1.Please type your first and last name

2.Please provide your email address

3.What is your dental assistant license number and what certifications do you hold?

4.What’s the biggest job related mistake you’ve ever made? Were you able to fix it?

5.Why have you left or been terminated from past jobs?

6.How would doing this job fit with your sense of purpose?

7.Is there anything we would ask you to do that you would refuse to do? Why?

8.As described in the ad, we work 3 consecutive long days per week. The days rotate each week but are known months in advance. We have a team huddle at 6:40a, and while we almost always leave by 7:00p, there are days we stay until 7:15p. This can be problematic for those with childcare limitations or other personal commitments. Will this type of schedule be an issue for you? If yes, please give details below so that we may know how we can work with your schedule.

9.What are your compensation requirements for this position?