Pharmacist Recruitment Request Form

1. EMPLOYER INFORMATION

Pharmacy Name: *

Business Owner / Contact Person: *

Phone Number: *

Email Address: *

Location (District / Sector): *

Pharmacy Type:

Retail

Wholesale

Hospital-based

Other:

Number of Branches:

Current Staff Count:

2. POSITION DETAILS

Position Title:

Pharmacist

Nurse

Assistant Pharmacist

Number of Positions Available:

Nature of Employment:

Full-Time

Part-Time

Preferred Start Date:

Working Hours & Days:

Monthly Salary Range (RWF):

From:

To:

Housing or Transport Provided?:

Yes

No

Performance Bonus/Commission?:

Yes

No

If yes, details:

3. QUALIFICATIONS & REQUIREMENTS

Minimum Academic Qualification:

Bachelor of Pharmacy (BPharm)

Licensure Required:

Licensed with NPC

Not yet licensed

Experience Level:

Fresh Graduate

1–2 Years

3+ Years

No preference

Language Requirements:

English

Kinyarwanda

French

Other:

Additional Skills Required:

4. RESPONSIBILITIES

1.

2.

3.

4.

5.

5. WORKPLACE ENVIRONMENT & SUPPORT

Reporting Line (e.g., Manager/Owner):

System Used for Inventory/Sales:

Team Structure:

Is on-the-job training available?

Yes

No

Any challenges the new employee should be aware of?

6. RECRUITMENT SUPPORT REQUESTED

Candidate shortlisting only

Interview coordination

Full recruitment and onboarding

7. DECLARATION

I confirm that the above information is accurate and understand that Bendik Pharmacy Consultancy Ltd will provide recruitment assistance as per the agreed service terms and conditions. I agree to maintain confidentiality of any candidate details shared.

Date: *