Employer Information
Full Name
*
First Name
Last Name
Email
*
Cell Phone Number (TEXT Notifications)
*
Format: (000) 000-0000.
Practice Name
*
School
Practice Website
*
School
Practice Location (City/State)
*
Street Address
Street Address Line 2
City
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
When are you planning to get the position filled?
*
As soon as possible
Within one year
Within two years
No set date but open to opportunities
How many days a week are you looking to hire for?
*
Full time (5 days)
Part time (3-4 days)
Semi-part time (1-2 days)
Pay Diem
What is the position's salary range?
*
Any benefits offered? (Select all that apply)
*
Retirement Plan (401K or SIMPLE IRA)
Health Benefits
PTO
Student Loan Repayment
Other
What specialties are available within your practice? (Select all that apply)
*
Primary Care
Pediatrics
Binocular / Vision Therapy
Speciality Contact Lens
Dry Eyes / Aesthetics
Ocular Disease
Other
What type of practice modality? (Select all that apply)
*
Private Practice (1-2 Doctors)
Large Private Practice (3+ Doctors)
Corporate Retail / Sublease
OMD /OD practice
VA /Indian Health Services
Academia
Other
Anything that you want to share with us? Such as ideal candidate, extra benefits, relocation bonus etc?
Our transparent and flat-fee pricing ($9,900) ensures clarity regarding the payment amount, with fees only being applied upon a successful match. You will NOT be compelled to sign a restrictive exclusivity agreement.
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I understand that there will be fee for this service if a associate match is made.
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