Employment

  • Personal Information

    Answer "no" for misdemeanors or convictions which have been annulled, expunged or sealed by a court. If yes, describe in full below.
    If yes, please explain below:
  • Education

  • Name, location of school, course of study, years completed, and any degree diploma
  • Name, location of school, course of study, years completed, degree diploma
  • Name, location of school, course of study, years completed, and any degree diploma
  • Military

  • Employment History

  • References

    Below list three persons not related to you whom you have known at least one year.
  • Name, address, phone, business name and years acquainted.
  • Name, address, phone, business name and years acquainted.
  • Name, address, phone, business name and years acquainted.
  • I understand that typing my name and clicking the "submit" button constitutes my signature on this application. I also verify that the information provided in this Application for Employment is true, correct and complete. If employed, any misstatements or omissions of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.

Our dentists are highly rated among patients and always provide the highest quality dental care.

Williamsburg Office

1131 Professional Drive
Williamsburg, VA

(757) 707-8016  

Norge Office

7151 Richmond Rd #305
Williamsburg, VA

(757)-707-8026

Proud Members of These Professional Dental Organizations:

American dental assocation logo
Virigina dental assocation logo
Member of Virginia CEREC one-visit dentistry logo
Acadmey of general dentistry logo
Left to right: Visa, Mastercard, and Discover Network cards
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