CVS Employment Application - Free Download | Page 4
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Personal References
(Individuals who may be familiar with your abilities or work performance)
Name Occupation and Relationship Address Phone Number
______________ __________________________ __________________ _____________
______________ __________________________ __________________ _____________
______________ __________________________ __________________ _____________
Education Background
School Name Course of Study/Degree Dates Attended Graduated Grade Average
_________________ ______________________ _______________ Y or N ___________
_________________ ______________________ _______________ Y or N ___________
_________________ ______________________ _______________ Y or N ___________
_________________ ______________________ _______________ Y or N ___________
Additional Training or Professional Experience
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The information that I have furnished on this application, is true and complete. I understand that
if employed, false statements or omissions on this application shall be deemed sufficient cause
for dismissal. CVS is hereby authorized to make a full investigation of all information contained
in this application. You may contact former employers, supervisors or persons named with the
exception of those indicated above, concerning any and all information in their possession which
has a bearing on my suitability as an applicant.
Date ____________________ Signature ____________________________________________
For Office Use
Date:____________________ Accepted by:__________________________________________
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