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O2 White Studio, LLC

(803)399-0841

O2whitestudio@gmail.com 

We are pleased to offer you a temporary position with O2 White Studio. Each shift will be paid directly to you from the office at $45-48 per hour depending upon experience at the end of each day/week. A minimum of four hours is expected of each shift. Do not leave a shift early before notifying O2 White Studio, via call or text, and confirming the leave with the Dentist or Office Manager. Please provide all documentation and complete required paperwork needed to the office in which you are assigned for tax purposes. O2 White Studio is not responsible for tracking your pay or hours, nor do we provide any workers comp or liability insurance. 

Please provide the following documentations to O2 White Studio prior to applying for any shifts:

*Copy of resume

*Emergency Contact name and number

*Copy of drivers license

*Copy of x-ray certification

*Copy of Hygiene License

*Copy of infiltration license, if you have one

*A copy of liability insurance, if you have it

*Copy of nitrous certification

*Copy of CPR card

*Any professional references you may have

*Signed copy of this contract with O2 White Studio

*Any offices you prefer not to work at

*How you heard about O2 White Studio

All cancellations must be placed no later than 48 hours prior to the shift. Any cancellations or no shows made less than 24 hours by the Hygienist without a valid reason or emergency will be subject to discharge from O2 White Studio. Should the practice cancel the shift less than 24 hours, they are still required to pay you for the scheduled time frame reserved.

All communications are to go through O2 White Studio, not the office. If extended days are needed from you, please advise O2 White Studio immediately in order to book the shift(s). If you are interested or offered a permanent position with the office that is to be organized through O2 White Studio first.

 Date: April 16, 2025

First Employee Name

First Name*

Last Name*
First Employee Age Acknowledgment*
First Employee Date of Birth*
I certify that I am 18 years of age or older
First Employee Signature*
Second Employee Name

First Name*

Last Name*
Second Employee Date of Birth*
Third Employee Name

First Name*

Last Name*
Third Employee Date of Birth*
Fourth Employee Name

First Name*

Last Name*
Fourth Employee Date of Birth*
Fifth Employee Name

First Name*

Last Name*
Fifth Employee Date of Birth*
Sixth Employee Name

First Name*

Last Name*
Sixth Employee Date of Birth*
Seventh Employee Name

First Name*

Last Name*
Seventh Employee Date of Birth*
Eighth Employee Name

First Name*

Last Name*
Eighth Employee Date of Birth*
Ninth Employee Name

First Name*

Last Name*
Ninth Employee Date of Birth*
Tenth Employee Name

First Name*

Last Name*
Tenth Employee Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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