Dental Instructor Application

Please select the name of the school that you are applying too. You can find this on the school's website page.

What is the position you are applying for? This can be found on the job posting.

Please select the days you can work at least 4 hours.

Please list the name of the current business you work for. If you are not currently working please put N/A. Also please list any identifying data on this business such as website and phone number.

Name of your current supervisor. If you are currently not working please put N/A.

How much do you currently make per hour?

What was the business name of the last job you held for over 24 months? Please list identifying data such as website, phone number, and location.

Who was your supervisor at the prior job?

How much did you make per hour at your previous job?

Please list the reasons you left your previous job.

In your opinion, what are the traits of an ideal instructor?

In order to complete this job application, you will need to give consent to receive and respond to information in electronic form. If you do not wish to consent to electronic transactions, please exit the system now by clicking “CANCEL.”

This application contains a number of disclosures and consent forms which usually are provided in written form. I understand that I have the right to receive such disclosures and give my consent or authorization on paper instead of electronically. If I do consent to engage in electronic transactions, I understand that I have the right to withdraw my consent, and can do so by notifying Vandelay Education. I can also use this procedure to update information needed to contact me. If I decide at any point during this application process to withdraw my consent to engage in electronic transactions, I understand that I will have to sign a corresponding paper authorization or consent form as needed if I wish to continue with the application. I understand that any consent given here applies only to the electronic transactions related to this job application, and that I can access the electronic records by contacting Vandelay Education. I further understand that I may request a paper copy of any consent or authorization I give electronically. I may receive such paper copies at no cost within the next 60 days by contacting Vandelay at

Vandelay Education is an Equal Opportunity Employer.


*I understand that a background check (Consumer Report) will be obtained for employment purposes at Vandelay Education

*Vandelay Education will verify all or part of the information I give Vandelay Education and gather information related to my background. I hereby authorize Vandelay Education to procure a consumer report and, to the extent permitted by law, make any inquiry into my credit history, motor vehicle or driving record(s), criminal and civil records, prior employment (including contacting prior employers), education as well as other public record information. I understand that inquiries may include any incidents of dishonesty, violence or drug-related offenses. This authorization shall apply to pre-employment and post-employment inquiries, and shall be valid if I am hired, throughout my employment.

*I understand that selecting the consent box in the section below will constitute as my electronic signature, and that by doing so:

1 ) I am authorizing Vandelay Education to conduct criminal background check(s), and
2) I am consenting to use electronic means to (a) sign this form and (b) receive the Disclosure Statement.

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