FIRST TIME DENTISTS

Short Term Volunteer Form
Form A – Dental Act
Work Permit Exemption Application Form
Degree Certificate (Doctor of Dental Surgery)
Current License
3 professional references
2 photographs

RETURNING DENTISTS

Short Term Volunteer Form
Current License
Work Permit Exemption Application Form
1 photograph

APPLICATION FEE

$125 (Non Refundable)

COMPLETION

After you have completed the forms. Please mail them to:
Zion Care International
711 East Gun Hill RD P.O. Box 26 Bronx NY 10467