Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

For Multiple Selections (where applicable) use the "Ctrl" key

Citizenship Info:

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Visa Status (If Applicable):

Pharmacy Specialty:

Select as Many as Apply Acute Ambulatory Clinical Hospital Long Term Care Mail Order Nuclear Oncolology Research Retail Management Technician-Certified Technician-Non-Certified Training-Fellowship Training-Residency Training-Internship

Education:

Select Highest Level BS Degree PharmD Other

Computer Skills   

State Licenses:

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Type of Employment:

Select One Full-Time Part-Time Contract/Locum Tenens

Available Start Date :

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Experience Level:

Select Entry Level 1-3yrs 4-6yrs 7-10yrs 11-15yrs 15+

What working environment would you prefer?

Select as Many as Apply Hospital Clinic Nursing Home Retail Independent Retail Chain Other No Preference

What Setting would you prefer?

Select One Urban Rural Other No Preference

Regional/State Preferences:

Select as Many as Apply NorthEast SouthEast MidWest NorthWest SouthWest Alaska Alabama Arkansas Arizona California Colorado Connecticut Dist of Columbia Delaware Florida Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming

Any other aspects of your job skills or your job search that we should know about? Please include any elaboration on any of the above questions you feel necessary. CV/Resume can also be copy/pasted in the area below or can be sent to us as indicated above.

We know you have options when choosing who you will work with in your job search.  We appreciate your business and look forward to working with you!  If you have any problems with the form please email us at webmaster@btbcareergroup.com .