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Apply Nowchawkins2023-11-18T04:12:39+00:00

Apply Now!

Apply to Dental Depot Academy’s
Dental Assistant Program

Now Accepting Applications for Spring 2024

Spring 2024 | Application Deadline: Dec. 6, 2023. Classes in Session January 8 – March 29, 2024

Dental Depot Academy Application - GF

Application Date(Required)

MM slash DD slash YYYY

Program Term(Required)

Spring 2024 – OKC (January 8 – March 29)

Spring 2024 – Tulsa (January 8 – March 29)

Student Information

Student's Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Current Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Cell Phone(Required)

Primary Email(Required)

Secondary Email

Preferred Method of Contact(Required)

Email

Call

Text

Referral Source(Required)

Prior Application(s)(Required)

Have you previously applied to the Dental Depot Academy of Dental Assisting?

Yes

No

Education Information

High School Diploma / GED(Required)

This position requires a high school diploma or GED. Do you meet this requirement?

Yes

No

Attach copy of HS Diploma/Transcript or GED(Required)

Max. file size: 50 MB.

Program Questions

Please answer the questions below

Why do you want to be a Dental Assistant and what interests you about the dental industry?(Required)

Do you have reliable transportation?(Required)

In addition to the classroom and labs, part of the program requires that students travel to and from other Dental Depot clinics as they complete their hands-on clinical rotations each week. Do you have reliable transportation to get to and from classes and clinical sites?

Yes

No

Are you able to commit to the full 12-week program?(Required)

Attendance is an important factor for being in the program. If selected, are you able to commit to the full 12-week program, Monday through Friday 7:45am – 12:00pm?

Yes

No

Do you have any concerns with passing a background check?(Required)

One of the requirements for receiving your dental assisting permit is that you are able to pass a background check. Do you have any concerns with this?

Yes

No

Please explain:(Required)

How did you hear about us?(Required)

Facebook

Email

Google

Career Fair

Dental Depot Website

Friend/Colleague

Other

What other way did you hear about us?

Acknowledgement

By signing, I acknowledge that I have read and understand the admission criteria for Dental Depot Academy of Dental Assisting. I understand it is my responsibility to meet all application criteria. I understand falsification of any information may lead to disqualification or dismissal from the Academy. I understand that failure to sign and date this application renders my application ineligible.

E-Signature(Required)

Be sure to have your application in prior to the deadline to be considered for an interview. The application deadlines are located on the Dental Depot Academy of Dental Assisting website. If selected for an interview, you will need to bring identification on the day of the interview.

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