Apply Online Job DescriptionsFAQAlumniApply Now Apply Online Date* MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Job I am applying for*ReceptionistSales OpticianApprentice OpticianInsurance & BillingOptometric TechnicianWhy do you want to work here?What skills or knowledge are you hoping to gain?What skills or knowledge do you already possess that you believe makes you a good candidate for the position you are apply for?Drivers Licence #* State Issued* Have you ever been convicted of a felony?* Yes No Please provide 2 emergency contacts and their relationship Highest level of education achieved?* Industry specific certifications --> ABO, NCLE, CPOT, COA, LDO (indicated license number/state) Employment ExperienceEmployer* Dates Employed (From/To) Immediate Supervisor* Address Job Title* Rate of Pay (Starting/Final) Telephone No Worked Performed* Reason for Leaving* Employer* Dates Employed (From/To) Immediate Supervisor* Address Job Title Rate of Pay (Starting/Final)* Telephone No* Worked Performed* Reason for Leaving* Have you ever been dismissed or forced to resign from employment? If 'yes' please explain.Do you have transportation to work?* Yes No Are there any days/times you are not available to work? Why are you leaving your current employment?Have you applied to work here previously?* Yes No Please indicate the number of hours you are anticipating working each week. 0 - 15 hours 15 - 30 hours 30 - 40 hours Please take a moment and observe our current office hours. Are there any days or times that you are not available to be scheduled? Monday-Friday: 9:00AM - 5:00PM & Saturday: 9:00 AM - 1:00PM Sunday: CLOSEDPersonal References - Please list three persons not related to you whom you have known for at least one year:Name* Address/Phone # Occupation* Name* Address/Phone #* Occupation* Name* Address/Phone # Occupation* Attach your ResumeMax. file size: 31 MB.
