Please complete the following information in your own handwriting. Describe your duties: Give specific reason(s) for leaving: May we contact this employer?How to fill out the Dental Office Employment Application Form? 1. Read the instructions provided on the application form. 2. It's a simple one-page form that includes personal information, educational background, reference info, and more. The applicant can fill out the form easily. What days and times are you available to work? Days: M T W TH F (circle all that apply). Evenings? The document is an application for employment at a dental office. It requests personal information, work history, skills, education, and availability.