Employment Application
Master Eye Associates is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.
Please fill out all of the sections below.
State
Are you 18 years of age or older?
Describe yourself
Please do not put See Resume.
Please fill out all this information to be considered
How did you hear about this position?
Will you consent to a mandatory controlled substance test?
Have you ever applied to or worked for Master Eye Associates before?
Do you have any condition which would require job accommodations?
If yes, please describe accommodations required.
If hired, can you provide verification of your legal right to work in the U.S?
Have you ever been convicted of, or received deferred adjudication for a felony?
If YES, provide the nature of the offense, and your age at the time of the offense:
Can you work at any of our locations?
If needed, are you available to work overtime?
Do you have reliable transportation to and from work?
Days Available:
Must be able to work any hours between 9am to 6pm. Closed Sundays
Job Skills / Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying
(Note: Master Eye Associates complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. )
Are you currently a student or plan to be a student while working?
Select the highest grade completed:
Vocational / Specialized Training
Are you a member of the Armed Services?
What military skills do you possess that would be an asset for this position?
May we contact for a reference
May we contact for a reference
May we contact for a reference
References
Please provide personal and professional reference(s)
AT-WILL EMPLOYMENT
The relationship between you and the Master Eye Associates is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Master Eye Associates. No representative of Master Eye Associates has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
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