Application for Employment

Name	Last	First	Middle
Name

Address	Ganseok 1 Dong			Namdong Gu
Address	Inchon	City	Korea	Country	Postal code

Birth	Oct. 23, 1978		Sex	Male Female
Married		Yes No	Children :	Yes No

Title: RDT CDT RDA RDH KDT Other

Position(s) applied for

ALL Part

Date Available:

2007-03-07

Type of employment desired: Full-Time Part-Time Temporary

Salary Desired:

20~22

/Hour

CAD $US

Are you legally eligible for employment in this country?		Yes No
Are you available to work overtime if required?		Yes No
Language spoken? English French Other
Language written? English French Other

Educational Background

List previous three(3) educational institutions attended, beginning with the most recent

(Please attach copies of diploma/certificate)

SCHOOL	GRADUATED	Degree(s)Diploma(s) Year
Daejeon Health science college	Yes No
Daegu High school	Yes No
Daegu Middle school	Yes No

Dental Technician Experience

(Please check the areas which you have a minimum 2 years experience)

Implant	Crown & Bridge	Ceramics(Porcelain)
Dentures	Cast Partial	Orthodontics

SEMINAR

Period (From~To)	Title (Seminar Name)	Director(Lecturer)

REFERENCES

List the name, relationship, number of years acquainted, and phone number of three references.

(No relatives please)

Name (Last Name / First Name)	Residence	Year of	Phone Number

INTRODUCE

EMPLOYMENT BACKGROUND (Job Description)

Provide the following information beginning with the most recent employer.

(Please attach resume.)

Employer		Telephone	Dates Employed	Summarize the type of work performed and job responsibilities
			Aug. 2004 ~ Present
Address			Orthodontics, Aliner, Equipment IDBS, Polishing, Making Clinical Model Temporary Denture(Crown)
Job Title	Manager
Immediate Supervisor and Title	Director
Reason for Leaving
May we contact for reference? Yes No Later
Employer		Telephone	Dates Employed	Summarize the type of work performed and job responsibilities
			Jan. 2004 ~ Jun. 2004
Address			Orthodontic Equip Polishing Base Trimmer Mounting
Job Title	Manager
Immediate Supervisor and Title	Director
Reason for Leaving	Take up another job
May we contact for reference? Yes No Later
Employer		Telephone	Dates Employed	Summarize the type of work performed and job responsibilities
			May2003 ~ Jan. 2004
Address			Mounting Casting Pindex System Temporary Crown/Denture Individual Tray. Full Denture(Burying, Quring, Polishing) Investment(Crown, Inlay) Orthodontics
Job Title	Dental Technician
Immediate Supervisor and Title
Reason for Leaving	Take up another job
May we contact for reference? Yes No Later
Employer		Telephone	Dates Employed	Summarize the type of work performed and job responsibilities
			Apr. 2001 ~ Apr. 2003
Address			Orthodontic Clinic Working Orthodontic Polishing & Banding ABP, Space, T.P.I Howlly Rap Around Retainer, Solder SET UP, Functional Appliances Polishing Splint, Surgical Wafer. Rpe , Sagittal Pedo Partial, Tooth Positioner.
Job Title	Orthodontist
Immediate Supervisor and Title	Director
Reason for Leaving	Take up another job
May we contact for reference? Yes No Later
Employer		Telephone	Dates Employed	Summarize the type of work performed and job responsibilities
		( )
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference? Yes No Later
Employer		Telephone	Dates Employed	Summarize the type of work performed and job responsibilities
		( )
Address
Job Title
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference? Yes No Later

(Please feel free to use additional space as required)

SNAP PHOTO

Please attach a photo on Empty space as required)

PORTFOLIO

DUTY STATEMENT (Please check the areas which you have a minimum 1 year)

1.Model Work of whole process
1) Model Work by Pindex System	Yes No
2) Model Work by Zeiser System	Yes No
2. Sculpturing INLAY POLISHING	Yes No
3. Sculpturing RESIN INLAY POLISHING	Yes No
4. Sculpturing CROWN POLISHING	Yes No
5. Sculpturing PARTIAL Abutment CROWN POLISHING	Yes No
6. PARTIAL DENTURE DESIGN	Yes No
7. Making TEMPERARY CROWN	Yes No
8. Making TEMPERARY DENTURE	Yes No
9. Making INDIVIDUAL TRAY	Yes No
10. Sculpturing PORCELAIN CAP	Yes No
11. PORCELAIN BUILD UP (Took the seminar for DESIGN POWDER)	Yes No
12. PORCELAIN CONTOURING	Yes No
13. Making CALARESS POCELAIN	Yes No
14. Making ALL PORCELAIN	Yes No
15. Making PORCELAIN using EMPRESS	Yes No
16. Arranging FULL DENTURE	Yes No
17. Burying FULL DENTURE	Yes No
18. FULL DENTURE QURING	Yes No
19. DENTURE POLISHING	Yes No
20. Making Corrective Equipments	Yes No
(1)Making ABP Equipments	Yes No
(2)Making SPACE MAINTANER	Yes No
(3)Making T.P.I Equipments	Yes No
(4)Making HOWLLY RETAINER	Yes No
(5)Making ADAMS CLASP and the other various kinds of CLASP	Yes No
(6)Making RAP AROUND RETAINER	Yes No
21. CASTING	Yes No
22. INVESTMENT (burying)	Yes No
23. Making IMPLANT CROWN	Yes No
24. Making IMPLANT PORCELAIN	Yes No
25. IMPLANT MILLING	Yes No

-This is to confirm that the above stated duties are true and correct-

I certify that all information I have provide is true, complete and correct.

I authorize you and your organization to investigate all statements contained on this application. I understand that any misrepresentation or omission of facts called for is cause for immediate disqualification and/or if employed, immediate dismissal

Applicant’s Signature

Date

2007-03-11