Join Team Smoler
At Smoler Smiles, you will find meaningful careers that will allow you to use your talents that will make a lasting difference in our patients’ lives. We focus on the quality care that our patients deserve. We are excited to learn about you and how you can add value to Team Smoler!
Your Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Position Desired
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Please Select
Patient Coordinator
Dental Assistant
Licensed Hygienist
Hygiene Assistant
Sterilization Coordinator
Date Available for Hire
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-
Month
-
Day
Year
Enter Date
Are you authorized for employment in the United States?
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YES
NO
Are you under the age of 18?
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YES
NO
Education
What is your highest level of education?
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Please Select
High School
College
Military School
Other
Area of Study/Degree
Employment History
Name of Employer
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Position Held at Employer #1
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Position Length at Employer #1
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(i.e. 2 years, 5 months)
Reason for Leaving Employer #1
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Name of Employer #2
Position Held at Employer #2
Position Length at Employer #2
(i.e. 2 years, 5 months)
Reason for Leaving Employer #2
Miscellaneous
Have you ever been convicted of, or pled guilty to, a crime for which the record has not been expunged or sealed? Answering yes to this question will not necessarily bar you from employment.
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YES
NO
If yes, please explain.
What value will you bring to Team Smoler?
Any honors, awards, special skills that are applicable to the position?
Upload Cover Letter, Resume, or Curriculum Vitae
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Please Read This Statement Carefully
I hereby affirm that the information given by me on the application for employment is complete and accurate. I understand that any falsification or omission either on this application, or otherwise providing false information to Smoler Smiles will be immediate grounds for dismissal, no matter when the falsification or omission is discovered. I authorize a thorough investigation to be made in connection with this application concerning my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, employment, education, and criminal record, whichever may be applicable for employment purposes. I understand this investigation may include personal interviews with third parties such as family members, business associates, financial sources, friends, neighbors, and others with whom I am acquainted. I further understand I have the right to make a written request within a reasonable period of time for complete and accurate disclosure of the nature and scope of the investigation. It is my understanding that as a prerequisite to consideration for employment, I must agree to submit to any post-employment examinations that Smoler Smiles fully require. Smoler Smiles will pay the reasonable cost of any such examination which may be required. If I am hired, I agree that my employment and compensation can be terminated with or without cause, and without notice at any time, at the option of Smoler Smiles or myself. I understand that, unless modified in written agreement signed by both me and Smoler Smiles, no representatives of Smoler Smiles has the authority to make any agreement for employment for a specified time or to make any other agreement contrary to the foregoing. I have read and affirm as my own the above statements.
Signature
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DateTime
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