Applying Pit/Fissure Sealants
Please check any availability:
I am looking for a: Permanent Temporary Both
Available Days: Monday Tuesday Wednesday Thursday Friday Saturday
Comments:
Dental experience:
New student 1-5 years 6-12 years 13-20 years over 20 years
Please tell us your hourly range : $
Please check areas where you are willing to take a permanent or temporary assignment.
Work References:
Name: Position: Phone:
This AGREEMENT is made with Dental Pros, Inc. a Florida company. Services To Be Performed. DentalPros will assist applicant in finding PERMANENT and/or TEMPORARY employment as either a temporary employee or as an independent contractor . Payment. In consideration of temporary employment or a working interview, the employee or independent contractor (temp) will be paid an hourly rate for services performed. A daily check will be paid to a temporary upon completion of assignment by Client - Dentist (unless other arrangements have been made between Independent Contractor and Client – Dentist). DentalPros may choose to employ the temporary worker directly for certain temporary assignments and in that instance the temp will be paid weekly upon submission of a completed time sheet by DM Employer Services, Inc. (DMES) Time Sheets. Temporary jobs or working interviews require employer or independent contractor to submit a time sheet for all services performed for Client-Dentist. Time cards are required to be turned into Dental Pros weekly. Independent Contractor. The parties intend Applicant to be an Independent Contractor in the performance of these services. Contractor shall have the right to control and determine the method and means of performing the above services; Client - Dentist shall not have the right to control or determine such method or means. Employee. The parties further agree that if work is accepted as a temporary employee then all rules, policies, and safety precautions set forth by Dental Pros and DMES must be followed. Employee is further required to call our office after each assignment to update their availability. If you do not call our office to update your availability then Dental Pros will consider you have found other means of employment and you will be removed from active status. Other Clients. Employee or Contractor retains the right to perform services for other Agencies or Client - Dentists not referred by DentalPros.Employment Agency will not be responsible (for independent contractor) for income taxes, unemployment insurance, social security taxes, and workers' compensation insurance on independent wages earned. Temporary employees will receive a net paycheck less required taxes and year end w-2 form. Verification of Licensure, References and/or Job and Criminal History. DentalPros has permission to verify the information entered on my employment application. I attest that all information I entered on my employment application is true and correct to the best of my knowledge. I hereby release DentalPros and DMES, its agents, officials and representatives both individually and collectively, from any and all liability for any damages that may arise from this authorization and request for release of information.I further understand that DentalPros acting on my behalf is providing a service to me and is due a finders fee paid by their Client - Dentists. I acknowledge I am responsible for the finders fee if I do not inform DentalPros within 24 hours of a job offer whether temporary or permanent. I further understand I will be responsible for all court and/or attorney’s fee necessary to collect a finders fee from me if found responsible for violating this agreement.By electronically submitting this contract, you are accepting our terms and conditions. Your application will be processed and you will be referred for employment. If you choose to decline at this time, you may e-mail or call one of our placement coordinators at (727) 209-0639 with any questions about the services we provide.
By typing my name below, I affirm that all information submitted on this application is true and correct and I accept the Employment Agreement stated above.
Employee's electronic signature Date