Chestnut Hills Dental | Online Employment Application

Chestnut Hills Dental

Employment Questionnaire

If you are interested in joining the Chestnut Hills Dental Team, please fill out the following online form.

► You may also email your resume (plain text format please, no attachments) to: Employment at Chestnut Hills Dental. Let us know which locations and positions you are interested in.

► Or mail a paper copy of your resume along with a cover letter to:

Chestnut Hills Dental
Attn: N. Longo
220 Bessemer Road, Suite 301
Mt. Pleasant, PA 15666

We recommend that you use the latest version of Microsoft Internet Explorer, Netscape Navigator or Mozilla Firefox with this form. If you do not have a current version please download and install it (free downloads) to ensure the form data gets sent properly.

First Name:
Middle Initial:
Last Name:
Address:
City:
State:
Zip Code:

Daytime Phone (format 412-456-7899):
Evening Phone (format 412-456-7899):
Cell Phone (format 412-456-7899):
Email Address (format me@address.com):

Are you interested in:

Which days are you available to work:
M \| Tu \| W \| Th \| F \| Sa

Which hours are you available for:
Days \| Early Evenings \| Mornings \| Afternoons \| I'm available anytime

Which Chestnut Hills Dental locations are you interested in working at? (check all that apply)
Pittsburgh\Sq. Hill \| Monroeville \| Mt. Pleasant \| Irwin\N. Huntingdon
Indiana \| Homer City \| Johnstown \| Robinson\McKees Rocks

How did you hear about Chestnut Hills Dental?


Have you ever applied for a position with us before?


Are you currently employed?
If yes, where? (Company, Address, City)

If currently employed, why are you thinking of leaving your present position?


Which type of position are you interested in? (check all that apply)
Administrative (Scheduling Coordinator, Reception, Patient Coordinator)
Clinical (Dental Assistant)
Clinical (Exp. Duty Dental Assistant
Clinical (Dental Hygienist)
Management (Practice Manager)
Other (please explain)

And now for the fun part! Tell us a little about yourself...
Which type of role are you 'most' comfortable in? (you may want to check more than one)
Independent: Knowing what you need to do each day and setting your own goals
Team player: Most comfortable working as part of a team and contributing to a common goal
Right Hand Support: Working directly under a manager, with direct supervision and assigned tasks
Clinical: Working very closely with out patients in a clinical environment
Behind the scenes: Not as much public\patient interaction, a support role
Public eye: Up front with a lot of patient\public interaction
Leader: Making decisions for you and your team, providing direction to other team members
People person: You love communicating, interacting with, and helping people
Variety: Prefer having different objectives every day, never knowing what you’ll be working on next, ready for whatever challenges are assigned to you

What is your education level?

Where do you see yourself (professionally) in 5 years?



Thank you for taking the time to fill out our online application questionnaire! Please click the "Submit" button (only once) and your information will be sent to the Hiring Manager.