---
title: Dental Hygienist Application Form Template with License & Certification Verification | Paperform
description: Professional dental hygienist job application form with state license verification, X-ray certification upload, continuing education tracking, and dental software proficiency checklist. Streamline hiring.
url: "https://paperform.co/templates/dental-hygienist-application-form"
type: static
generatedAt: "2026-03-28T00:43:39.286Z"
---

[← Back to free form templates](/templates/)    ![Dental Hygienist Application Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/dental-hygienist-application-form.png)
    [Preview](https://_preview.paperform.co/ai-template/dental-hygienist-application-form) [Use this template for free](/create?ai-template=dental-hygienist-application-form)    [Application Forms](/templates/category/applications/) [Staffing & Recruitment](/templates/industry/staffing-recruitment/)[Healthcare](/templates/industry/healthcare/)[Dental](/templates/industry/dental/) [HR Manager](/templates/role/hr-manager/)[Recruiter](/templates/role/recruiter/)[Dentist](/templates/role/dentist/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
Finding the right dental hygienist for your practice requires more than just a resume—you need verified credentials, up-to-date certifications, and a clear picture of each candidate's technical skills. Our **Dental Hygienist Application Form** streamlines the entire hiring process by collecting all essential information in one professional, easy-to-complete form.

### Why dental practices choose this template

Dental offices and clinics face unique hiring challenges. State licensing requirements vary, X-ray certifications need verification, continuing education credits must be current, and candidates need proficiency with specific dental software platforms. This template brings all those requirements together in a structured, compliant way that saves your HR team hours of back-and-forth communication.

#### Comprehensive credential verification built in

Rather than chasing down license numbers and certification documents via email, this form captures everything upfront. Applicants enter their state dental hygiene license details, upload their X-ray certification (bitewing, periapical, and panoramic), and document their continuing education credits—all in one submission. You'll have a complete credential package ready for verification before the first interview, helping you move qualified candidates through your pipeline faster.

#### Understand technical proficiency from day one

Every dental practice has its own technology stack, and onboarding is much smoother when you know what training you'll need to provide. This template includes a comprehensive dental software proficiency checklist covering the most common practice management systems (Dentrix, Eaglesoft, Open Dental, Curve), digital radiography platforms, and electronic health records. Candidates self-assess their skill level, giving you realistic expectations before their first day.

#### Built for busy dental practices

Whether you're a solo practitioner, a multi-location group practice, or a dental staffing agency, this template adapts to your workflow. Conditional logic shows relevant questions based on candidate experience level, keeping the form concise for new graduates while capturing detailed information from seasoned professionals. The clean, professional design reflects well on your practice and creates a positive first impression with quality candidates.

### Streamline your entire hiring workflow with Paperform

This template doesn't just collect information—it kicks off your entire hiring process. With Paperform's powerful integrations, each submission can automatically:

 - **Notify your team instantly** via Slack or email when a qualified candidate applies
 - **Add applicants to your HR tracking system** like BambooHR, Workable, or your preferred ATS
 - **Store documents securely** in Google Drive, Dropbox, or your practice management system
 - **Trigger follow-up workflows** using Stepper to schedule interviews, request references, or send assessments

For practices managing multiple locations or high-volume hiring, Paperform's reporting and analytics help you track application completion rates, identify drop-off points, and understand which job boards or recruiting channels are sending you the best candidates.

#### Take it further with Papersign for new hire paperwork

Once you've found your ideal dental hygienist, Paperform integrates seamlessly with **Papersign** to handle all your new hire documentation. Send offer letters, employment agreements, HIPAA compliance forms, and non-disclosure agreements for secure eSignature—all connected to the original application for a complete audit trail. No more printing, scanning, or chasing down signatures.

#### Professional, branded, and conversion-optimized

First impressions matter in competitive hiring markets. This template uses Paperform's doc-style editor to create a form that feels more like a thoughtful application and less like a generic web form. Add your practice logo, customize colors to match your brand, include photos of your team or office, and write a welcoming introduction that helps candidates understand your practice culture. You can embed the form directly on your careers page or share it as a standalone link in job postings.

### Perfect for dental professionals and healthcare recruiters

This template is ideal for:

 - **Dental practices** hiring hygienists, assistants, or expanding their clinical team
 - **Dental staffing agencies** screening candidates for placement with multiple practices
 - **Dental service organizations (DSOs)** managing recruitment across multiple locations
 - **Healthcare recruiters** specializing in dental and allied health placements

#### Compliance and security you can trust

Healthcare hiring requires careful handling of sensitive information. Paperform is **SOC 2 Type II compliant** and offers data residency controls, so you can collect and store applicant information with confidence. While Paperform is not HIPAA compliant, this template is designed for pre-employment applications where HIPAA typically doesn't apply (as applicants are not yet part of your covered entity). For practices requiring extra security, enterprise features include SSO, custom data retention policies, and audit logs.

#### Get started in minutes

Simply customize the questions to match your specific requirements—add questions about availability, salary expectations, or specialty skills like pediatric or periodontal experience. Adjust the dental software list to reflect what your practice actually uses, and modify the continuing education section to align with your state's requirements. With Paperform's intuitive editor, you can have your custom application live and accepting candidates in under 15 minutes.

**Start attracting qualified dental hygienists today with a professional application process that reflects the quality of care your practice delivers.**
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