• Employment Verification Form

    Dental Assisting Academy of the Palm Beaches Employment Verification Form. Click on the different sections to fill out the information needed. All sections must be completely filled out in order to submit the form.
    • Student Information  
    •  -
    • Clear
    • Employment Information  
    •  -
    •  /  /
      Pick a Date
    • Doctor's Information  
    • I have read the information above and verify the information to be correct. By signing this form I acknowledge that I have formally trained the student a minimum of three months as a general practice chairside dental assistant or hygienist.

    • Clear
    • Should be Empty: