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Upcoming Classes

Dental Assisting Dates

Denver Saturday
July 28 2012 -October 18 2012
8 SEATS LEFT

Denver Sunday
July 29 2012 -October 18 2012
9 SEATS LEFT

Fort Collins
July 29 2012 -October 18 2012
10 SEATS LEFT

Broomfield, CO
July 29 2012 -October 18 2012
9 SEATS LEFT

Grand Junction
July 29 2012 -October 18 2012
9 SEATS LEFT

Dental Assisting, North Dallas, Texas Dates

Frisco, TX- Sunday
May 20 2012 -August 16 2012
5 SEATS LEFT

EDDA Combined Dates

2660 South Monaco Parkway, Denver, CO
June 02 2012 -July 01 2012
6 SEATS LEFT

Application

Register 30 days before the start of each session and receive $200 off tuition!

APPLICATIONS ARE ACCEPTED THROUGHOUT THE YEAR FOR ALL SESSIONS
An application is required for the Dental Assisting Program and the EDDA Course.
Denotes required fields

First Name Last Name

Street Address

City State Zip

Home Phone Mobile Phone

Email Date of Birth

Ever been convicted of a drug related offense? Yes No

In case of emergency, whom should we contact?

Relation and Phone Number

Would you like to receive our newsletter? Yes, please
No, thanks

EDUCATIONAL DATA

Highest Grade Completed College

Graduate Degree Yes No

High School Diploma or G.E.D.? Yes No Completion Date

EXPERIENCE

Please state briefly why you wish to attend dental assisting school:

Please describe any dental office experience you have had up to now:
(EDDA applicants must have at least 1 year of full time dental assisting experience)

Session applying for
Need a Catalog Yes No

I certify that all the information provided is complete and accurate to the best of my knowledge.

Yes No

How did you hear about us? If Other:

Additional Comments:

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