Join Our Team

We’re always looking for talented and dedicated individuals to join our team. Whether you’re an experienced dental professional or just starting your career, we encourage you to apply.

How to Apply

Ready to join the Imperial Orthodontics team? Just download our employment application using the button below and email the completed application, along with your resume, to info@imperialorthodontics.com.

Imperial Orthodontics
Employment Application

YOU MAY ALSO ATTACH A RESUME

GENERAL INFORMATION

Date

Last Name

First Name

Middle Name

Home Address

City

State

Zip Code

Home Telephone No.

Email Address

Cellular Telephone No.

Are you currently authorized to work in the United States? Yes No

Proof of eligibility will be required if hired.

JOB INFORMATION

Position applying for

Full Time Part Time

Please list any hours or days that you are not available to work.

When are you available to start work?

EDUCATION

High School

NAME OF SCHOOL AND LOCATION

NUMBER OF YEARS COMPLETED

MAJOR & DEGREE OR CERTIFICATION

College

NAME OF SCHOOL AND LOCATION

NUMBER OF YEARS COMPLETED

MAJOR & DEGREE OR CERTIFICATION

Technical School / Certification Program

NAME OF SCHOOL AND LOCATION

NUMBER OF YEARS COMPLETED

MAJOR & DEGREE OR CERTIFICATION

REFERENCE INFORMATION

Please list two references other than relatives (and other than former dentist employers).

Name

Position

Company

Address

Telephone

Name

Position

Company

Address

Telephone

HOW WERE YOU REFERRED TO US

Employee – Name

Agency – Name

School – Name

Other

Internet – Site Name

OTHER RELEVANT INFORMATION

Please use this space to elaborate on any background, experience, or qualifications that you believe should be considered in evaluating your qualifications for employment. Please do not include any information that would disclose your age, race, color, creed, religion, political affiliation, gender, sexual orientation, sexual identification, ancestry, national origin, citizenship, marital status, domestic or civil union partnership status, disability or handicap, veteran or military status (e.g. National Guard or Reserves), or any information about your salary, other compensation or benefits in any of your prior employment.

EMPLOYMENT HISTORY

Please list your work experience for the past five years beginning with your most recent job held.

Current employer

Name of supervisor

Employment dates

From

Address:

City

State

Zip Code

Phone number

Reason for leaving (be specific)

Position held

May we contact your present employer? Yes No

– If yes, list name, title and contact information of your immediate supervisor.

Name of employer:

Name of supervisor

Employment dates

From

Address:

City

State

Zip Code

Phone number

Reason for leaving (be specific)

Position held

Name of employer:

Name of supervisor

Employment dates

From

Address:

City

State

Zip Code

Phone number

Reason for leaving (be specific)

Position held

PLEASE READ CAREFULLY

As an indication that you have read and understand each sentence, please write your initials in the spaces provided below.

EMPLOYMENT-AT-WILL STATEMENT

I understand that my completion of this application form does not mean that any positions are available. I acknowledge that no one from Imperial Orthodontics has made any promise of employment to me. I further understand that Imperial Orthodontics has no obligation to offer me employment and that I have no right or entitlement to employment because I have completed this application.

Initials

I acknowledge my understanding that if I am employed, the employment relationship between Imperial Orthodontics (the "Practice") and me will always be "employment-at-will." This means that either I or the Practice can terminate the employment relationship at any time with or without notice and without any reason or cause.

Initials

Submit

Join Our Team

How to Apply

Imperial Orthodontics Employment Application

YOU MAY ALSO ATTACH A RESUME

GENERAL INFORMATION

JOB INFORMATION

EDUCATION

REFERENCE INFORMATION

HOW WERE YOU REFERRED TO US

OTHER RELEVANT INFORMATION

EMPLOYMENT HISTORY

PLEASE READ CAREFULLY

EMPLOYMENT-AT-WILL STATEMENT

Imperial Orthodontics
Employment Application