Human Resource Services Department

Thank you for your interest in the Registered Dental Assistant position. Applicants for this position are required to submit responses to the following supplemental questions.  Your completed responses to the supplemental questionnaire will be evaluated to determine your qualifications and must be completed properly in order to be given full consideration for the next phase in the selection process. Additionally, your responses will also be evaluated and used in the selection process in order to identify the best qualified applicants. 

Responses should be thorough and specific. A lack of detail and explanation in the supplemental questions and in your application may result in failure or disqualification for this position. Clarity of expression, content, experience, grammar, spelling and the ability to follow instructions will be considered in the evaluation process. A resume will not be accepted as a substitute for properly completed responses.

Information provided in your responses to the supplemental questionnaire regarding your employment experiences must also be detailed in the Work Experience section of the application for this recruitment. Please be sure to list all employers and required information, on your application, especially if you are referencing those employers in your responses to the supplemental questions.

By selecting yes below, you certify your understanding that all applicants are required to submit complete responses to the supplemental questions and a complete application in order to be considered for this recruitment.

Do you understand the above statement?

Please describe how you are qualified for this position from one of the qualifying patterns below:

If you qualify for this position by possessing one year of full-time experience as a Dental Assistant, please provide the information below. If you do not possess the work experience as described, and meet the minimum qualifications with Dental Assistant Curriculum, please type N/A and move onto question #3.

1. Title of the qualifying position(s) you've held
2. Duration of employment in each position
3. A brief description of your assigned duties

If you qualify for this recruitment by having completed a Dental Assistant curriculum from an accredited Dental Assistant program, please provide the following information:

1. Name of the school/institution where you completed the Dental Assistant program
2. Type of certificate/degree awarded
3. Dates attended
4. Date certificate/degree awarded

Please list any licenses, registrations, and/or certificates you possess which best qualify you for this position (i.e. RDA license, radiation safety license, fit and fissure sealants certificate, etc.). In your response, please include the license/registration/certificate number, issue date, expiration date and issuing authority.

From the list below, please check all of the following Dental Assistant duties you have performed:

Please describe any experience you have independently applying dental sealants, fluoride varnish, and/or conducting individual dental assessment interviewing with parents of children (ages 1-13) in a public health setting. In your response, please provide the following information:

• Title of the qualifying position(s) you've held
• Duration of employment in each position
• Type of setting where you performed the above duties

Please describe the experience you possess providing Dental Assistant services to children (ages 1 – 13) that make you the best qualified applicant for this position. Please be specific and detailed in your response. Identify your role and responsibilities/duties, name of the employer(s) and the dates of your employment.

The supplemental questions were designed to elicit your experience as it relates to the current recruitment in order to identify the best qualified candidates for this position. Only the best and most suitably qualified candidates will be invited to participate in the oral interviews.

By selecting yes below, you certify your understanding that all applicants who meet minimum qualifications are not guaranteed to move forward in the process. Do you understand the above statement?