1. HACC Dental Assisting Clinical Program Application - FALL 2018

By completing this form you are applying for the Fall 2018 dental assisting clinical program. If you have any questions regarding your application, please contact Dawn Clifford - dacliffo@hacc.edu prior to May 1.

When you click "NEXT" you will either see instructions for submitting shadowing forms or you will remain on this screen and see a message indicating "This question requires an answer" for any question not answered. Continue to answer all questions and click "NEXT" until you see the "DONE" screen. Click "DONE." 

All applicants will be notified via snail mail (USPS) of the committee's decision after June 1.

Question Title

* 1. Please enter your information here. PLEASE LIST YOUR HAWKMAIL email address.

Question Title

* 2. HACC ID (Begins with H)

Question Title

* 3. I have completed my 4-hour shadowing experience. All shadowing forms must be received by the Dental Assisting office prior to May 1.

The shadowing form can be found on the last page of the admission criteria document or find the link on the CONGRATULATIONS page after you click DONE on this application.

Question Title

* 4. I have met with the program director, Dawn Clifford, and have an educational plan.

Question Title

* 5. Did you complete a dental assisting program at a career & technology center (CTC)? Official transcripts MUST be on file in the Admissions Office prior to May 1.

Question Title

* 6. Did you complete a health care program (other than dental assisting) at a career & technology center (CTC)? Official transcripts must be received by the Admissions Office prior to May 1.

Question Title

* 7. Do you have an Associate's (or higher) degree from a regionally accredited college? Official transcripts must  be submitted to and evaluated by the Records Office prior to May 1.

Question Title

* 8. Have you completed a computer course (high school or college) with a C or higher grade?

Question Title

* 9. Have you ever been enrolled in the clinical portion of a health career program at HACC which you did not complete?

T