Application

Please Fax Your Resume To: (561) 228-8344
or
E-mail It To: lbdentalstaffing@yahoo.com

	Are looking to control how many days you work? Even if you are in a permanent office but just looking to increase your income, L.B. Dental Staffing, Inc allows you that flexibility.
	Working for us gives you the opportunity to work in several offices and interview perspective employers while earning an excellent salary.
	There is NEVER a FEE. There is NEVER any pressure.
	It is easy to join our team of professionals. Just fill out the form below and we can start our journey together.

* Required Fields

* First Name:
* Last Name:
* Address:
* City:
* State:
* Zip Code:
* Daytime Phone:
Evening Phone:
* Cell Phone:
* Best Time To Be Contacted:	Anytime Evening Afternoon Morning
* Current E-Mail Address:
Alternate E-Mail Address:
* Your Date Of Birth (00/00/0000):
* Are You Allowed To Work In The United States?:	YES NO
Name Of Someone To Notify In Case Of Emergency:
Emergency Contact Phone:
* What Positions Are You Interested In (check all that apply):	RDH CDA FD Dentist
* What Kind of Position Are You Looking For (check all that apply)?:	Temp Perm Seasonal
* How much are you looking to work:	Part Time Full Time
RDH Licence #:
CDA Graduation Date:
Expanded Functions :	YES NO
* Radiology Licence #:
Specialty Experience (Check All That Apply)?:	Perio Prost Endo General Pedo Ortho
Please List All The Languages You Speak:
* Do You Have Reliable Transportation?:	YES NO
* Are You Willing To Travel?:	YES NO
* List Cities You Willing Work In:
* What Days Are You Available (Check All That Apply):	Mon Thurs Tues Fri Wed Sat
Software Experience (check all that apply):	Eaglesoft Discus Dentrix Ace EzDental Orthotrac DentiMax Other
* HEPATITIS B VACCINE / TB / PPD TEST (Check All That Apply)?:	I have not been given the Hepatitis B Vaccine Series of injections. I have been given the Hepatitis B Vaccine Series of injections. I have proof of negative TB Test I have proof of negative PPD Test.
* Present Pay (Hourly / Weekly):
Desired Pay (Hourly / Weekly):
* Years of Experience:
Which Search Engine Do You Like The Best?:	Select AOL MSN Google Lycos Alta Vista Yahoo Dogpile
How Did You Find Us?:	Select Friend Search Engine Dentist Website Magazine TV Radio Airplane Banner
I have fully read and understand the contractually binding policies / protocol of LB Dental Staffing.

* Please List 3 Professional References That Can Be Checked By LB Dental Staffing
- Include Phone Numbers And Addresses -

Please Type Text Above:

REMEMBER to Fax A Copy Of Your Resume To: (561) 228-8344
or
E-mail It To: lbdentalstaffing@yahoo.com

Application Does Not Guarantee A Job Offer Or Employment