Dental Direct Hire Search Assignment

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Warning:  If you need this order filled in 24 to 48 hours, you must call 770-998-7770 to place the order. 

Company Information

Company/Practice Name  

Contact Name

Contact Title

Address

Address

City   

State    Zip

Main Phone

Fax 

E-mail address

Size of Practice (Staff members/Doctors) 

Type of practice 

Have you used our service before? 

How did you hear about us? 
                         Other Source: 

Order Information

Position Title 

Standard Hire             Temp to Hire 

Duties 

Description of Ideal Candidate

Specific Skills Needed

If you have a written job description please paste here

Factors that would rule out a candidate

Education  

Pay Range 

Benefits  

Hours       to            

Days    M     T    W      Th      F   S

Dress Code 

Position Reports to:

How long has position been open? 

Why is it open? 

How many candidates have you interviewed so far? 

What other sources are you using to hire (newspaper ads, other agencies, internet ads, etc.)? 

The job market is very competitive right now.  What can we tell a candidate about your practice that will help promote your practice to him/her?

When would you like to interview?  What times to you have available this week?

Any Other Special Instructions?