Dental
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Dental Assistant Candidates
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Contact Information
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
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Alaska
Arizona
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California
Colorado
Connecticut
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District of Columbia
Florida
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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New Hampshire
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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
Email
*
Education
Qualification
*
Certificate of Completion
Graduation Year
*
Certifications/Licenses
Work Related Skills
Handed
*
Right Handed
Left Handed
Ambidextrous
Specialties
Pediatrics
Family
Experience with certain equipment and/or software
Course Completions
Charting
Oral and Dental Anatomy
(OSHA) Standards and Infection Control Awareness
Instrument Identification and Use
Chairside Assisting
Equipment
Basic First Aid and CPR
General Dental Procedures
Skills
Work Preferences
Position Sought
Part Time
Full Time
Part Time (Do Not Need Medical Benefits)
Full Time (Do Not Need Medical Benefits)
Willing to work at multiple locations
Yes
No
Miles willing to travel to the office?
Selected Value:
0
Relocation Opportunities
Please fill out up to 4 locations (City and State) you would be interested in working
Relocation 1
Relocation 2
Relocation 3
Relocation 4
Availability
ASAP
2-4 Weeks
1 Month - 2 Months
> 2 Months
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