To register with Central Valley Dental Personnel a completed application form is required. If
applying for perm positions, a current resume must accompany the application form. CVDP will keep
your information in a personal, private and confidential database. When a match is made or a
position comes available that suits your needs/requirements and skills we will contact you.
If this is your first time registering with Central Valley, please provide a username and password.
This will allow you to keep your application/file updated for any changes such as, personal information, work
experience, skills or change in availability.
Please tell us about yourself
Date of Birth
Social Ins. Number
I am a *
Certified Dental Assistant with Prostho. Ortho.
Registered Dental Hygienist Qualified to give local anesthetic.
Current License/ Cert. Number
Which days are you available?
Limited - I will call or e-mail in my availability.
Additional Availability and Comments: (Extra availability shown as 08/25 - with two digits for month and day)
Where would you be willing to commute? *
Hold CTRL to select more than one
If Bilingual, what languages do you speak
What dental software are you familiar with?
Other Please list below
Any Additional information that would be helpful in finding the right position for you:
Please send a copy of your resume and current RDH or CDA license to firstname.lastname@example.org Screenshots or photos are acceptable as proof of licensing.