Job Application: NIGHT CAM TECHNICIAN (Will train)

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What are you looking for? *	Full Time Part Time Other
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Are you willing to work any shift?	Yes No
If No, what shift(s) can you work?

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Desired Salary
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Do you have any relatives, friends or roommates that currently work for Arrowhead?	Yes No
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Have you applied for employment at Arrowhead Dental Laboratory previously? *	Yes No
If Yes, when and for what position?

Have you ever been employed by Arrowhead Dental Laboratory?	Yes No
If Yes, please provide date(s) and position(s) of employment.

Have you ever been convicted plead guilty or no content, or forfeited bond / bail for any crime other than traffic violations?	Yes No
If Yes, please give details. Do not list any arrest, charge or detention that did not result in conviction.

High School
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College
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Technical Training
Technical Training – Location
Technical Training – Course of Study
Technical Training – Degree/License/Certification

Other
Other – Location
Other – Course of Study
Other – Degree/License/Certification

Typing Speed
10 Key
Certification(s)? (CDT or other)
Skills	Dental Terminology Medical Terminology Data Entry Windows Microsoft Office Switchboard Book Keeping Data Processing LAN/WAN Computer Use Spreadsheets Word Processing Filing Accounting
Other Skills

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