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Please tell us about yourself

First Name:
Last Name:
Email:
Home Tel:
Mobile:
Fax:
Work Tel:
Ext:
Address:
City:
Province:
Postal Code:
Additional Information:
 

I am a:

Certified Dental Assistant Level I Level II PDA
Registered Dental Hygienist Restorative Dental Hygienist Dental Receptionist
Office Manager Treatment Coordinatort  
 

I have years experience in the dental field.

 

I am seeking:

Full-Time Part-Time Temporary
 

If you are interested in temporary work would it be okay for us to call you on short notice?

Yes No
 

The days that I am available are:

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
 

The cities that I would like to work in are (please select 1 to 4 options):

Hamilton Burilngton Oakville Mississauga St. Catharines
Stoney Creek Grimsby Niagara Falls Brampton Scarborough
Toronto Milton Cambridge Guelph Kitchener
 

What is your desired salary per hour? (please give a range)

 

What dental software are you familiar with?

Abeldent Dentrix Exan Autopia Tracker
Excel Dental Mac Windent Power Practice Practice Made Perfect
List Other:
 

Paste in your cover letter and resume.

 
 


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