Dental Professional Application

Hope Dental Clinic provides comprehensive care for both adult and pediatric patients (three years of age or older). We typically cannot accommodate in-clinic shadowing. All dental professionals need to be in positions of current United States dental licenses in good standing. 

Are you currently certified/ licensed? *
Hope Dental Clinic provides comprehensive care for both adult and pediatric patients (three years of age or older). We typically cannot accommodate in-clinic shadowing. All dental professionals need to be in positions of current United States dental licenses in good standing.
A year long commitment. *
We are looking for dental professionals who are willing to make a one-year commitment. Are you able to commit to volunteering for at least one year?
Name *
Name
Date of Birth *
Date of Birth
Street Address, City, St, Zip
Phone *
Phone
Would you like to be added to our mailing list? *
We don't require you to be a member of a Church to work with us, but if you are involved in a Church we would love to know about it.
Billy Kangas