Dental Assistant School - Dental Assistant School in Colorado

APPLICATIONS ARE ACCEPTED THROUGHOUT THE YEAR FOR ALL SESSIONS

An application is required for the Dental Assisting Program.

Once your application has been accepted, you will need to make an online deposit or pay your tuition in full in order to complete your enrollment.

If you are a registered member already, please log in before completing this application. If not, please complete the below application.

First Name:

Last Name:

Email Address:

Phone:

Password:

Confirm Password:

Address Line One:

Address Line Two:

City

State:

Zip Code:

Do you have a high school diploma or GED?

Yes No

College

If accepted and enrolled, what is your preferred payment method?

Choose the Session You'd like to Attend

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

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How did you hear about us?

Who may we thank for your referral?

Keep me informed on updates and newsletters

Additional Comments

Are you Human?

Hands On Application