First name:

Name:

Address:

City:

Province:

Postal code:

Email:

Phone:

Phone

Cellular:

Phone

How many years of experience do you have as a pharmacist?:

Do you have experience as a chief pharmacist? *

YesNo

Spoken and written languages: *

French

Basic skillsHigh proficiency level

English

Basic skillsHigh proficiency level

Other(s) (Please specify):

Current work location (banner and address)::

Have you ever worked in a PJC? *

YesNo

Have you ever been engaged in a screening process to acquire a Jean Coutu franchise? *

YesNo, this is my initial application

Have you already started a pre-selection process to obtain a franchise with another banner? *

YesNo, these are my first steps

Have you ever been a pharmacy franchisee/owner? *

YesNo

Why did you decide to be a pharmacist and why do you wish to become a pharmacist-owner?:

What do you like about the Jean Coutu concept in general?:

How do you envision the role of a Jean Coutu franchisee in a pharmacy?:

Do you have human resources management experience? If yes, in which environment(s)?:

Do you have project management experience? If yes, in which environment(s)?:

Application Form