Please fill out this questionnaire and submit it, so that we can get to know you. We are looking for 5 Star team players only please.
Date
First Name
Last Name
Address
Phone
E-mail
Which position are you applying for?
What do you know about our dental office?
Do you have dental experience? If so, in what position and for how long?
Why are you leaving your current position?
Where do you see yourself in 5 and 10 years?
Are you able to travel for additional training?
Are you available to work on Saturdays?
Do you consider yourself shy or outgoing (no wrong answer)?
What is your desired starting salary?
Based on the recorded number from above, please complete the personality assessment below and rank in order of highest to lowest, 1 being the highest, and 4 being the lowest.
Lion 1234
Beaver 1234
Otter 1234
Golden Retriever 1234
If you don't hear back from us in 2 business days, this form submission may not be working, so please call us to let us know and to make an appointment on the phone. Thank you
