We Are An Equal Opportunity Employer
It is the policy of Dental Professionals to consider all applicants without regard to race, religion, color, sex, sexual orientation, age (40 years or older), marital status, national origin, disability, genetic information, military or veteran status, or any other basis prohibited by applicable federal, state, or local anti-discrimination laws. Applicants with disabilities needing assistance completing any forms or to otherwise participate in the application process may call 206-767-4851.
*Enter N/A if a required field does not apply.
What is your license number?
(dentist license, dental hygiene license, or dental assistant registration)
What days are you available for permanent work?
What days are you available for temporary work?
(most recent first - last 7 years or last 3 positions required)
Reason for Leaving*
Reason for Leaving
I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.
I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.
If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.
In consideration for employment or representation by Dental Professionals, if employed, I agree to conform to the rules, regulations, policies and procedures of Dental Professionals at all times and understand that such compliance is a condition of employment or representation.
I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the Americans with Disabilities Act (ADA).
I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.
By clicking the box below, I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.*
MAIN PHONE: 206-767-4851
AFTER HOURS: 206-909-5723
OFFICES: 4700 42nd Ave. SW –
Suite 530, Seattle, WA 98116-4589
Mon-Thu 6:00 AM – 6:00 PM
Fri 6:00 AM – 3:00 PM