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Dental Hygienist

Come Work With Us

Contact Information

First name

Last name

Birthday

Are you over 18 ?

Please Upload a Photo of the Front & Back of Your Drivers License

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Background Check

Have You Ever Been Convicted of Any Crimes in the Past Ten Years, Excluding Misdemeanors and Summary Offenses, Which have Not Been Annulled, Expunged or Sealed by a Court?

If Yes, State the Offense, Location, Date and Disposition.(NOTE: A Conviction Will Not Necessarily Disqualify You From Employment.)

Phone

Select an Address

Are You Legally Authorized for Employment in the United States?

Employment History

Previous Employer #1

Position

Start Date

End Date

Have You Ever Been Fired, or Asked to Resign, From a Job? If Yes, Please Explain Why?

Reference #1

Phone

CV/Resume

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Previous Employer #2

Position

Start Date

End Date

May We Contact Your Previous Employers?

Reference #2

Phone

Previous Employer #3

Position

Start Date

End Date

Have You Ever Worked at SGC Dental Staffing LLC ? If Yes,When?

Reference #3

Phone

Educational Background

Highschool Attended

Did You Graduate? If Yes, What Year?

College Attended

Did You Graduate? If Yes, What Year?

Trade School Attended

Did You Graduate? If Yes, What Year?

Questionnaire

Position You are Applying For?

Are You Seeking Permanent, Temporary, or Part-Time?

Permanent

Temporary

Part-Time

Availability?

Can You Perform the Essential Functions of the Job For Which You are Applying for With or Without Reasonable Accommodation?

Do You Perform Patient Diagnosis Prior to Work Being Completed?

Are you Willing to Travel?

How Many Years of Experience Do You Have?

Which States are You Licensed in?

Are You Licensed to Apply Anesthetic?

Please Upload a Photo of Your License

Upload File

Thank you! We’ll be in touch.

SGC Staffing LLC

We Know People

Apply Online

Dental Hygienist

Come Work With Us

Contact Information

Background Check

Employment History

Educational Background

Questionnaire

SGC STAFFING LLC