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For Temps

For some, landing that perfect permanent job takes time; but for others, the flexibility of working on a temporary basis is the way to go. In either situation, Doctors Staffing goes the extra mile to help dental professionals fulfill their unique career objectives by matching them with opportunities that best suit their needs.

Complete the following information and click the Send button (at the bottom of the page). Required fields are indicated with an asterisk.

Doctors Staffing Temp Form
Questions marked by * are required.
1.	Name: *
2.	Email: *
3.	Daytime Phone: *
4.	Other Phone:
5.	Street Address:
6.	City, State, ZIP:
7.	Social Security Number: (Required for Employment) *
8.	What type of job are you seeking? Front Office/Administrative Dental Assistant Dental Hygienist
9.	Do you have a current dental hygiene license? Yes No, but I used to Have never been a licensed Hygienist
10.	Dental Hygiene License #:
11.	Vaccinations: Please check what vaccinations you have received: Hepatitis B Series Tuberculosis
12.	Where are you currently employed?
13.	What is your current rate of pay?
14.	What type of work are you seeking: Temporary Permanent Both
15.	What days are you available to work? Monday Tuesday Wednesday Thursday Friday Saturday
16.	Additional Comments:
17.	I agree that the above information is true and correct. I also agree when working through Doctors Staffing and Resources, Inc. (DSR), I will report any additional days worked for any doctor. Failure to do this will preclude DSR from using me in the future and will also carry a fine. Further, I recognize that it is also my responsibility to report permanent positions that have been offered to me. I also understand that personnel provided by DSR shall be employees of the doctor and not of DSR. * I Agree No Thanks