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DENTAL APPLICATION FORM

Fill out the form and submit your application.

Has your Professional license ever been investigated or suspended?
Upload File
Are you COVID vaccinated?
Position Applying For
Specialty
Employment Desired
How much expereince do you have?
Do you have a reliable car?
What shifts can you work?
How far will you drive
Have you been named as a defendant in a professional liability action?
Are you 18 or older?
Have you ever been convicted of a crime other than a minor traffic violation? (Driving under the influence is not considered a minor Traffic violation) If yes, please explain.If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.) If yes, please explain in person.
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.
Who can we thank for referring you to Shore Staffing?
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BE PART OF OUR TEAM

Shore Staffing, Inc. is a nursing and dental agency specializing in providing facilities and organizations with the best healthcare providers in the area. Our staff are both reliable and team players. Recent experience is required, with a minimum of (2) years of experience in your area of expertise. Rest assured when it comes to healthcare, Shore Staffing, Inc. will meet each requirement set forth by the customer as it pertains to the provision of staff, clinical skills, competencies, treatment, and services. We hold ourselves to the highest standards, and we invite you to join our team.

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