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EMPLOYMENT APPLICATION FORM

Position

Employment Type

Full-Time Part-Time

First Name

Last Name

Address Line One

Address Line Two

City

State / Province / Region

Zip / Postal Code

Country

Mobile

Work

Other

Email

Social Insurance Number

Date of Birth

Current Stutus

If you are the spouse of a Bermudian, do you have a Spouse’s Employment Rights Certificate?

If non-Bermudian, do you have permission to seek employment?

Current Driver's Licence Number

Licence Class

Intermediate Truck Heavy Truck Other

BSSC / GED

School / University

Year

Associate's Degree

School / University

Year

Bachelor''s Degree

School / University

Year

Master's Degree

School / University

Year

Additional Knowledge

Please Upload Your Resume

Reference One - Name

Reference One - Title / Occupation

Reference One - Address

Reference One - Telephone

Reference Two - Name

Reference Two - Title / Occupation

Reference Two - Address

Reference Two - Telephone

Reference Three - Name

Reference Three - Title / Occupation

Reference Three - Address

Reference Three - Telephone

Are there any known circumstances that might interfere with your ability to perform the job for which you are applying?

Yes No

If yes, please explain

All new hires are required to complete a probationary period during which employees are not permitted to take sick or vacation leave. Can you meet this requirement?

Yes No

If no, please explain

Have you ever been convicted of a crime?

Yes No

If yes, please explain

This company supports a drug and alcohol-free workplace and maintains a random drug and alcohol testing policy. If hired, are you willing to participate in random drug or alcohol testing?

Yes No

If no, please explain

Have you ever been employed by The Phoenix Stores Ltd, BGA, Pitt & Company, SAL Ltd or Aberfeldy Nurseries?

Yes No

If yes, please provide details of your employment

Privacy & Consent Statement

Acceptance

I agree to the privacy policy and consent to the above terms.

PRIVACY POLICY

THE PHOENIX STORES LTD

PRIVACY POLICY

The Phoenix Stores Ltd (“we”, our”, “us”) is committed to protecting the privacy of our customers’ personal information in compliance with the Personal Information Protection Act (PIPA) of Bermuda. This Privacy Notice explains how we collect, use, disclose, and protect personal information when you visit our pharmacy or use our services.

COLLECTION OF PERSONAL INFORMATION

We collect personal information necessary for providing pharmaceutical services and complying with legal requirements. This may include:

Personal Identification Information: Full name, date of birth, and contact details (address, phone number, email address).
Health Information: Medical history, prescriptions and other health related information.
Financial Information: Billing information and insurance details.

USE OF PERSONAL DATA

We use the personal information collected for the following purposes:

To provide and manage pharmaceutical service and products.
To communicate with you regarding your prescriptions and health needs.
To process payments and manage billing and insurance claims.
To comply with legal and regulatory obligations.
To improve our services and customer experience.

DISCLOSURE OF PERSONAL INFORMATION

We do not disclose personal information to third parties without your consent, except in the following circumstances:

Healthcare Providers: to doctors, nurses, and other healthcare professionals involved in your care.
Service Providers: To companies that perform services on our behalf, such as billing and IT support, with appropriate safeguards in place.
Legal and Regulatory Compliance: When required or authourised by law.
Business Transfers: In the event of a merger or acquisition, where personal information may be transferred as part of the business assets.

SECURITY OF PERSONAL INFORMATION

We implement reasonable security measures to protect personal information from unauthorized access, use, disclosure, alteration, and destruction. These measures include:

Physical Security Controls (e.g., secure storage areas).
Technical Safeguards (e.g. encryption, firewalls).
Administrative Controls (e.g., access restrictions, employee training).

ACCESS & CORRECTION

You have the right to request access to your personal information and to request corrections if you believe it is inaccurate or incomplete. To make a request, please contact our Privacy Officer at 441-295-8080 or pspaulding-HR@psl.bm.

RETENTION OF PERSONAL INFORMATION

We retain personal information only as long as necessary for the purposes for which it was collected or as required by law. Once personal information is no longer needed, we securely dispose of it.

CONSENT

By providing us with person information, you consent to our collection, use and disclosure of that information as described in the Privacy Policy. You may withdraw your consent at any time, subject to legal and contractual restrictions, by providing written notice to our Privacy Officer.

UPDATES TO THIS PRIVACY NOTICE

We may update this Privacy Notice from time to time to reflect changes in our practices or legal requirements. The latest version will always be available on our website or upon request.

CONTACT INFORMATION

For queries, concerns or requests regarding the Privacy Notice or our privacy practices, please contact our Privacy Officer:

Privacy Officer | The Phoenix Stores Ltd | 3 Reid Street Hamilton, HM 11 Bermuda | Pspaulding-HR@psl.bm | 441-295-8080

By adhering to this Privacy Notice, we ensure compliance with PIPA and demonstrate our commitment to protecting personal information.

Careers

EMPLOYMENT APPLICATION FORM

PRIVACY POLICY

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Careers

EMPLOYMENT APPLICATION FORM

PRIVACY POLICY