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Fellow in Refractive Surgery (pre-doc) Application for Vision Care Partners, LLC

Welcome to Brinton Vision! Thank you for your interest in joining our team and work family. This application should take about fifteen minutes to fill out. We are proud to be an equal opportunity employer.
*name you would like embroidered on your scrubs*
Address*
What mode(s) of practice are you interested in?*
Do you get overwhelmed easily?*
Are you a self-starter, or do you prefer to wait until being asked/told what to do?*

Education

We require the following details in order to verify information provided on this application.
Please enter a number from 0 to 4.0.

List your previous employers

Are you currently employed by or a contractor for this company?*
Reason for conclusion of this employment*
Please enter a number from 0 to 100.

Self-awareness

We seek to hire employees with a strong sense of personal self-awareness. One important component of this is understanding how your former company and team members perceive your actions.
Was your departure from this company on both positive and professional terms?*
Have you maintained both a positive and professional relationship with this company?*
Will company management and ownership agree with your answer to the previous two questions?*
May we contact your direct manager listed above?*

List your previous employers

Are you currently employed by or a contractor for this company?*
Reason for conclusion of this employment*
Please enter a number from 0 to 100.
We seek to hire employees with a strong sense of personal self-awareness. One important component of this is understanding how your former company and team members perceive your actions.
Was your departure from this company on both positive and professional terms?*
Have you maintained both a positive and a professional relationship with this company?*
Will company management and ownership agree with your answer to the previous two questions?*
May we contact your direct manager listed above?*
Have you ever written comments in a public forum, including on social media, that are critical of a current or former work colleague, manager, or employer?*
Have you ever quit a job without giving two weeks' notice?*
Would you ever give less than the customary professional two weeks’ notice to our company?*
What better describes your intended goal for the next three years:*
Max. file size: 50 MB.
APPLICANT’S ACKNOWLEDGMENTS, REPRESENTATIONS, AUTHORIZATIONS, AND AGREEMENTS As an applicant for position with Vision Care Partners LLC (“VCP”), you need to understand and agree to several things about the application process and employment with VCP, if you are hired.
FIRST, for the protection of our patients, as a medical and surgical facility, our office is required to uphold high standards of cleanliness and sterility. We do not allow animals or pets of any kind into our facility, including comfort animals. All employees must practice high standards of personal hygiene. All employees are required to obtain an annual flu shot at the beginning of the flu season and follow all designated requirements to prevent the spread of any contagious disease, including Covid19. All employees are required to verify that they are up-to-date on vaccinations as recommended by health officials. An employee seeking exemption from the vaccination requirements as a result of disability, medical contraindication or sincerely-held religious belief is required to provide reasonable documentation from a licensed physician or other authorized individual requesting that the employee be exempted from the requirement(s) due to disability, medical contraindication to the subject vaccination, or sincerely-held religious belief, and detailing the basis for the requested exemption. We will consider all exemption requests on a case-by-case basis and will comply with state and federal law. We reserve the right to require an employee seeking an exemption to follow alternative disease transmission prevention protocols, including, but not limited to, wearing of masks and other personal protective equipment, limiting hours and roles within the business, and potential suspension of contact with patients or other employees.*
SECOND, VCP follows an employment-at-will policy. I understand and agree that I or VCP may terminate the employment relationship at any time, for any reason, or for no reason, consistent with applicable state or federal law. I understand and agree that the employment at will status cannot be changed, verbally or in writing, unless the change is specifically authorized by a written document signed by a member-manager of this company. I understand and agree that my application for employment is not a contract for employment. I understand and agree that my application for employment shall remain active and valid for a period of three months. After that time, if I wish to be considered for employment, I must submit a new application. I understand that federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity. Failure to submit such proof will result in denial of employment.*
THIRD, I represent, warrant, and certify that all information and statements contained in my written application for employment, in interviews or other conversations or written communications concerning potential employment as well as throughout my employment with VCP ("Information and Statements"), if I am hired, are true, accurate, complete, and correct. I understand and agree that any employment with VCP is based upon the accuracy and completeness of all such information. I acknowledge and affirm that this information will be relied upon by VCP in determining my competencies and qualifications to act as a prospective employee. I understand and agree that any misstatement, omission, incomplete, or any inaccurate information provided to VCP during the application process or during employment, if hired, is grounds for denying employment, termination of employment, if hired, and money damages. If anything about these Information and Statements changes, I will notify VCP immediately of those changes.*
FOURTH, VCP, in connection with the hiring process and during my employment, if hired, may make, from time to time, as VCP deems appropriate, a thorough background check and other inquiries relating to, among others, my character, education, social media activities, lawsuits, employment history, workplace actions, skills, work performance, experience, reasons for termination of past employment, work related injuries, driving record, salary history, credit history, civil law filings, and criminal records. These inquiries and checks may be obtained from previous employers, public records, and any other source. (Confidential information received will be maintained and used only by persons who have a need to know.) I hereby authorize all entities and persons, including law enforcement agencies, educational institutions, information service bureaus, former employers, schools, reference or insurance companies to provide such information to VCP. In addition, I hereby release all such entities and persons from any and all claims that I may have, now or in the future, arising out of such entities and persons’ providing information to VCP.*
Accepted file types: jpg, jpeg, png, gif.