Please enable JavaScript in your browser to complete this form. - Step 1 of 6Name *FirstLastEmail *Phone *How did you hear about this employment opportunity? *OnlineReferralWalk in storeWhich postion are you interested in *Optometrist AssistantOpticianHave you worked in the health care field before? *YesNoIf applicable, which health care field did you work in?OptometryOphthalmologyDentistryPhysician's OfficeOtherNextWhat employment hours are you seeking? *Part-timeFull-timeNo preference for full-time or part-timeHow many days of work are you seeking per week *1 day2 days3 days4 days5 daysDays available to work *MondayTuesdayWednesdayThursdayFridaySaturdayAre you flexible with your hours?YesNoNextWhat is your highest level of education? *Currently attending high schoolDid not finish high schoolHigh school diplomaGEDCurrently attending collegeAssociate degreeBachelor's DegreeList any certificationsAre you fluent in spanish? *YesNoNextAre you currently employed ? *YesNoFor the following questions input n/a if not applicableName of your current or most recent employer *Employment start date *Employment end date (if applicable) *What is/was your position at your current or most recent job? *What are/were your responsibilities at your current or most recent job? *Reason for leaving your current job or most recent job *NextReference #1Name *FirstLastEmail (if available)Phone *Reference #2Name *FirstLastEmail (if available)Phone *NextFile Upload Click or drag a file to this area to upload. Upload your resume in PDF or Microsoft Word format only. Any other format will not be reviewed.PhoneSubmit
