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PO Box 630812 Aventura FL 33163 THE DENTAL GENIE STAFFING SERVICES Phone 305. 816. 0990 Cell 305. 335. 0238 Fax 305. 816. 0096 diana thedentalgenie. com www. thedentalgenie. com APPLICATION FOR EMPLOYMENT FIRST NAME LAST NAME ADDRESS CITY STATE HOME PHONE ZIP MOBILE PHONE E-MAIL ADDRESS DATE OF BIRTH SOCIAL SECURITY HYGIENE LICENSE IS YOUR LICENSE CURRENT YES NO WHERE ARE YOU CURRENTLY EMPLOYED WHAT IS YOUR CURRENT PAY RATE DO YOU OWN A VEHICLE HOW FAR ARE YOU WILLING TO TRAVEL YEAR MAKE MODEL WHO DO WE NOTIFY IN CASE OF EMERGENCY NAME PHONE NUMBER EMPLOYMENT INFORMATION Please select the position you are applying for FRONT OFFICE DENTAL HYGIENIST DENTAL ASSISTANT FULL TIME PART TIME TEMPORARY FOR PART TIME WHAT DAYS ARE YOU AVAILABLE MON TUES WED THU FRI SAT SUN continued on next page Dental Hygienists Dental Assistants Temps-to-Hire Front Office Permanent Placement Temps Diana Galvis R*D. H. PLEASE LIST YOUR WORK EXPERIENCE List all with most recent first PLACE OF EMPLOYMENT DATES TO....

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How to fill out the Dental Genie online

Filling out the Dental Genie application form online is a straightforward process. This guide will walk you through each section and field, ensuring you provide all necessary information accurately and efficiently.

Follow the steps to complete your application online

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin with the personal information section. Enter your first name, last name, address (including city, state, and zip code), home phone, mobile phone, and email address.
  3. Input your date of birth and social security number, followed by your hygiene license number. Indicate whether your license is current by selecting 'Yes' or 'No'.
  4. In the employment details section, specify where you are currently employed and your current pay rate. Indicate if you own a vehicle by selecting 'Yes' or 'No'.
  5. Answer how far you are willing to travel for work. This helps the staffing service match you with suitable opportunities.
  6. Provide emergency contact information, including the name and phone number of the person to notify.
  7. Select the position you are applying for, choosing from options such as front office, dental hygienist, dental assistant, and indicate whether you are looking for full-time, part-time, or temporary work.
  8. If you are applying for a part-time position, specify your available days by marking the days of the week.
  9. List your work experience in the designated section, starting with your most recent position. Include details such as the place of employment, dates of employment, supervisor's name, job position, and your specific duties.
  10. Provide your educational background by listing schools attended, their addresses, and any degrees or certifications received.
  11. Attach your resume by pasting the text into the provided field. If your resume extends beyond one page, it will scroll down appropriately.
  12. Review and agree to the terms and conditions by affirmatively selecting 'Yes' if you accept them.
  13. Answer the questions regarding any felony convictions and your citizenship status, along with the right to work in the United States.
  14. Sign the application digitally, certifying the accuracy of the information provided.
  15. Submit your application by selecting the 'Submit Application' button.

Start completing your Dental Genie application online today to join a thriving network of dental professionals.

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