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Application Form

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Personal Info:

First Name:*
Last Name:*
Street:*
City:*
Province/State:*
Postal/Zip Code:*
Country:*
Primary Telephone:* ()
Secondary Telephone: ()
Email:*
Preferred Contact Method:


Employment History:

Most Recent Employer:* (in full)
Industry:*
Job Title:*
Brief Description:* (maximum 3-4 lines)

To*


Source/Position Information:

How did you hear about us?*
employee referral name of employee?
newspaper ad posting #?
posted position
internet
other please specify
Please indicate your fields of interest (no more than 2):*
Prescription Medicines
Sales
Inside Sales
Market Research / Business Intelligence
Marketing
Market Access / External Affairs
CHE (Continuing Health Education)

Animal Health
General
Sales

Medical
Clinical Research
Regulatory Affairs & Drug Safety
Medical Marketing

Operations
General
Distribution
Quality Assurance

Purchasing & Business Services
General
Translation
Building Services

General Administration
Public Relations
Office Administration

Finance

Information Technology

Human Resources

Student Employment

Research - Laval, PQ

If necessary, would you be willing to relocate? Yes  No


Education:

Highest Level of Education
Name of Secondary/Post Secondary School* (in full)
Certificate/Diploma/Degree Obtained*
Course of Study*
Number of Years in Program*
Entry #2
Name of Secondary/Post Secondary School (in full)
Certificate/Diploma/Degree Obtained
Course of Study
Number of Years in Program
Additional designations or credentials



Please attach a copy of your resume*