Dental Hygiene Application

General Information

Student ID(Required)

Anumber

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.

Which Program?

Please attach applicable work experience form in the available upload field at the end of this application.

DENTAL HYGIENE ASSOCIATE DEGREE REQUIREMENTS CHECKLIST

Program Prerequisites: All prerequisites to the program must be completed with a minimum grade of “C”. In addition, all science courses (Anatomy, Inorganic Chemistry, Organic Chemistry, Microbiology, and Physiology) must be completed within the past seven (7) years in order to meet the recency requirement.
The following courses, or their equivalents, are prerequisites to the Dental Hygiene Program. A minimum grade of “C” is required for each course.
Please indicate the course number, college where course was completed, semester/quarter units, and grade received for each prerequisite requirement below.

General Education

These requirements may be waived if BA/BS or higher has been earned, or CSU GE or IGETC has been met. This will be further evaluated by a counselor.

Certification of Dental Work Experience

Previous/Current Dental Health care background/licensure Other

Drop files here or

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

Download form: Once completed and signed by a dental professional, attach the signed PDF form(s) below, or a photo of the form(s), and submit with your application, prior to the application deadline. You can submit as many forms as needed. If you do not have dental related experience, you do not need to submit this form.

Certification of Dental Work Experience Upload

Drop files here or

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

NOTE: Official College transcripts and either official or unofficial high school transcripts must be submitted directly to the Admissions Office at TC and should not be attached above. This is a separate process. Please send transcripts directly to the Taft College Admissions office electronically, or via mail, to: Taft College Admission Office 29 Cougar Court Taft, CA 93268

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