Job Application: Dental Hygienist

This is the application for a Dental Assistant Job at Sparkling Charms Dental Studio, a family dentist in Baltimore, MD.

Once you submit your application, we'll review it and contact you as quickly as possible. Thank you!

First Name *

Last Name *

Phone *

Email *

Street Address *

Country

Country

State

City

Postal code

Are you legally authorized to work in the United States? *

Yes

No

Position Applying For *

Full Time

Part Time

Have you ever been convicted of a felony? *

Yes

No

If Yes, please explain

Do you have a current dental hygienist license in Maryland? *

Yes

No

Any language proficiency?

Previous Employer (if applicable)

Professional Reference 1 *

Professional Reference 2

Do you have relevant technical skills? *

Current or Most Recent Employer: *

Dental Hygiene Program Completed *

Why Should We Hire You? *

How did you hear about this position? *

Application Statement *

I certify that all the information provided in this application is accurate and complete to the best of my knowledge. I understand that any misrepresentation or omission may result in disqualification from employment or termination if hired.

I agree to be contacted at the email and phone number I provide. Sparkling Charms will not share your data.

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