L.O. Eye Care Employment Application

L.O. Eye is an equal opportunity employer and it is our policy to ensure equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, sexual orientation, age, disability, marital status, citizenship or anything else protected by law.  Should an applicant need reasonable accommodation during the application and/or interview process, please notify the Human Resources office.

Yes or No
Yes or No - if yes, list dates and position.
If yes, please explain.
If yes, who?
High school name and location
Trade/Professional school name, location, and areas of study.
College/University name, location, areas of study.
Include employer name, address, supervisor name, phone number, dates employed, job title, duties/responsibilities, hourly wage/salary, and reason for leaving.
Include employer name, address, supervisor name, phone number, dates employed, job title, duties/responsibilities, hourly wage/salary, and reason for leaving.
Include employer name, address, supervisor name, phone number, dates employed, job title, duties/responsibilities, hourly wage/salary, and reason for leaving.
By typing your full name, you are agreeing to the following statements: I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I authorize the employer to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.