ASAP Dental Temps Job Seeker Application
Once you have submitted your application, you will be sent an email with a link to schedule a call to go over your application and complete your registration. If you do not receive an email within 10 minutes of submitting your application, please check your junk/spam folder to see if it landed in there.

If you're unable to locate it, please send us an email at asapdentaltemps@gmail.com.

PLEASE NOTE: You must schedule a call to complete your registration. Please treat this call as you would with any job interview. If you do not show up for your scheduled call, your application will be declined.


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Email *
First Name *
Last Name *
Phone Number *
Are you looking for permanent or temporary work? *
Required
I am seeking employment as (Please select all that apply) *
Required
Do you hold a valid license, certification and/or training in this area? *
Do you hold any other certifications or modules? *
If you hold any other certifications or modules, please list below.
How many years of experience do you have? If you're a new grad, please indicate so. If you have worked in multiple positions (ie. CDA before becoming a hygienist), please indicate the total amount of working experience for each position. *
What rate are you hoping for? Please note: This rate is NOT guaranteed. All temps are placed at rates that correlate with the amount of experience that they have and what the current market is willing to pay for your experience level. We will let you know if what you're asking for is appropriate based on your current experience level. *
Are you currently employed? *
If you answered yes, please provide the name and address of your current employer (office name or dentist's name) If you're unemployed, please type N/A. *
May we contact your current employer for a reference check? *
Please provide the name and contact number for 2 previous employers that can provide a job reference for you: *
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