Are you authorized to work in the US with no restrictions?
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Are you a US Veteran or a Spouse of a US Veteran? If so, please specify.
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What are your motivations in seeking employment?
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What are your pay expectations?
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How many miles you are open to commuting one way for work?
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Are you open to relocation?
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Yes
No
What status of employment are you seeking?
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Temporary Local
Travel
Permanent
Temporary to Permanent
What days of the week are you available to work?
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Please select any clinical setting where you would be comfortable with working in.
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DSO/Corporate Practice
Private Practice
General Dentistry
Periodontics
Pediatrics
Prosthodontics
Endodontics
Oral Surgery
Orthodontics
What is your preferred email address?
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What is your Zip Code?
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List Software and Xray Machines You have used
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What states are you licensed (if applicable) and seek to work in?
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If not currently working: Why did you leave their last place of employment?
For any employment stay less than 1 year please explain.
If you have not worked in your field over the last 6 months please give details why.
Shift requests are first come, first served based on credentials. Please review all shift details before requesting. Once requested, our team works to confirm you. If you’re requesting alternate hours or a higher rate, include a note with your request or contact your recruiter.
*
Yes
No
All temp work is W-2 through HireQuest Health, paid the first Friday after the work week. Coverage includes malpractice, workers’ comp, and ACA-compliant benefits for those who qualify. Onboarding is 100% virtual and takes about 15-20 minutes. Are you open to onboarding to our payroll?
Yes
No
I understand that once HireQuest Health introduces me to a dental office, I may not book or work directly with that office outside of HireQuest Health for 12 months from the last shift, interview, or introduction. All work must be scheduled and paid through HireQuest Health. I understand that offices face financial penalties for direct booking, and if I knowingly participate, I may be removed from the HireQuest Health staffing network and may be responsible for any resulting damages. If an office contacts me directly, I agree to notify my recruiter immediately.
*
Yes
No
Yes, Allied Search Partners can contact me about job opportunities.
I may receive phone/text communications about career opportunities, interviews, job offers, and other related information from Allied Search Partners (+1 (407) 553-8641, +1 (386) 800-2419, +1 (386) 588-5997, +1 (386) 260-2543 or +1 (386) 339-0839) (Message and data rates may apply, message frequency varies). I may receive emails from alliedsearchpartners.com. I can opt-out at any time by unsubscribing or texting STOP. My data will be handled in accordance with
the privacy policy
and
Terms of Service
. For help, email
support@loxo.co
.
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