For employment consideration, please complete our online application and submit. Denture Crafters does not accept phone call inquiries for employment.

Please use the TAB button on your keyboard or your mouse to move from one field to another. Click ENTER only after you have filled out the entire application.

Applicant Information
First Name
Middle Initial
Last Name
Street Address
Apt/Unit Num
City
State
Zipcode
Phone
Email Address
Are you a US Citizen?
If no, are you authorized to work in the US?
Have you ever worked for this company?
If yes, when?
Have you ever been convicted of a felony?
If yes, explain:
Date Available to Begin Work
Position Applying For
Desired Salary
Education
High School
Address
Years Attended From: To:
Did you graduate?
Degree
College
Address
Years Attended From: To:
Did you graduate?
Degree
Other
Address
Years Attended From: To:
Did you graduate?
Degree
References
Please list three professional references.
Reference #1
Name
Relationship
Company
Address
Phone
Reference #2
Name
Relationship
Company
Address
Phone
Reference #3
Name
Relationship
Company
Address
Phone
Previous Employment
Employment #1
Company
Address
Phone
Supervisor
Your Job Title/Position
Starting Salary
Ending Salary
Responsibilities
Time at Company From: To:
Reason for Leaving
May we contact your previous supervisor for a reference?
Employment #2
Company
Address
Phone
Supervisor
Your Job Title/Position
Starting Salary
Ending Salary
Responsibilities
Time at Company From: To:
Reason for Leaving
May we contact your previous supervisor for a reference?
Employment #3
Company
Address
Phone
Supervisor
Your Job Title/Position
Starting Salary
Ending Salary
Responsibilities
Time at Company From: To:
Reason for Leaving
May we contact your previous supervisor for a reference?
Military Service
Branch
Time in Service From: To:
Rank at Discharge
Type of Discharge
If other than honorable, explain
I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.