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Hygiene Application
We're excited to have you apply for employment with us, and we hope you're excited for the opportunity. We pride ourselves on the friendly, fun experience we provide patients and team members, so we want to know how you'd fit in that picture. Just follow the prompts to answer these questions. We'll be in touch soon!
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Step
1
of 5
First, let's get some quick contact info for you.
Because of course you want us to know how to find you when we're ready to interview!
What's your name?
*
First
Last
If you have a nickname you prefer, list your first name with your nickname in parentheses.
Email address
*
Best phone number to reach you
*
Home Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Not required.
How did you hear about this job opening?
*
Next
Now we want to hear about your education & experience.
Where did you attend hygiene school?
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What hygiene degree/certificate did you receive?
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When did you graduate?
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What other education or certifications would you like us to know about that set you apart?
Are you currently licensed to practice as a dental hygienist in Ohio?
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Yes
No
Please explain why you're not currently licensed in Ohio, your plan for becoming licensed in Ohio, and your expected timeframe.
*
When does your current license expire?
How do you typically obtain the necessary CE credits to maintain your license? No wrong answers here!
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What was your absolute favorite thing about hygiene school? What thing(s) did you dislike?
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Tell us about any and all work experience you feel sets you apart you for this position, dental-related or not.
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Please upload your resume.
*
Click or drag a file to this area to upload.
Next
Now help us get to know you!
If you could only tell us 5 things about yourself, what would they be?
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What has been your favorite job/position you've ever held (it doesn't have to be in the dental field) and what made it so great?
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Tell us about the craziest thing you've ever done.
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What does your dream job look like? There are no wrong answers! Tell us what you'd be doing, when and where, how you'd be getting paid, etc.
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Tell us about a time you messed up at work and how you handled it.
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What makes you excited about the possibility of working at Anderson Dental Care?
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Why do you love being a hygienist? And is there anything you don't like about it?
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Next
Almost there... just a few position-specific questions for you.
Please rate how important each of the following items is to you when considering a new position. 1 = not important, 10 = extremely important.
Team atmosphere / coworkers
Selected Value:
1
Distance from home
Selected Value:
1
Base pay rate
Selected Value:
1
Commission and/or bonus opportunities
Selected Value:
1
Growth potential (opportunities to "move up" in the company)
Selected Value:
1
Retirement benefits available (i.e. company-sponsored 401K, company-matched savings plans, etc.)
Selected Value:
1
Health benefits available (medical, vision, and/or dental)
Selected Value:
1
Perks like paid time off, paid holidays, team travel, etc.
Selected Value:
1
If you got to choose how to be paid, what it would it be?
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Salary / Standard Hourly Wage
Production-based/Commission Pay
Hourly + Production-based/Commission
Hourly + Performance bonus structure
Hourly + Max benefits like medical insurance, 401K, paid time off, etc.
Other
Please explain.
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How many hours per week would you like to work?
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Are there any days of the week you're absolutely not available to work?
*
Tell us what you're worth. We really do want to know your value. Tell us what you bring to the table, how much you think it's worth to our practice, and how much you should get paid for it! Don't be shy!
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Next
Now sell it!
Last chance, so make it count! Why should we hire you? Why do you want to work with us? What makes you a unique candidate we shouldn't overlook? Anything else you want us to know?
*
Bonus points for sending us a quick "about me" video (2 minutes or less). Just post the link to the video here...
...or upload it here.
Click or drag a file to this area to upload.
Do you have any social media profiles you want to share with us? (LinkedIn, Facebook, Instagram, etc.) Just post the links in any of these boxes.
That's it! We're excited to get to know you. We'll be in touch soon!
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