ONLINE APPLICATION

We welcome applications for all positions in all our locations. Because of volumes, we may not respond to unsuccessful applicants.

Please be assured that your information is kept confidential.

* denotes required field
Personal Information
	First name:	*
	Last name:	*
	Address:	*
	City:	*
	Province:	* Other Province/State & Country: * (e.g., "Orlando, Florida USA")
	Postal code:	*
	How do you prefer to be contacted?	*
	Home phone:	*
	Cell phone:	*
	Work phone:	*
	Fax:
	Email:	*
Alternate Address
	Address:
	City:
	Province:	Other Province/State & Country: * (e.g., "Orlando, Florida USA")
	Postal code:

Position applying for:	* OCP #: * Type of position: * Do you have long term care or clinical experience? Yes OR No * Are you Certified? * OCP #: * OCP #: *

Type of work schedule:

Number of Diplomas/Degrees?
Diploma/Degree: * Major(s): College/University: * Graduation Year: * Diploma/Degree 2: * Major(s) 2: College/University 2: * Graduation Year 2: * Diploma/Degree 3: * Major(s) 3: College/University 3: * Graduation Year 3: *

Certifications: (select all that apply)
	CGP - Certified Geriatric Pharmacist Certified Asthma Educator Certified Diabetes Educator PCCA - Professional Compounding Chemists of America Certified COPD Educator Other. Please specify:
Languages spoken:
	(Please list all that apply. e.g., "English, French, Cantonese")
Preferred work locations:
	(Please list up to 5 preferred work locations. e.g., "Toronto, Barrie, Oshawa")
When are you available?
	(e.g., "After October 10, 2007" or "May to August 2007")

Are you willing to relocate?

Additional comments:

Would you like to submit your resume online? Yes No *

If you prefer to apply by fax or mail, print a blank application. Upon submission of this online application you will receive a confirmation and summary of the information you provided on your application.
Fax: Mail:	905-420-7342 Roxanne Tang, R.Ph., B.S.P. Vice-President, Professional Services 590 Granite Court Pickering, ON L1W 3X6
Thank you for your interest in Medical Pharmacies.