www.rodeodentaltexas.com
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Registered Dental Assistant
Edinburg, TX
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Application Form
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First Name *
Last Name *
Email *
Phone *
Resume *
Our office is open Tuesday through Friday, 10AM-7PM and Saturdays 9AM-4PM. Can you work this schedule? *
Yes, I am available any time.
No, I am unavailable to work Saturdays.
No, I am unavailable to work evenings.
No, I have another schedule restriction.
How many years of dental assisting experience do you have? *
What dental specialties do you have experience assisting? *
General Dentistry
Orthodontics
Oral Surgery
Pedodontics
Endodontics
I don't have experience in dental assisting.
Do you have a Registered Dental Assistant License with the Texas State Board of Dental Examiners? *
--Select--
Yes
No
Do you have a Nitrous Monitoring Certification? *
--Select--
Yes
No
Do you have a valid Driver's License? *
--Select--
Yes
No
Do you speak Spanish? *
--Select--
Yes
No
What city do you live in? *
Thanks for your time
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