Jumpstart Your Dental Career
The Florida Dental Association is assisting members by identifying pre-dental students interested in working in dental practices. Filling out this form does not guarantee an opportunity. We are simply providing members with a directory of willing and able pre-dental students. Thanks for your willingness to participate!
Name
*
First Name
Last Name
School Email
example@example.com
Personal Email
example@example.com
Cell phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
School, College, or University
Year in Current Program
1st, 2nd, 3rd, 4th, etc.
Degree Pursuing
Current Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of position you are seeking
*
Community service hours
Shadowing opportunity
Paid position
Other
Positions Interested in working
*
Dental Assisting
Front Desk Support
Roving Assistant
Other
Days available
*
Mon, Tue, Wed, Thu, Fri
Hours available per week
*
Total hours each week
Submit
Should be Empty: