Looking for a temporary or permanent job? HealthPro Staffing Resources works with a wide range of dental and medical offices. Please fill out the form below or call 914-245-3200 to schedule an interview. We look forward to finding the right position for you!
Candidate Information
First Name:		Middle Initial:
Last Name:
Address:
City:		State:
Zip Code:
Home Phone:		Business Phone:
Cellular:		Pager:
Email:

Employment Information
Job Position Desired:
Years Experience:	Salary Expectation:
Employment Availability:	Permanent: Temporary: Full-Time: Part-Time:
Days and Hours Available:
Presently Employed?: (optional)	Yes No If yes, where?:
Job Title:		Current Salary:
Skills:
Employment Location Preference:	1.	2.
Transportation:	Car	Public Transportation

Employment History (List most recent first)
1.	Business Name:
	Business Location:
	Dates of Employment:
2.	Business Name:
	Business Location:
	Dates of Employment:
3.	Business Name:
	Business Location:
	Dates of Employment:

Education
College/University:
Degree:
Other:
Degree:
Area of Specialty:
No. of Years:

Employment References
1.	Name:		Title:
	Address:
	Zip:		Phone:
2.	Name:		Title:
	Address:
	Zip:		Phone:
3.	Name:		Title:
	Address:
	Zip:		Phone:

Professional Occupational License:	Yes No Title:
License States:   License Status: Active Inactive
License Number:
Resume Upload
If you have your resume in an electronic format, i.e., Microsoft Word, please use our resume upload to attach it to this form. Otherwise, send or fax (914-245-3888) your resume to HealthPro Staffing Resources. No fee to candidates for job placement.
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