Join the Team v4.0

Success Vision Express Employment Application
Name*

First NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Do you have reliable transportation?*

YesNo
(Strongly recommended) Please upload a 1 to 3 minute video telling us why you want to work for Success Vision Express, as well as an achievement you are proud of.

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Have you previously applied with us?*

YesNo
Preferred Location:*
Position Desired (A)*
Position Desired (L):*
Position Desired (1)*
Position Desired (HM):*
Position Desired (legacy):*
As an Arkansas or Kentucky licensed optician you will be:

Following the rules and regulations for licensed opticians for your state; Working with apprentice opticians to aid in their career growth; and offering professional recommendations regarding frame and lens options to the customers at Success Vision Express.
As an Optical Lab Technician you will be:

Training and working in our full service lab. You will learn how to manufacturer lenses and how to prepare them for dispensing to the customers at Success Vision Express.
As an Optical Sales Associate you will be:

Training and working with Licensed Opticians you will learn how to properly present frame and lens options as well as make frame adjustments and dispense eyewear.
As a Paraoptometric Technician, you will be:

Answering phones, scheduling appointments, pre-testing patients, rooming patients, conducting contact lens fittings, VEP, pERG testing, and dilation for patients.

NOTE: This position is only available at our Missouri locations, as well as our Manhattan, KS, and Paducah, KY locations.
Desired wage/hr:*
When are you able to start work?*

MonthDayYear
Preferred hours per week:*
Please list your available days and times:*
- Are you able to work some Saturdays?*
  
  YesNo
- Are you able to attend staff meetings every Tuesday from 6:30pm to 8:30pm?*
  
  YesNo
- Have you ever been convicted of a misdemeanor or felony?*
  
  YesNo
- Are you willing to take a drug test?*
  
  YesNo
- Have you previously applied to Success Vision Express?*
  
  YesNo
- What made you apply for Success Vision Express?*
- How did you hear about Success Vision Express?*
- Friend or Employee Name:
  
  First NameLast Name
- Other:
- Did you graduate high school?*
  
  YesNo
- Post-secondary education:*
- Graduation year?
- Are you currently, or have you previously been employed?*
  
  NoYes
- Previous Employer(s)*
- Please list any special training, experiences or skills that may be relevant for the position and/or any volunteer service projects, high school/college clubs, overseas missions or non-profit organizations that you have been involved with::*
- Please take the typing test linked here, then record your result for "Words per minute" in the field below.
- Words per minute:*
- Today's date*
  
  MonthDayYear
- Signature (please type your full name)*
- Success Vision Express does not discriminate in employment on the basis of race, color, religion, sex, national origin, disability, age, military service, or other non-merit factor.
- Should be Empty:

Success Vision Express Employment Application