DENTAL ASSISTING APPLICATION

Please complete this information in order to submit your materials for consideration admission into Spokane Community College's Dental Assisting program. We only accept materials submitted electronically or by mail received by midnight on the last Friday in August or postmarked by the last Friday in August. Interviews will be conducted on the first Friday of September.

We will use the contact information provided on this form so please ensure it is current.

If you have any questions or encounter any difficulties completing this application please contact:

Pat Norman

Program Director - Dental Assisting

pat.norman@scc.spokane.edu

509.533.7301

Neesa Guel

Pathway Specialist

neesa.guel@scc.spokane.edu

509.533.7005

If you opt to mail your materials please send them to the following address complete with your first and last name, phone number, email address, and the last four numbers of your student ID.

Spokane Community College

Dental Assisting Department

1810 North Greene Street

Spokane, WA 99217

MS: 2090 ATTN: Mrs. Pat Norman

Building 9 RM 021

1. Legal name, first and last.

2. Active email address you check on a regular basis.

3. Phone number with a functioning voicemail box.

4. Last 4 digits of your student identification number.

5. Please attach a copy of your highschool diploma or GED.

6. Please attach one professional letter or recommendation.

7. Please attach documentation of 4 hours of volunteerism/observation in any healthcare setting, preferably dental observation on office letterhead.

Contact Information