Dental Assisting (Adults) Fall 2018 Registration

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Registration form is located at the bottom portion of this page.

DENTAL ASSISTANT FLYER FALL2018 Page 1

download link for the flyer: Dental Assisting (Adults)

Dental Assistant Course:
When: Monday - Friday from 7:30am to 12:00pm
Starts: August 20, 2018
Ends: January  9, 2019

Where:
Tri-Cities ROP
10800 Ben Avon St. Unit E, Whittier, CA 90606

Click the following for the: Dental Assistant Student Enrollment Agreement
Click the following for the: Student Rules of Conduct

We work directly with SASSFA to try to support the financial needs of qualifying students. SASSFA is a community organization that supports those with workforce needs, see if you qualify for their program! Below are quick links to some of their flyers and documents:
AJCC SASSFA Flyer Information
Eligibility Criteria and List
Please visit their website for more information: http://www.sassfa.org/

Please fill out this Survey as you register for the class:
Program Entry Form

If you have any questions or comments, feel free to contact our office, our contact information is at the bottom of the website.

First Name:
Last Name:
Address:
Address 2:
City:
Zip:
Day of Birth:
   
Ethnicity/Race:
Hispanic
Alaska Native
American Indian
Asian
Black or African American
Native Hawaiian or Other Pacific
White
Gender:
Female  Male  
Email:
Confirm Email:
Phone:
Please note if you have any special needs or require special accommodations:
Electronic Agreement:
By checking this box, I am electronically signing that I have read and understand the below payment, late payment, returned check, refund, clinical Internship, and course completion policies and agree to all the terms stated.
I agree to the terms and conditions:
Read Terms & Conditions

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