contact@americanvisiongrp.com
866-818-7426 EXT. 724
ABOUT
BENEFITS
CAREERS
BLOG
CONTACT
Menu
ABOUT
BENEFITS
CAREERS
BLOG
CONTACT
Get Started
form apply
Online
Position
SELECT...
Lead Ophthalmic Technician
Ophthalmic Technician - AVENTURA
Ophthalmic Technician - MIAMI
Ophthalmic Scribe
Front Desk Agent - NORTHSHORE
Front Desk Agent - AVENTURA
Call Center Agent
Medical Biller/Payment Poster/Collector
Optical Sales Associate
Optometric Technician
Medical Credentialing
Lead Ophthalmic Technician - WESTON
Lead Ophthalmic Technician - PLANTATION
Ophthalmic Scribe - WESTON
Ophthalmic Scribe - PLANTATION
Front Desk Agent - WESTON
Front Desk Agent - PLANTATION
First Name
Last Name
M.I.
Street Address
Apartment/Unit #
City
State
Phone
Email
Date Available
Zip
Desired Salary
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
*Have you ever worked for this company?
Yes
No
If so, when?
Have you ever been convicted of a felony?
Yes
No
If yes, explain:
Emergency Contact
Emergency Contact Phone Number
REFERENCES
Please list three professional references.
1. Full Name
Relationship
Company
Phone
Address
REFERENCE 2
2. Full Name
Relationship
Company
Phone
Address
REFERENCE 3
3. Full Name
Relationship
Company
Phone
Address
PREVIOUS EMPLOYMENT
1. Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
2. Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
Yes
No
Are you willing to undergo a background check, in accordance with local law/regulations?
Yes
No
DISCLAIMER AND SIGNATURE
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.
Signature (Type your name)
SUBMIT
ABOUT
BENEFITS
CAREERS
BLOG
CONTACT
Menu
ABOUT
BENEFITS
CAREERS
BLOG
CONTACT
