To Register Please fill out the below form. All information entered is strictly confidential. Your online profile will be activated once your registration is reviewed. Please enter a username. Account InfoUsername *E-mail *Password *Password must be at least 7 characters long. To make it stronger, use upper and lower case letters, numbers and symbols.Confirm Password *Type your password again. Strength IndicatorFirst Name *Last Name *Address *City *Zipcode *Home PhoneCell Phone *It is okay to send text messages re: placements. (recommended) *YesNoAre you bilingual? * Yes NoIf yes, what languages?If not, please explain:I am a: * Dentist Hygienist Assistant Front Desk PersonnelAZ License # (if applicable)I am looking for: *TemporaryTemp-to-HirePermanentPlease check all that apply.I am available: *MondayTuesdayWednesdayThursdayFridaySaturdayPlease check all that apply.Years of experience * Recent Graduate / <1 year 1-2 years 2-5 years 5+ yearsDental experience *General DentistryPediatricsOrthodonticsEndodonticsPeriodonticsOral SurgeryCheck all that apply.Dental software experience *X-Ray certified * Yes NoX-Ray experience *DigitalManualPlease check all that apply.X-Ray software experience *For Hygienists: Anesthesia certified? Yes NoLaser certified? Yes NoCurrent CPR? Yes NoOther certification/special training?For Assistants: Certified dental assistant? Yes NoExpanded Functions certification? Yes NoCoronal Polishing certification? Yes NoCPR certification? Yes NoOther certification/special training?Upload Resume with References Upload resume as a PDF fileUpload resume as a Word docUpload resume as an image fileOnce your information is reviewed, Dental Temps AZ will contact you to schedule an interview. Robot Detection * Register
