Associate Search Submission Request
Please fill out the information below after you have signed an Associate Agreement. For any questions, please email molly@udba.biz.
Full Name
First Name
Last Name
Practice E-mail
example@example.com
Personal Email if desired
example@example.com
Work Phone Number
Please enter a valid phone number.
Personal/Cell Phone Number if desired
Please enter a valid phone number.
Select Type of Dentist needed:
General Dentist
General/Pediatric Dentist
Periodontist
Endodontist
Other
Name of Practice
Needed
Full Time
Full Time or Part Time
Part Time
Benefits:
Mentorship Available
CE Allowance
Tuition Reimbursement
Pathway to Ownership
Guaranteed Salary
Bonus
Optional-Give me any highlights about working at your practice:
Optional-My practice, the area I practice in, and my office offer an associate: (check any that apply)
Great school districts
Reasonable cost-of-living in the area
Fee For Service
Excellent Quality of Life
Great arts and culture scene
Wonderful area for families
Vibrant nightlife
Busy office
Friendly office
Efficient office
State-of-the-art technology
Close to the beach
Wonderful hiking and outdoor opportunities near
College town
Supportive team
City/Town with little to no commute or traffic
Public transportation
Affluent community
Metropolitan location
Proposed Employment Start Date: (immediately or certain target start date)
Address of Employment Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Any additional notes for marketing purposes about your practice?
Upload any pertinent or desired materials.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Best form of contact:
Work Email
Private Email
Work Phone
Cell Phone
What would you like the marketed location to be for your available associate position? (How specific or what degree of confidential?)
Submit Form
Should be Empty: