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For the Candidate:

In order for RRDPA to find you the best position available as per your preference, please complete the following information in full. Please bear in mind that being flexible with respect to your availability and travel will make you more marketable. Please note that your information will not be shared with other employment agencies.
First Name:*
Last Name:*
Email:
Address:
City:*
Your Main Intersection:
Province:
Postal Code:
Phone Number:*
Cell Number:
Applicable Education:
Experience: Years/Months:
What days are your available:





I am looking for:
Do you have any experience with temporary placement:
Are you willing to travel:
Which cities?:
Positions you are applying for:







Dental Assistant Certifications (if applicable):


Hourly rate of pay:
Computer Program Experience:
Do you have experience with:























How did you hear about us:
Who may we thank for referring you:
Additional information we may need to help you find the right job:
References:
Languages fluent in:
I agree - Please Digital Sign Here (eg. name):*
 
Informed Consent (Please read before submitting)

Dear Candidate:
Thank you for registering with River Ridge Dental Placement Agency. Your interest in working with our agency is greatly appreciated. All requests are confidential and we will work with you to find a position that best suits your needs. Please read over the following carefully.



*I, undersigned healthcare professional, hereby acknowledge and consent for the release of information pertaining to my past employment history, I authorize RRDPA to release such information to doctors or health care offices that may request such information (i.e resume, reference checks).

I also understand that I have chosen to represent the agency and will utilize my knowledge and skills with utmost professionalism. I will not allow myself to be solicited (office calling you directly at home) for temporary or permanent positions where RRDPA has made this initital introductions.

Harp Staffing
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