Registration Form - River Ridge Professionals

Current Opportunities | Registration Form | Training | Dentists | Contact Us

For the Contractor:
In order for River Ridge Professionals to find you Contractor Short Term Contracts please complete the following information in full, in addition to submitting a current resume. Please bear in mind that being flexible with respect to your availability and travel will make you more marketable. Please note that your information will not be shared with other organizations unless you direct River Ridge Professionals to do so.

First Name:*
Last Name:*
Email:*
Address:*
City:*
Your Main Intersection:*
Province:*
Postal Code:*
Phone Number:*
Cell Number:*
Applicable Education:*
Experience: Years/Months:*
What days are your available:*	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
I am looking for:*	Short Term Contracts Only
Do you have any experience with Short Term Contracts Only:*	Yes No
Are you willing to travel:*	Yes No
Which cities?:*
Positions you are applying for:*	Dental Office Manager Dental Assistants Dental Hygienists Dental Reception Dental Sterilization Technician Treatment Coordinators Dental Accounts Receivable
*Dental Assistant Certifications (if applicable):	Level I Level II PDA Harp
Hourly rate of pay:
Computer Program Experience:
Do you have experience with:*	Taking X-rays Digital X-rays Intra-oral camera Ordering supplies Equipment maintenance Running sterilization lab Disinfecting and preparing operatory Mixing alginate Pouring models Taking impressions Sterilizing instruments Post-op instructions Filing and pulling charts Scheduling/confirming appointments Filling out insurance information Reviewing medical histories Processing patient treatment Accounts receivables Treatment coordinating Soft tissue management Oral hygiene instruction Perio charting Coronal polishing Placing rubber dam Fluoride treatments
How did you hear about us:*
Who may we thank for referring you:*
How long in Dental Field:*
References:
Languages fluent in:
Do you have Dental Experience:*
Please Attach Current Resume in Word Format (no pdfs please):*
I agree - Please Digital Sign Here (please type name):*

Informed Consent (Please read and Sign Below submitting)
Dear Contractor:
Thank you for registering with River Ridge Professionals ("RRP"). Your interest in working with us is greatly appreciated. All requests are confidential. Please read over the following carefully.
The Contractor acknowledges, authorizes and consents to the release of information pertaining to their past work history (ie: resume, reference checks, etc) to Dentists and health care offices that may request such information.

The Contractor will make their best effort to utilize their knowledge and skills with the utmost in professionalism.

By signing and clicking on SUBMIT above, the Contractor acknowledges, accepts and agrees with the following statements:
1. RRP is not a "temporary help agency" or a "recruiter", as those terms are defined in the Ontario Employment Standards Act, 2000, and the provisions of that Act do not, and will not, have any application to the relationships between the Candidate, RRP, and/ or the dentist or related payor entity (the "Dentist").

2. That is, there is not, and will not be, any employment contract or employment relationship between

(a) the Contractor and RRP, or (b) the Contractor and the Dentist.

3.Particularly, the Contractor is not, and will not be, an employee of either RRP or the Dentist, and neither RRP nor the Dentist is, or will be, an employer of the Contractor.

4. Rather, the Contractor will be an independent contractor providing services to the Dentist on a short-term, temporary basis, for which the Contractor will submit an Invoice directly to the Dentist, and the Dentist will pay a fee directly to the Contractor.

5. Neither RRP nor the Dentist has, or will have, any liability or responsibility for withholding or remitting any income, payroll, or other federal or provincial taxes, including employment insurance remittances, Canada Pension Plan contributions or employer health tax, or worker's compensation insurance premiums for the Contractor. The Contractor is solely responsible for these withholding, remitting and registration obligations.

River Ridge Professionals