Online ApplicationDental Assisting Program Name* First Last Email* Phone*What 12-week session are you interested in applying for?*Choose Your SessionDec. 19th Sat/Mon (2020)Jan 6th Wed/Fri (2021)Feb 14th Sun/Tues (2021)March 20th Sat/Mon (2021)March 31st Wed/Fri (2021)May 16th Sun/Tues (2021)June 23rd Wed/Fri (2021)June 26th Sat/Mon (2021)Aug 15th Sun/Tues (2021)Sept 29th Wed/Fri (2021)Oct 2nd Sat/Mon (2021)Nov 14th Sun/Tues (2021)Please state briefly why you wish to attend dental assisting school.*CAPTCHA
