Dental Hygiene BSDH Application

Dental Hygiene Administration Application (BS)

General Information

Name(Required)

First Last

Student ID(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Phone(Required)

List ALL previous colleges and universities attended, dates of attendance, and any degrees or certificates earned.

College or University	Dates of Attendance from	Dates of Attendance to	Degree or Certificate Earned	Date Awarded	Actions

There are no Colleges or Universities.

California Dental Hygiene License Number

Please provide your license number

Provide a copy of your California Dental Hygiene License

Scan and upload a picture of your pocket card California Dental Hygiene License.

Drop files here or

Accepted file types: jpg, pdf, jpeg, gif, png, doc, docx, Max. file size: 80 MB.

Are you a graduate of the Taft College Dental Hygiene Program?(Required)

Yes

Current TCDH Student

Mathematics / Quantitative reasoning: A statistics course, or an equivalent, is a pre-requisite to a first semester course in the Dental Hygiene Administration Program. A minimum grade of “C” is required for this course. If this course has not been completed, or an equivalent, it may be required prior to admittance to the Dental Hygiene Administration program. Please indicate the course number, college where course was completed, semester/quarter units, and grade received for the requirement below.

Mathematics(Required)

Statistics or higher

Course

College Where Taken

Semester/Quarter of Completion

Semester/Quarter Units

Course Grade

Name

This field is for validation purposes and should be left unchanged.