Job Opportunity Form for People Who are Legally Blind

Contact Request

If you are legally blind and seeking employment opportunities, please fill out the form below and click on the submit button. We will contact you to discuss potential areas of employment.

Name:

City:

State:

Phone Number: Area Code Number

Email Address:

Please enter any information you may wish for us to know about you at this time:

Verification of legal blindness:

By clicking the submit button below, you are indicating that you are a person who is legally blind and give permission for us to contact you to discuss employment opportunities with the Raleigh Lions Clinic for the Blind.

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Web site designed and maintained by Night Sky Workshop. Copyright © 1998 - 2008, Raleigh Lions Clinic for the Blind, Inc. Last modified: October 09, 2008 06:23:48 AM

Web site designed and maintained by Night Sky Workshop.
Copyright © 1998 - 2008, Raleigh Lions Clinic for the Blind, Inc.
Last modified: October 09, 2008 06:23:48 AM