RDA / DA Job Application

Full Name *

First Name Middle Name Last Name

Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Email Address *

example@example.com

Phone Number *

Area Code Phone Number

Date You Can Start *

Date

How did you hear about us? *

Are you currently employed? *

Yes No

If no, when was date of last employment?

If it was your choice, which would you prefer? *

Salary Only Commission Only Combination of Both

Do you have an X-ray & coronal polishing certification?

Yes No

Why do you think you'd be a good fit for this position?

Are you comfortable answering phones?

Yes No

Scenario:You're the only one at the front desk and you're on the phone with a new patient. A current patient walks in for their reservation and up to the counter.

What do you do?

Describe: Your current team.

What do you like & dislike?

Choose ice cream.

Are you good at following directions?

Yes No Maybe Ice cream Popcorn

What was the last book you read?

Do you consider yourself a perfectionist? Why or why not?

Scenario:The schedule tomorrow has quite a few openings. Today is one of those crazy days where the phone is ringing off the hook, the schedule is full, and there's been a few hiccups that have contributed to the chaos. On top of needing to take care of the patients in the schedule today, you also need to restock the rooms and place a product order.

What do you do? And how do you handle this?

What's your favorite movie?

What are the most important accomplishments of your career?

What was the most embarrassing moment in your career? Or the biggest failure?

How did you handle that embarrassment or failure?

Are you involved in any causes or charities?

Yes No

Tell us about someone who is better than you in an area that really matters to you.

If you could wave a magic wand, and change one thing what would it be?

What & why?

What do you do that others in your personal life might find annoying?

Scenario:It's Saturday and you had plans with some friends who you have not seen in awhile, but you get a call from one of your team members saying that they're really not feeling good. They need you to go in today, cover for them, and work the front desk.

What do you do?

In an epic superhero battle who do you think would win?

Batman Superman Wonder Woman I don't know & I don't care

What kind of hours do you generally work?

What do you like to do when you're not working?

Out of these which would you say is the most important to you?

Awards Charity Money Time Off

What's something you recently learned?

Scenario: We block schedule. Meaning every type of reservation has a place so we can ensure efficient patient flow. A patient is there to have a crown done, but states that since they're already there, they'd like to get the needed crown on the opposite side of their mouth done too.

What do you do?

Find a way to make it so that the patient can get that crown today. Pass them off to another team member who can find a spot this week or next. Schedule them in the next available crown spot. Tell them that unfortunately there's only time for the one tooth today.

Scenario: You're checking patients out at the front desk. You heard the hygienist recommending that the patient have laser bacteria reduction, but the patient says "Maybe next time." Once the patient gets up to the front desk, you're asked to schedule their next 3 month periodontal maintenance.

What do you do about the recommended laser treatment?

Scenario: The office is throwing a patient appreciation event. There's a signup sheet in the breakroom since it's voluntary & unpaid. There's a note that the help is very much needed to make sure the event goes smoothly and the patients have a great experience. When you look at the date you realize that's the same day you were going to something you've really been needing to get done.

What do you do?

Cancel or Reschedule your thing. Tell the Marketing Director you unfortunately can't participate. On-board 2 other team members to sign up. Do nothing. After all, it's voluntary.

Imagine: You think that you have a really good idea that would make the new patient experience exceptional. There's a team meeting tomorrow, and it'll be the perfect opprotunity to talk about it. The day comes, and you announce your idea to the team. A few of the team members start asking you questions about things you didn't consider and challenging your idea.

How do you handle this?

When you commit to something, like your work schedule, you:

Show up. Rain or shine. Sick or not. If you were expected to be there, you're there. Period. Negotiate until it fits your lifestyle. You know what your limitations are. Show up for the most part. You might take a couple vacations and get sick from time to time. Honestly, you could be better about this.

Scenario:You're cleaning up a treatment room & setting it up for the next patient. While wiping down the chair, you find a $1 bill on the floor.

You:

Call the patient who was last sitting in that chair & ask the team members who were in there. Pocket it. It's only a $1. Inform a Team Leader. Give it to another patient or team member for them to have.

Story: An employee is on her way to work. She stops by her favorite coffee shop and get's her favorite drink. She takes a sip of the savory drink, and begins to pull out of the coffee shop drive way. Just as she does this, a driver who was not paying attention nearly swipes the front of her car.

The driver in the other car honks their horn and gives her the finger.

The employee, a little shaken up, makes her way out onto the main road, but just a mile down the street is bumper to bumper traffic. There's no other streets that she can take. So now it's looking like she's going to be late.

She pulls out her phone to text her boss about the situation and just before she can write out the full message, a motorcyle cops flashes his lights, and turns on the siren.

She pulls over to the side of the road, he issues her a cell phone ticket.

She get's back on the road & finally makes it to work.

What are your thoughts about this story?

How many books do you own?

What is the hardest you've ever worked on something?

What would you uniquely bring to our culture?

Could you tell me about a time that you lacked the skills or knowledge to complete an assignment?

Identify the excuse:

I can't There's not enough time We're in a saturated market That's impossible

When's the last time you took a course or attended an educational event?

For the Following 2 questions: If you don't have any just put "none".

What are your personal and professional goals for the next year?

What are your personal and professional goals for the next 3 years?

How many questions are in this application?

How long did it take you to complete this?

What do you think about this application?

It was waaaaay too long. It needs to be shorter. It's over?! I learned some new things about myself. I enjoyed this.

This is the final step for this application. Please upload your resume, work references, & your desired salary. All 3 must be included.

Upload Resume *

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