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FOR INDIVIDUALS SEEKING A POSITION IN A DENTAL OFFICE

Information for DSDS records only:
Name
Address
Address 2
City
State
Zip Code
Telephone
Fax
Email

Information as you would like it to appear on the website:
Name
Address
Address 2
City
State
Zip Code
Telephone
Fax
Email

Position you are seeking (include qualifications, hours & days available for employment and the best time to be contacted regarding an interview.)

This information will appear on the Members' Only Section of the DSDS website for sixty days. Please notify the DSDS office when you have bee employed. If you have not located a position within sixty days you will need to file this form again.