Online Interview

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Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:

Education:

Do you have a valid certification through the Dental Assisting national Board, Inc. (DANB)? Yes No

Do you have a valid State Dental Assistant Licensure or Registration? Yes No

Are you certified in CPR? Yes No

How many years of education have you completed? High School graduate Some college coursework Two-year college degree Four-year college degree

Experience:

How many years experience do you have in the position for which you are interested? No experience Less than one year At least 1 to 3 years At least 4 to 6 years At least 7 to 9 years Ten or more years

What type of setting best describes your work experience? Dental Office/Clinic Hospital Setting Dental School Government Health Department Other

Do you have experience greeting and interacting with customers/patients? Yes No

Do you have experience assisting in the making of impressions for study casts? Yes No

Do you have experience ordering supplies and billing invoices? Yes No

Do you have experience with multi-line phone systems? Yes no

Do you have experience with using software such as Microsoft Office? Yes No

Do you have experience with filing or record keeping? Yes No

Work/Salary:

Would you be interested in temporary assignments or on-call work? Yes No

Are you able to work weekends and holidays? Yes No

Please indicate what hourly base rate you are looking to receive: Up to $7.00 per hour Up to $11.00 per hour Up to $13.00 per hour Up to $15.00 per hour Up to $17.00 per hour $17.00 or more per hour

General:

Are you interested in working full time or part time? Full time Part time

Are you currently employed? Yes No

How many miles from your home are you willing to travel to work? Up to 5 miles Up to 10 miles Up to 20 miles Over 20 miles

Would you relocate to another state? Yes No

Are you at least 18 years of age and eligible to work in the United States? Yes No

Are you bi-lingual or multi-lingual? Yes No

In addition to English, in which language are you most fluent? Spanish French Italian German Russian Chinese Japanese Other None

Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing? Yes No

Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks? Yes No

Are you now or have you been a member of the United States Military, National Guard or Reserves? No I am a Veteran of the United States military I am currently a member of the United States military I am currently a member of the National Guard or Reserves I was a member of the National Guard or Reserves

Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.
Additional Info:

Terms of Service: By completing this Online Interview and clicking the "Submit" button, you give CAJobs permission to release the information contained in the Online Interview, including contact information and employment history, to employers who may be interested in hiring you.