CONFIDENTtemps

Dental Personnel Seeking Employment

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Dentist Offices Seeking Employees

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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 Dental Assistant	PDA
Registered Dental Hygienist	Restorative Dental Hygienist	Dental Receptionist
Office Manager	Treatment Coordinator

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: At this time, we do not service the Toronto region!

Hamilton	Burlington	Oakville	Mississauga	St. Catharines
Stoney Creek	Grimsby	Niagara Falls	Brampton	Georgetown
Ancaster	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:

Please attach your cover letter and resume (please include 2-3 references) in Microsoft Word format to an e-mail addressed to info@confidenttemps.com.

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