Associate Search Submission Request

Associate Search Submission Request

Please complete the requested information below so that we may start promoting your job search. More information is always better than less. Feel free to include attachments that you believe may increase interest in the role.
Full Name

First NameLast Name
Preferred email to be used
example@example.com
Preferred number to be used
Please enter a valid phone number.
Name of Practice*
Does this associate search need to be discreet?

YesNo
Practice Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Type of Dentist needed:*

General DentistGeneral/Pediatric DentistPeriodontistEndodontistOther
Needed*

Full TimeFull Time or Part TimePart Time
Compensation (please include hourly, daily or salary)
Bonus (please include any specific bonus structure details)
blanks*blank*
Benefits:

Mentorship AvailableCE AllowanceTuition ReimbursementPathway to OwnershipGuaranteed SalaryBonusRelocation Assistance401(k) w MatchHealth InsuranceDental InsuranceHSA / FSAVision InsurancePaid Time Off
Share additional benefits:
Please include details about the benefits about if necessary, including specifications or limitations.
Practice Highlights

Fee-for-service (only)Busy officeFriendly officeEfficient officePaperlessState-of-the-art technologySupportive teamEstablished teamReferral basedPrivately ownedCorporate ownedMulti-location practiceSingle-location practice
Annual collections
Financial model details if not FFS-only
New patients per month
Type of technology your practice features
(Digital C-rays, X-Nav, etc.)
Share additional practice highlights:
Please specify any details that you would like to keep private. *We will keep your clinic name and personal contact information private as we don't want the applicants to skip over our service. Aside from that please be specific.
Community & Lifestyle

Great school districtsReasonable cost-of-living in the areaWonderful area for familiesExcellent Quality of LifeGreat arts and culture sceneVibrant nightlifeClose to the beachWonderful hiking and outdoor opportunities nearCollege townCity/Town with little to no commute or trafficPublic transportationAffluent communityMetropolitan locationSuburban location
Share any additional notes for marketing:
Proposed Employment Start Date: (immediately or certain target start date)
Address of Employment Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload any pertinent or desired materials.

Cancelof
Best form of contact:

Work EmailPrivate EmailWork PhoneCell Phone
What would you like the marketed location to be for your available associate position? (i.e. Is this position confidential?)
How did you hear about UDBA
Should be Empty: