Dental Hygiene Application & Information Packet - College of 2026

1. Click ‘Get Form’ to open the Dental Office Observation Form in the editor.
2. Begin by entering the applicant's name in the designated field at the top of the form.
3. Fill in the reference name, address, city/state/zip, and telephone number accurately to ensure proper identification.
4. Indicate your relationship with the applicant by specifying your capacity (e.g., dentist or dental hygienist). Remember, family members cannot serve as references.
5. Record the total hours observed/worked by the applicant and provide the observation dates in the respective fields.
6. Rate the applicant’s performance on various qualities by checking all applicable boxes. This includes aspects like responsibility, punctuality, and interpersonal relations.
7. Provide a brief description of your impression regarding the applicant's seriousness and professional attitude towards their career choice. Use additional space if necessary.
8. Finally, sign and date the form before submitting it via mail or fax to maintain confidentiality.

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