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• Resume/CV ✱
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• Full name✱
• Pronouns
  He/him
  She/her
  They/them
  Xe/xem
  Ze/hir
  Ey/em
  Hir/hir
  Fae/faer
  Hu/hu

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  • Use name only

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  • Custom

  Please identify the personal pronouns you use. We will use them when referring to you throughout the mutual fit evaluation process and beyond.

• Email✱
• Phone ✱
• Current location
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• Current company

Links

• LinkedIn URL✱

LIOC

• Do you have prior experience working in an ophthalmology or optometry practice?✱

  Select...YesNo
• How many years of experience do you have in a healthcare or clinical setting?✱

  Select...Less than 1 year1–2 years3–4 years5+ years
• What is your level of comfort using electronic medical record (EMR) systems?✱

  Select...Expert – I’ve trained others on EMR platformsProficient – I use EMRs daily in my current/previous roleFamiliar – I’ve used EMRs occasionallyNot familiar
• Are you available to work occasional Saturdays?✱

  Select...YesNoOccasionally, with notice
• How comfortable are you working across two office locations (Bellmore and Great Neck, NY)?✱

  Select...Very comfortableSomewhat comfortableNot comfortable
• What is your level of interest in joining this role for at least a 2-year commitment?✱

  Select...Fully committedOpen to it, depending on fitPrefer a shorter-term role
• Our target compensation range for this role is $24–$30/hour, is that within range for what you're looking for in your next opportunity?✱

  Select...YesNo

Demographic Survey for Pana Partners

Individuals seeking employment at clients of Pana Partners are considered regardless of race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. At Pana Partners, we are always looking to prioritize justice, diversity, equity, inclusion, and belonging. We invite you to complete this optional survey to help us evaluate our JDEIB efforts. By measuring where we are, we know where to focus our attention, keep ourselves accountable, and become better at sourcing and supporting great talent. Sharing this information with us is strictly voluntary, and refusal to provide it will not affect your job application in any way. Information obtained will be kept separate from your name or job application. This information will be kept secure and confidential and used solely to evaluate our JDEIB efforts.

• What is your age range?
  • 17 or younger
  • 18-20
  • 21-29
  • 30-39
  • 40-49
  • 50-59
  • 60 or older
• I identify my ethnicity as:

  Select all that apply

  • American Indian or Alaska Native—For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community
  • Asian—For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese
  • Black or African American—For example, Jamaican, Haitian, Nigerian, Ethiopian, Somalian
  • Hispanic, Latinx, or Spanish Origin—For example, Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian
  • Middle Eastern or North African—For example, Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian
  • Indigenous Peoples, First Nations, Native American, or Alaska Native
  • Native Hawaiian or Other Pacific Islander—For example, Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, Marshallese
  • White—For example, German, Irish, English, Italian, Polish, French
  • Other race, ethnicity, or origin
  • I prefer not to answer
• The gender I identify as:
  • Female
  • Male
  • Non-binary
  • Other
  • I prefer not to answer
• I identify as a member of the LGBTQIA+ community:
  • Yes
  • No
  • I prefer not to answer
• I self identify as having a disability:

  Please click here for more information about voluntary self-identification of disability, including types of disabilities: https://www.dol.gov/agencies/ofccp/self-id-forms

  • Yes, I have a disability or have a history of having a disability
  • No
  • I prefer not to answer
• I am a United States veteran:

  Please click here for more information on the voluntary self-identification of “protected” veteran status and veteran status categories: https://www.dol.gov/agencies/ofccp/veterans/protected-veterans

  • Yes, I am a protected veteran
  • Yes, I am a veteran, just not a protected veteran
  • No
  • I prefer not to answer