Careers - Louisiana Eye & Laser

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Home
About
Locations
Services
Appointments
Information
- Forms
- Payment Information
Contact us

Home
About
Locations
Services
Appointments
Information
- Forms
- Payment Information
Contact us

Menu

Home
About
Locations
Services
Appointments
Information
- Forms
- Payment Information
Contact us

Careers

Interested in working with us?

Phone

Please complete this application in its entirety.

First Name *

Middle initial

Last name *

Date *

Other last name used

Preferred Name

Street Address *

Apartment or Unit #

City *

State *

Zipcode *

Email Address *

Phone Number *

Date Available *

Position applied for:

Are you a citizen of the US? *

Yes

No

If no, are you authorized to work in the US?

Yes

No

Have you ever worked for this company? *

Yes

No

If so, when?

Can you work overtime? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

If yes (regarding felony), explain:

Education

High School

Did you graduate?

Yes

No

Address

Diploma

College

Did you graduate?

Yes

No

Address

Degree

Other

Did you graduate?

Yes

No

Address

Degree

National Career Readiness Certification Level (NCRC)

Date of Assessment

References

Reference 1 (Full Name) *

Company *

Address

Phone Number *

Relationship

Reference 2 (Full Name) *

Company *

Address

Phone Number *

Relationship

Reference 3 (Full Name)

Company

Address

Phone Number

Relationship

Reference 4 (Full Name)

Company

Address

Phone Number

Relationship

Previous Employment

Company 1

Address

From

Job Title

City

To

Supervisor

State

Phone

May we contact your previous supervisor for a reference?

Yes

No

Responsibilities

Reason for leaving?

Company 2

Address

From

Job Title

City

To

Supervisor

State

Phone

May we contact your previous supervisor for a reference?

Yes

No

Responsibilities

Reason for leaving?

Company 3

Address

From

Job Title

City

To

Supervisor

State

Phone

May we contact your previous supervisor for a reference?

Yes

No

Responsibilities

Reason for leaving?

Company 4

Address

From

Job Title

City

To

Supervisor

State

Phone

May we contact your previous supervisor for a reference?

Yes

No

Responsibilities

Reason for leaving?

Please explain any gaps in your employment.

Summary

Demonstrate your suitability for position(s) sought, by outlining your career objectives and elaborating on the factual material already presented. Show how your experience (educational, extracurricular and work) is relevant to the position(s), organization, and / or field of work for which you are applying. Highlight any special training or skills relevant to the position.

Information goes here

I certify

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

EQUAL OPPORTUNITY EMPLOYER
It is the companys policy to assure that applicants are employed and that employees are treated during employment, without regard to their race, religion, sex (including pregnancy), color, age, national origin, or physical or mental disability. Such action shall include: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; wages or other compensation, selection for training, including apprenticeship, pre-apprenticeship, and/or on the job training; and ensuring and maintaining a work environment free of harassment, intimidation, and coercion at all sites and in all facilities at which employees are assigned to work.

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