See On Calendar | TFI Cloud App

Click HERE to go back to staff availability.

Name

Click Dates to View on Calendar

Click HERE to go back to staff availability.

Phone Number

Email Address

Street Address

Job *

Hygienist
Front Office
Assistant

Upload Your Resume

Click or drag a file to this area to upload.

Expected Hourly Rate

Do you speak a 2nd language?

Hygiene License Expiration Date

Hygiene License Number

Are you CPR Certified? *

Yes
No

CPR Expiration Date

Upload a Picture of Your CPR Card

Click or drag a file to this area to upload.

Are you Nitrous Oxide Certified?

Yes
No

Upload your Nitrous Oxide Certification

Click or drag a file to this area to upload.

Are you Local Anesthesia Certified? *

Yes
No

Upload your Local Anesthesia Certification

Click or drag a file to this area to upload.

Are you Laser Certified *

Yes
No

Upload your Laser Certification

Click or drag a file to this area to upload.

Are you familiar with Eaglesoft Dental Practice Management Software *

Yes
No

Are you familiar with Dentrix Dental Practice Management Software *

Yes
No

Are you familiar with SoftDent Dental Practice Management Software *

Yes
No

Are you familiar with PracticeWorks Dental Practice Management Software *

Yes
No

Are you familiar using other Cloud Applications *

Yes
No

Please list the other Cloud Applications you have used

Are you Expanded Duties Skills for Dental Assistants (EDDA) Certified *

Yes
No

Upload your EDDA Certification

Click or drag a file to this area to upload.

Are you X-Ray Certified *

Yes
No

Upload your X-Ray Certification

Click or drag a file to this area to upload.

Years of Experience

Experience with Universal Sterilization *

Yes
No

Experience with Coronal Polishing *

Yes
No

Experience with Temporary Crowns *

Yes
No

Experience with Four Handed Assisting *

Yes
No

Experience with Alginate Impression *

Yes
No

Experience with Composites *

Yes
No

Experience with Cord Packing *

Yes
No

Experience with Denture Adjustments *

Yes
No

Experience with Amalgams *

Yes
No

Experience with Final Impressions *

Yes
No

Experience with Rubber Dams *

Yes
No

Upload Driver's License

Click or drag a file to this area to upload.

Upload Social Security Card

Click or drag a file to this area to upload.

Signature *

Please sign to certify your answers are true and complete

TFI Cloud App Tech Support