Work with the Best! Dental Technician Employment Opportunities at BonaDent

BonaDent Dental Laboratories
is an Equal Opportunity Employer

BonaDent Dental Laboratories is an "at-will" employer and reserves the right to terminate employment with or without cause and without prior notice except as limited by law.

Step 1 — Personal Information

Last Name *

First Name *

Middle Name

E-mail Address *

Street Address *

City *

State *

Zip Code *

Primary Phone *

Secondary Phone

Job you are interested in? *

Other? *

Hours Desired? *

Are you authorized to work
in the United States? *

Date Available for Work *

Shift Choices: *

Salary Requirement *

Referred by: *

Who referred you? *

Other? *

Do you have a resume you wish to upload or type?

Step 2 of 7 — Employment Consideration

Have you applied to BonaDent or
Danaren in the last 12 months?

When? *

Are you related to anyone working
for Bonadent or Danaren?

Their Name? *

Their Relationship to You? *

† Have you ever been convicted of a crime?

Describe in Full: *

† A conviction will not necessarily be a bar to employment. Factors such as date, seriousness and nature of the offense will be considered.

Step 3 of 7 — Education

Do you have a high school diploma or GED? *

College Experience:

Trade or Business School Experience:

Step 4 of 7 — Employment History

Former Employers:

(List below last three employers, starting with last one first)

Most Recent Employer:

Company Name: *

Address:

City

State

Zip Code

Telephone:

Reason for Leaving: *

Employed (MM/YYYY)

From: *

To: *

Hourly or Annual Salary

Start: *

Last: *

Name of Supervisor/Reference:

Your Job Title:

Description of Your Work:

Do you have second job to list? *

Second Most Recent Employer:

Company Name: *

Address:

City

State

Zip Code

Telephone:

Reason for Leaving: *

Employed (MM/YYYY)

From: *

To: *

Hourly or Annual Salary

Start: *

Last: *

Name of Supervisor/Reference:

Your Job Title:

Description of Your Work:

Do you have third job to list? *

Third Most Recent Employer:

Company Name: *

Address:

City

State

Zip Code

Telephone:

Reason for Leaving: *

Employed (MM/YYYY)

From: *

To: *

Hourly or Annual Salary

Start: *

Last: *

Name of Supervisor/Reference:

Your Job Title:

Description of Your Work:

It is the policy of BonaDent/Danaren to verify employment. May we contact the employers listed above? *

If not, indicate which one(s) you DO NOT want us to contact:

Step 5 of 7 — References & Additional Information

References:

(Give the names of three persons not related to you, whom you have known for at least one year)

First Reference:

Their Name:

Their Address:

City

State

Zip Code

Their Telephone:

Years Acquainted:

Their Business:

Second Reference:

Their Name:

Their Address:

City

State

Zip Code

Their Telephone:

Years Acquainted:

Their Business:

Third Reference:

Their Name:

Their Address:

City

State

Zip Code

Their Telephone:

Years Acquainted:

Their Business:

Additional Information:

Have you been known by any other name?

What was the name? *

Hobbies and Interests:

In case of an Emergency Notify:

Their Name:

Their Address:

City

State

Zip Code

Their Telephone:

Step 6 of 7 — Portfolio Upload

Portfolio

Portfolio not required. Click Next to complete the application

Applicant Characteristic Form

The employment position for which you are applying has been made available with financial assistance from the Town of Seneca Falls using Federal Community Development Block Grant Funding. As a result, the employer is required to obtain the following information:

Instructions:

Determine your family size by counting yourself and each family member who currently resides with you within the same housing unit. A family member is a person who is related to you by birth, marriage or adoption. Input the appropriate family size below. Next, total the income from all sources received during the last calendar year (January-December) by yourself and each member of your family who current resides with you. Income includes wages, salaries, tips, business income, interest, dividends, the taxable portion of pensions and annuities, IRA distributions, rents, royalties, partnerships, unemployment compensation, and social security; less alimony paid and unreimbursed employee business expenses calculated with IRS Form 2106. Compare this total to the figure listed for the family size you indicated and select the appropriate income range next to your family size.

Family Size	Below 30%	Between 30% and 50%	Between 50% and 80%	Over 80%
1	$11,649	$11,650 - $19,399	$19,400 - $30,999	$31,000
2	$13,299	$13,300 - $22,149	$22,150 - $35,339	$35,400
3	$14,949	$14,950 - $24,899	$24,900 - $39,849	$39,850
4	$16,599	$16,600 - $27,649	$27,650 - $44,249	$44,250
5	$17,949	$17,950 - $29,899	$29,900 - $47,799	$47,800
6	$19,299	$19,300 - $32,099	$32,100 - $51,349	$51,350
7	$20,599	$20,600 - $34,299	$34,300 - $54,899	$54,900
8	$21,949	$21,950 - $36,499	$36,500 - $58,449	$58,450

Family Size *

Income Range *

Your Current Total Income *

Race *

Ethnicity
** Hispanic – HUD has designated Hispanic as an ethnic group. A person should be identified as both a member of a racial group and an ethnic group when this ethnic group is selected

Female Head of Household *

Elderly Person *

Disabled Person *

Currently Employed *

The information provided herein will be confidential and will only be used to provide statistical data required under the Community Development Block Grant program. It is subject to verification pursuant to the rules and regulations of the New York State Office of Community Renewal and the U.S. Department of Housing and Urban Development.

Step 7 of 7 — Signature

Pleas read carefully before signing:

I hereby declare the information provided by me in this application for employment is true, correct and complete to the best of my knowledge. I understand that any misstatement or omission of fact on the application shall be basis for refusal to hire and, if employed cause for dismissal, upon request of BonaDent/Danaren. I hereby agree to save free and harmless from any and all liability, persons to whom reference is made for furnishing information as to my character and qualification for employment. I further agree that BonaDent/Danaren may furnish like information to those with whom I may hereafter seek employment and hereby agree to save said company free and harmless from any and all liability therefore. I understand and agree that, as a condition of employment, BonaDent/Danaren requires that its employees assign to it all right, title and interest in and to all computer software programs, inventions, discoveries, and improvements arising out of the employee's efforts during their employment.

I understand that incomplete information could disqualify me from further consideration for open positions.

BonaDent/Danaren is an equally opportunity and "at will" employer.

By entering your name you are agreeing to the terms between you and BonaDent/Danaren on this date ... Sunday, the 20th of May, 2012.

Signature *

Step 2 of 4 — Resume Upload

Upload Resume:

Please tell us about your experience,
or copy and paste your resume here:

Step 3 of 4 — Portfolio Upload

Portfolio

Portfolio not required. Click Next to complete the application

Applicant Characteristic Form

Instructions:

Family Size	Below 30%	Between 30% and 50%	Between 50% and 80%	Over 80%
1	$11,649	$11,650 - $19,399	$19,400 - $30,999	$31,000
2	$13,299	$13,300 - $22,149	$22,150 - $35,339	$35,400
3	$14,949	$14,950 - $24,899	$24,900 - $39,849	$39,850
4	$16,599	$16,600 - $27,649	$27,650 - $44,249	$44,250
5	$17,949	$17,950 - $29,899	$29,900 - $47,799	$47,800
6	$19,299	$19,300 - $32,099	$32,100 - $51,349	$51,350
7	$20,599	$20,600 - $34,299	$34,300 - $54,899	$54,900
8	$21,949	$21,950 - $36,499	$36,500 - $58,449	$58,450

Family Size *

Income Range *

Your Current Total Income *

Race *

Ethnicity
** Hispanic – HUD has designated Hispanic as an ethnic group. A person should be identified as both a member of a racial group and an ethnic group when this ethnic group is selected

Female Head of Household *

Elderly Person *

Disabled Person *

Currently Employed *