Questions for Dental Employers Interested in
Hosting a DA Student Extern
How did you hear about the JVS DA Training Program?
Please select...
San Francisco Dental Society
Southern Alameda Dental Society
Contra Costa Dental Society
Berkeley Dental Society
California Dental Association
Another dental office
JVS (Jewish Vocational Service)
Other
Please specify
Name of Company
Phone
Email
Street Address
City
Zip
Check all boxes that apply to your office:
Community clinic
Endodontist
General dentist
Oral Pathologist or Oral Surgeon
Orthodontist
Pediatrics
Periodontist
Private office
Prosthodontist
Briefly describe your dental office staff (include number of staff and their positions):
Briefly describe pace of your office, patient population, language preferences, any other information that might help us match you with job seekers:
Days and hours of operation:
Are you looking for full time or part-time externs/employees? If part-time, how many hours and what schedule?
Are you looking to hire a DA after externship?
Please select...
Yes, currently have openings
Eventually, but do not currently have openings
No, only interested in hosting student extern
What is your wage range for a starting DA?
NAICS Sector
NAICS Codes- 61-81