Divine Dental Studios

 

Application for Employment

Divine Dental Studios is an Equal Opportunity Educational Institution and EEO/Affirmative Action Employer committed to excellence through diversity. Employment offers are made on the basis of qualifications, and without regard to race, sex, religion, national or ethnic origin, disability, age, veteran status, or sexual orientation.
Position Applying For: Name: Other names under which you have attended school or been employed:
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Are you eligible to work in the United States?
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Are you 18 years of age or older?
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If NO, what is your current age?
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Are you currently employed at DivineDentalStudios:
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If YES, what is your current job title & department?
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Have you ever been employed by DivineDentalStudios:
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If YES, dates of employment & reason for leaving:
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Are you related to any current DivineDentalStudios employee?
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If YES, their name & their relationship to you?
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If required for position, do you have a valid driver’s license?
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If YES, State of issuance, license #, and expiration date:
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How did you learn about this employment opportunity at DivineDentalStudios? Check all that apply:
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Education

Name of School Name of School Did you graduate? If No, # of years left to graduate If Yes, date of Graduation Degree Received Major
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Other credentials/ licenses/ professional affiliations, etc., which are relevant to the job(s) for which you are applying:
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Skills

Please list technical skills, clerical skills, trade skills, etc., relevant to this position. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert):
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Work Experience

Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately. Attach additional sheets if necessary. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments.
PLEASE DO NOTcomplete this information with the notation “See Resume.”
PLEASE NOTE: DivineDentalStudios reserves the right to contact all current and former employers for reference information.
Dates Employed (most recent position):
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If part-time, # hrs./wk:
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Starting Salary:
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Organisation Name and Address:
Final Salary:
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Supervisor’s Name, Title and Phone # : Other Reference Name, Title and Phone #: Contact my current references:
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Dates Employed (most recent position):
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If part-time, # hrs./wk:
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Starting Salary:
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Organisation Name and Address:
Final Salary:
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Supervisor’s Name, Title and Phone # : Other Reference Name, Title and Phone #: Contact my current references:
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Resume Upload

Accepted type of files .pdf, .doc and .docx
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You may attach a resume, but you must still complete all questions; or your application will be deemed incomplete and may not be considered. Please fill out each box (don't just indicate “See Resume.”) Applications with missing or invalid job numbers will not be considered for any position.
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