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GET A FRESH START!


Enjoy all the benefits of temping in the Dental field. Looking for a new job? Need extra hours?

Join our team of professionals

 

Join Our Team of Professionals Today!

Online Application for Dental Assistants

   
   
Personal Information

Date of Birth


Address


Phone

Mobile

Email

Years Experience
Are you X-Ray Certified?
X-Ray Certification Date
I am willing to work in PA
Expected Pay Rate /hr
I am willing to work in NJ
Expected Pay Rate /hr
   
Career Goals
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I am only seeking temporary assignments.  
I am only seeking permanent employment.  
I am interested in temping until a permanent position is found  
What days are you willing to work?  
Tue Wed Th Fri Sat All Days
How far are you willing to travel? Are you willing to make exceptions?
   
Experience
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Do you have any experience in these special fields?  
Pedo Ortho Prostho Endo Oral Surgery
Computer systems familiar with?  
Eaglesoft Dentrix Other
X-Ray Experience?  
Endo BWX FMX Panorex Cephalogram
Please check other skills or procedures familiar with.  
Posterior Composite Inlays BP Reading
Post Op Instructions Alginates Onlays Extractions
Plaster Models I/O Camera
Health History Update Cerec Root Canal Bleaching
Anterior Composite Amalgam Porcelain Veneers  
Do you have any front desk experience? If YES, please explain.  
   
Additional Information
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Do you have any special requests or comments?
   
Please provide the name, address, and phone number of 2 professional references
Reference #1
Reference #2

 

Agreement
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The facts set forth in this application for employment are true and complete. I understand that I may be asked to provide a copy of my resume before employment. I also authorize Sapient Dental Staffing to contact my references and former employers, and I release them from any liability for any statement made in response to Sapient Dental Staffing's inquiry.  By clicking the SUBMIT button, you indicate that all information included here is correct.

 

 
 

Dental Fill-In Staffing Aplication

 

Exciting New Opportunities!

 

 

Excellent Pay Rates!

 

 

Professional Work Environment!

 

 

Flexible Hours!

 

 

 

 

 

If you have any questions about joining our team of professionals, please read our
FAQ's or CONTACT US

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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