Get General Information & Checklist

The General Information & Checklist is an essential component for applying to the Dental Health Aide Therapist Training Program. This guide will provide you with a clear and comprehensive walkthrough on how to fill out the form online, ensuring that you complete each necessary section correctly.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor, allowing you to access the required fields.
2. Begin with the Personal Information section. Fill in your full legal name, date of birth, mailing address, home telephone number, and email address. Be sure to include your current employer's name, city, and state if applicable. List your first language and any additional languages you speak or read.
3. Complete the Work Experience section by entering any paid work positions you have held, including the title, employer, and supervisor's name along with the dates of employment.
4. Detail your Volunteer Experience by listing any relevant activities or organizations you have participated with in the past or currently.
5. In the Awards section, enumerate any recognitions or achievements you have received that may enhance your application.
6. Construct your Personal Statement, addressing the themes specified in the instructions in 500-700 words. Ensure your name and the date are included on each page.
7. Sign the application form to confirm that all provided information is accurate and that you agree to the terms regarding the accuracy of your data.
8. Request your high school and, if applicable, college transcripts to be sent to the admissions address provided.
9. Complete the Tribal Organization Sponsorship Form if applicable, ensuring it is signed by the tribal organization’s Chief Executive Officer.
10. Fill out the Health Organization Reference Form through your sponsoring health organization’s Dental Director, ensuring it is returned by the submission deadline.
11. Review the Reference Waiver and complete it if you wish to allow your references to submit confidential evaluations.
12. Finally, save the completed application, download a copy for your records, and submit all materials via email, fax, or mail by the deadline.

Ensure your application is complete by following these steps online and submit your documents before the deadline.