P.O.M.P. Submission Form

Opportunity Categories:

Dental Associate

Practice for Sale or Lease

Dental Hygiene

What type of opportunity are you submitting?

Hours:

Full-Time

Part Time

Is this opportunity full-time or part-time?

Hours Per Week (If Part-Time):

If part-time, how many hours per week is the opportunity for?

Brief Job/Practice Description:

Please give a brief description of the opportunity (255 characters maximum).

Practice Owner:

The owner of the practice.

Practice Name:

Name of the practice.

City:

City in which the practice is located.

State:

State in which the practice is located.

Contact Person:

Person that interested parties should contact for information.

Submit Resume To:

Person to whom resumes should be submitted.

Mailing Address:

Mailing address to send resumes to.

Phone:

Phone number of person who will be collecting resumes.

Fax:

Fax number to send resumes to.

Email:

Email address to submit resumes to.

Website:

Website to refer to for more information.

OHSU — Oregon Health & Science University