is free to terminate an employment relationship with me at any time with or without notice and with or without reason if it believes it to be within Sierra Family Pharmacies’ best interest. No supervisor or representative of Sierra Family Pharmacies, other than the President has the authority to enter into any agreement for employment for a specified period of time or to make any agreement contrary to the foregoing. Nothing in the company employment procedure or in subsequent employment is intended to be or convey a contract of employment, expressed or implied.

I have read and understand the foregoing application and agreement. By my signature below, I understand that incomplete or inaccurate employment applications will not be considered for employment. All the responses I have made on this application are true and correct to the best of my knowledge. I understand that if I make any false statements, misrepresentations, or omissions in this application process, this application could be rendered void and may be reason for my immediate discharge at any time during my employment.

Applicant Signature(Required)

Date(Required)

MM slash DD slash YYYY

Print full name(Required)

We are an Equal Opportunity Employer

All applicants will be considered for employment without regard to actual or perceived race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, medical condition, pregnancy, genetic information, marital status, amnesty, or status as a covered veteran or any other characteristic protected by applicable federal, state or local laws.