Fill - Free fillable Academic Year 2020-2021 DENTAL ASSISTING PROGRAM (Daytona State College) PDF form

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Academic Year 2020-2021 DENTAL ASSISTING PROGRAM

To Prospective Dental Assisting Students:

Dental Assisting is an exciting career for an individual to pursue. As a member of the dental health team,

the dental assistant has the unique opportunity to participate in a challenging and rewarding field of the

dental profession. The employment opportunities available to dental assistants are excellent. Dental

assistants may choose to pursue a career in general dentistry and specialty offices, public health dentistry,

armed forces, industry, sales, or education.

The Dental Assisting Program at Daytona State College is a one-year certificate program and is accredited

by the Commission on Dental Accreditation. The goal of the Dental Assisting Program is to prepare

students to perform chairside assisting, minor laboratory, and basic office support procedures as well as

to practice proper methods of infection control and bio-medical waste management. Upon completion of

the program, graduates will earn the Expanded Functions Dental Assistant (E.F.D.A.) credential required

by the state of Florida and are eligible to take the Dental Assisting National Board (DANB) Certification

Examination.

Students learn the theory and skills that are required to assist the dentist by taking courses in chairside

assisting, dental radiology, dental materials, and dental sciences. The Program’s curriculum includes

instruction in professionalism and effective communication skills when interacting with patients and other

dental health care professionals. Students are also taught to perform certain intraoral tasks that enable

them to become productive and effective members of the dental health team. As a part of their clinical

training, students extern in dental offices during the Spring and Summer A semesters.

The Dental Assisting Program is offered on the Daytona Beach Campus. There are 24 dental assisting

students accepted each year and classes begin in July (Summer Term B). Please find enclosed

additional information that outlines the Program’s curriculum. Check for updates and requirements for

admission into the Program on the School of Dental Science’s webpage

http://www.daytonastate.edu/dept_directory_das/index.html. If you should have any questions, please do

not hesitate to contact me at 386-785-2093 or Leslie Fehl, CDA, EFDA, BS Assistant Chair and Manager

of the Dental Assisting Program at 386-506-3758. Prospective students may also contact Melissa Brown,

Academic Advisor at 386-506-3052.

Thank you for your interest in the Dental Assisting Program at Daytona State College.

Sincerely,

Pamela S. Ridilla, C.R.D.H., M.S.

Chair, School of Dental Science

SCHOOL OF DENTAL SCIENCE

DENTAL ASSISTING PROGRAM

FREQUENTLY ASKED QUESTIONS AND SUPPLEMENTAL INFORMATION

1. WHAT ARE THE EMPLOYMENT OPPORTUNITIES FOR DENTAL ASSISTANTS?

The employment opportunities for dental assistants in Volusia and Flagler Counties are excellent.

There is an increasing demand for dental assistants in both general and specialized areas of

dentistry. Job placement for graduates from the Dental Assisting Program is very good.

2. WHAT IS THE AVERAGE SALARY THAT ONE CAN EARN UPON GRADUATING FROM THIS

PROGRAM?

The average salary for an entry-level dental assisting position is approximately $15.00 to $18.00 per

hour in Volusia and Flagler counties.

3. WHAT ARE THE TYPICAL WORKING HOURS FOR THIS PROFESSION?

Most dental offices are open Monday through Friday from 8:00 a.m. to 5:00 p.m. In addition, some

private practices and dental clinics are open on Saturday and during evening hours.

4. IS CERTIFICATION REQUIRED FOR EMPLOYMENT FOR THIS PROFESSION?

The State of Florida requires certification for dental assistants to perform certain expanded functions.

Students will graduate as an Expanded Functions Dental Assistant (E.F.D.A.). In addition to the

certification in expanded functions, the Dental Assisting Program will prepare students to complete

the Dental Assisting National Board examination. Although the state of Florida does not require this

credential, other states and Florida dental employers may require this credential as a condition of

employment. Since state regulations vary, graduates are encouraged to check with the Board of

Dentistry in the state in which they may relocate to for that state regulations and certification

requirements.

5. IS THERE A BOARD EXAMINATION THAT ONE MUST TAKE UPON COMPLETION OF THE

PROGRAM?

There is a national certification examination that is administered by the Dental Assisting National

Board, Inc. Upon successful completion of this examination, the graduate will earn the title “Certified

Dental Assistant”. This title assures the public that a dental assistant is prepared to assist

competently in the provision of patient care activities. Since this is a national examination, every

state recognizes this certification for employment. Some states also recognize the passage of some

components of the Certified Dental Assisting Board Examination, such as the section on Radiation

Health and Safety or the section on Infection Control for licensing and regulatory purposes.

This examination is in a computer-based format. There are no specific examination dates or

application deadlines for the examination. This allows the candidate more flexibility in scheduling

dates and times. After an application is processed, the candidate will receive a notification letter

stating that they may schedule an appointment to take the computerized examination by calling a

special toll free number.

6. WHEN DOES THE DENTAL ASSISTING PROGRAM BEGIN?

The Dental Assisting Program begins in July (Summer Term B) with students taking two online dental

assisting courses and SLS 1122 Managing Your Success. The Program is 12 months in length and

the courses are offered during the day on the Daytona Beach Campus located in Daytona Beach.

7. WHAT ARE THE HOURS OF THE DENTAL ASSISTING PROGRAM?

The hours are from 8:00 a.m. to 5:00 p.m. Monday through Friday. During the Summer Semester

Term A (May and June, a six-week clinical session), students extern in clinical facilities throughout

Volusia and Flagler counties, which includes general practice settings and specialized areas of

dentistry.

8. WHAT IS THE SEQUENCE OF COURSE OFFERING FOR THE DENTAL ASSISTING

PROGRAM?

The sequence of the Dental Assisting Program’s curriculum is outlined on the Program Guide. There

are three courses in this Program offered only as online courses: DEA 0000 Introduction to Dental

Assisting, DES 0002 Dental Anatomy and Physiology, and DEA 0130 Biomedical Science. The

Program Guide is attached to this packet, so please refer to it for the sequence of courses.

9. HOW MUCH DOES THE PROGRAM COST? ARE THERE ADDITIONAL COSTS SUCH AS

BOOKS, LAB FEES, UNIFORMS, AND SUPPLIES?

The tuition and fees for Florida Residents is $4,232 and for non-residents the tuition and fees is

$16,420. Additional costs that should be budgeted are approximately $2,821. The approximate total

cost for tuition and fees (based on FL residents) and miscellaneous is $7,053 as outlined below.

APPROXIMATE MISCELLANEOUS COSTS PRIOR TO THE FALL SEMESTER: $325

Physical Examination - $*** (This amount depends upon the applicant’s physician)

Hepatitis B Vaccination Series - $200

Tetanus and PPD Immunizations - $75

BLS (CPR) Certification - $50

SUMMER TERM B: $1,191

Tuition and Fees – $509

Textbook - $308

Lab Fee - $44

Typodont Model - $240

FDLE/FBI Background Check - $90

FALL SEMESTER: $2,563

Tuition and Fees - $1,417

Textbooks - $590

Lab Fees - $182

Uniforms and Shoes - $305

Protective Eyewear - $15

Name Badge - $9

ADAA Student Membership - $45

SPRING SEMESTER: $1,785

Tuition and Fees - $1,637

Textbooks - $80

Lab Fees - $68

SUMMER TERM A: $1,189

DEA0851L Tuition and Fees - $669

Class Pin - $35

Class Composite Picture - $35

DANB Certification Exam Fee - $450

10. IS THERE A PHYSICAL EXAMINATION AND/OR IMMUNIZATIONS REQUIRED PRIOR TO THE

START OF THE PROGRAM?

Students are required to undergo a physical evaluation, be immunized against tetanus-diphtheria,

and to undergo testing for tuberculosis before the start of the Dental Assisting Program. They are

also encouraged to be immunized against other infectious diseases such as, mumps, measles, and

rubella. Students are required to provide documentation of having begun the Hepatitis B Vaccination

series by August 1

. If a student is medically at risk, they will be required to sign a declination form.

The Dental Assisting Program does not discriminate against applicants or students with infectious

diseases in accordance with federal and state law and regulations.

11. ARE THERE ANY OCCUPATIONAL HAZARDS WITH THIS OCCUPATION?

Dental Assistants are exposed to a number of occupational hazards working in the dental field.

Dental assistants could be exposed to: infections such as HIV and Hepatitis, radiation,

musculoskeletal problems, dermatitis, respiratory problems, and/or eye injuries.

12. IS A BACKGROUND SCREENING REQUIRED PRIOR TO THE START OF THIS PROGRAM?

Students are required to complete a Florida Department of Law Enforcement (FDLE) Level II

background screening and drug screening prior to enrolling in the program. The cost of this

background check is approximately $90.00. An instruction sheet will be provided to students, once

they have been accepted into the program.

13. WHAT COURSES CAN ONE TAKE PRIOR TO STARTING THE PROGRAM?

In order to be eligible to submit an application for the Program, an applicant must have a cumulative

grade point average (GPA) of 2.0 or better. Also, an applicant must complete a minimum of eight

(8) observation hours of a dental assistant in a general dentistry facility(s) before submitting an

application. A suggested list of general dentistry facilities that observation hours may be completed

in will be available upon request. These eight observation hours must have been completed within

one year of applying to the Program.

There are four general education courses that prospective students who wish to reduce their

academic load before entering the Dental Assisting Program may take the following required

courses:

* ENC 1101 Introduction to Composition or OST 1330 Business English

PSY 1012 General Psychology

*SPC 2608 Oral Communication/Research/Presentation Skills

**SLS 1122 Managing Your Success

*Note: Prospective students who are planning to complete a college degree later might want

to consider taking ENC 1101 Introduction to Composition instead of OST 1330 Business

English. In order to register for SPC 2608, students MUST have completed OST 1330 or ENC

1101.

**Note: Prospective students who have an Associate of Arts degree or higher are not required

to complete SLS 1122. Course substitution will be given at the discretion of the Chairperson.

Prospective students may wish to enroll in an anatomy and physiology class such as BSC 0070 (BSC

1080) Basic Anatomy and Physiology for Health Careers before beginning the Dental Assisting

Program, especially if they have not had any previous background in the biological sciences. Since

this course is not transferable for college credit, it is recommended that prospective students who are

planning to complete a degree later might want to consider enrolling in BSC 1085C Human Anatomy

& Physiology I and Lab. This is not a required course and is recommended only as providing

foundation knowledge for course content in the dental science courses that are taught in the Dental

Assisting Program. Since some computer skills are necessary for completing this Program,

prospective students who do not have any or have minimal computer skills may wish to enroll in an

introductory computer course, such as CGS 2100 Microcomputer Applications. In order to prepare

for the medical/dental terminology in the Dental Assisting Program, prospective students may wish

to enroll in HSC 1531 Medical Terminology. Prospective students may wish to take HUN Human

Nutrition to increase their knowledge of applying sound nutrition principles with good oral health.

14. IF ONE HAS TAKEN PREVIOUS COURSES, WILL THEY COUNT IN THE PROGRAM?

Students who have previously taken courses in English Composition, Speech, Science, and

Psychology may be considered for transfer credit in these areas. This is done at the discretion of the

respective Chairperson for that discipline.

15. IS THERE A CLINICAL COMPONENT OR EXTERNSHIP TRAINING REQUIRED FOR THE

PROGRAM?

Students will spend two days a week in clinical facilities during the Spring Semester and five days a

week during Summer Term A. They will have the opportunity to rotate through general practice

offices and specialized areas of dentistry as part of their externship experience. These clinical

facilities are located throughout Volusia and Flagler counties. If necessary, the Program Manager

may assign students to dental practices in the surrounding counties. Students are required to

maintain current Basic Life Support for Healthcare Providers (CPR) certification while rotating through

clinical facilities. It is strongly suggested that prospective students complete this CPR requirement

before beginning the Fall semester (August) in the Dental Assisting Program.

16. HOW DOES ONE APPLY FOR ADMISSION TO THE DENTAL ASSISTING PROGRAM?

The Dental Assisting Program admits twenty-four (24) students each year. Applications are accepted

throughout the year and should be submitted as soon as the application requirements have been

completed. The review of applications will begin by the second week of May for consideration of

acceptance into the class that starts in Summer Term B (July). The selection is based on those

applicants who have met the program admission requirements. Applicants are strongly encouraged

to review the special admission requirements that are outlined in this packet and the Dental Assisting

Program Guide.

Applicants are notified by the end of May for acceptance into the class beginning in Summer Term B

(July). Applications are to be submitted to Melissa Brown, Academic Advisor. Her office is located

in Building 320, Room 549 on the Daytona Beach Campus. Applicants may also mail their

application to Ms. Brown at the following address:

Daytona State College

Melissa Brown, Academic Advisor

College of Health and Public Services

P.O. Box 2811

Daytona Beach, FL 32120-2811

Applicants may be required to take the vocational level placement test (TABE) at Assessment

Services. This is not a pass/fail exam. It measures areas of reading, language, and math skills.

Applicants must meet the “Exit” level scores in order to qualify for admission to this Program; which

is indicated by reading, language, and math skills at a 10

grade level or higher. All applicants will

be required to take the TABE test, with the exception of the following.

Applicants do not need to take the related areas of the test if the following conditions are met:

• Proof of successful completion of MAT 1033 Intermediate Algebra or ENC 1101 College

Composition or their equivalents with a grade of “C” or better; or

• Acceptable scores on the SAT, ACT or PERT tests (within a 2 year time frame); or

• Has an Associate of Arts degree or higher

Applicants who are exempt from any placement testing are:

• Applicants who started high school in the 9

grade in 2003 or after at a Florida Public high

school AND graduated from a Florida Public high school with a standard high school

diploma

• Applicants serving as an active duty member of any branch of the U.S. Armed Service military

If you have any questions about your exemption status, please contact an Academic Advisor. More

information, along with brochures stating the administration schedule of the TABE, is available in the

Admissions, Academic Advising and Assessment Services Offices on each campus.

Prospective students interested in the Dental Assisting Program may contact Leslie Fehl, Assistant

Chair and Manager of the Dental Assisting Program at 386-506-3758 or

leslie.fehl@daytonastate.edu.

17. IS THE SELECTION PROCESS BASED ON A POINTS SYSTEM?

Yes, since this program is a Limited Access Program, students are selected based on the following

criteria. The twenty-four (24) applicants with the highest cumulative points are the students accepted

into the program. Applicants who have completed the prerequisite requirements and general

education courses will be given priority for admission into the Program.

CRITERIA

POINTS DERIVED FROM

POSSIBLE

POINTS

Observation

Hours

Completion of a minimum of eight (8) observation hours of a

dental assistant in a general dentistry facility(s)

Required -

no points

awarded

General

Education

Courses

A point awarded for each general education course (ENC 1101

or OST 1330, PSY 1012, SPC 2608, and SLS 1122) that is

completed with a “C” or higher

GPA

Points are awarded for the cumulative grade point average (GPA)

Other

Courses

A point awarded for each course in Computer Science, Medical

Terminology, Human Nutrition, and Anatomy & Physiology

completed with a “C” or higher

MAXIMUM CUMULATIVE POSSIBLE POINTS

NOTE: Prospective students, who are accepted into the Dental Assisting Program, are

required to adhere to a dress code as well as to practice proper methods of infection control

and disposal of biomedical waste. Applicants wishing to obtain copies of the School of Dental

Science’s Policies on Bloodborne and Infectious Diseases may contact the School of Dental

Science at 386-785-2067.

Dental Assisting

Vocational Credit Certificate - Code 1048

(Limited Access Program)

Leslie Fehl, Assistant Chair

(386) 506-3758 • leslie.fehl@daytonastate.edu

Pamela Ridilla, Chairperson

(386) 785-2093 • pamela.ridilla@daytonastate.edu

Mission: The mission of the Dental Assisting Program is the development of professional, ethical, and competent

members of the oral health team who provide quality, patient-centered care to diverse population groups in a variety of

health care settings. The Dental Assisting Program is committed to excellence in teaching and learning, emphasizing

student success.

Description: This program teaches students to pass and receive dental instruments; obtain and analyze digital

radiographic images; provide oral health care instructions; mix various dental materials; maintain patient records and

order supplies; manage recare maintenance systems; prepare instruments for sterilization; and acquire knowledge of

infection control practices. Dental assistants are professional members of the dental health team who can perform minor

laboratory and basic business office procedures. Upon completion of the program, students earn the Expanded Functions

Dental Assistant (E.F.D.A.) credential required by the state of Florida and are eligible to take the Dental Assisting

National Board examination to obtain certification as a Certified Dental Assistant (CDA).

Program Accreditation: The Dental Assisting Program is accredited by the Commission on Dental Accreditation and

has been granted the accreditation status of “approval without reporting requirements”. The Commission is a

specialized accrediting body recognized by the United States Department of Education. The Commission on Dental

Accreditation can be contacted at (312) 440-4653 or at 211 East Chicago Avenue, Chicago, IL 60611-2678. The

Commission’s web address is http://www.ada.org/en/coda.

College Accreditation: Daytona State College is accredited by the Southern Association of Colleges and Schools

Commission on Colleges to award associate and bachelor’s degrees. Contact the Commission on Colleges at 1866

Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Daytona

State College.

Outcomes: Graduates of the program will be able to:

1. Apply the principles of four-handed dentistry during collection of diagnostic data and chairside procedures.

2. Perform a variety of clinical supportive treatments.

3. Demonstrate basic business office procedures.

4. Obtain and analyze diagnostically acceptable digital radiographic images on a variety of patients while executing

radiation safety measures.

5. Manage asepsis utilizing infection and hazard control protocols consistent with published professional guidelines.

Note: This program is eligible for federal financial aid and state bright futures.

Approximate Additional Costs

Program Tuition and Distance Learning Fees - $4,167*

Access Fee - $53.76 ($1.12 per credit hour)

Assessment Fee (first semester only) - $34

Lab Fees (including liability insurance) - $295

Textbooks - $980

Uniforms and Lab Supplies - $550

American Dental Assistants Association Student Membership - $45

Class Pin and Composite Picture - $70

Dental Assisting National Board Examination – $450

Health Screening and Immunizations (depends on applicant’s health care provider) - $275

Basic Life Support Certification - $50

Florida Department of Law Enforcement/Federal Bureau of Investigation Background Check - $90

*In-state tuition only; out-of-state tuition will be higher

Additional Admission Requirements

• This is a Limited Access Program. Continuing enrollment approval will be required to enroll in the program specific

courses based on a selection process.

• Admission into the program will be contingent on the satisfactory completion of both a drug screen and background

check consisting of a fingerprint check of state and federal criminal history information conducted through the Florida

Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI). This must be completed prior to

the first day of program specific courses (Summer semester – Term B).

• Applicants must have a standard high school diploma (or GED) and be at least 18 years of age to enroll.

• Score on the placement test for vocational certificate programs (TABE) indicating reading, language, and math skills

at a 10

grade level or higher. Applicants who started high school in the 9

grade in 2003 or after at a Florida Public

high school AND graduated from a Florida Public high school with a standard high school diploma are exempt from

any placement testing. Active duty military applicants are also exempt from any placement testing. Those applicants

who have successfully completed college level English and/or Math may be exempt as well. All other applicants will

be required to take the TABE test. Contact an Academic Advisor for assistance.

• Recommend taking a course in basic computer skills, medical terminology, human nutrition as well as general biology

or anatomy and physiology before entering the program (if these courses were not taken previously in high school).

• Completion of health screening to include: recent physical examination; verification of immunization against tetanus-

diphtheria, measles, mumps, rubella and Hepatitis B; and negative PPD test (or chest x-ray if indicated) for tuberculosis

is required prior to the start of Fall semester courses.

• Basic Life Support (BLS) certification for the Health Care Provider, to include adults, infant, children, and automatic

external defibrillator (AED); through the American Heart Association or the American Red Cross is required prior to

the start of Fall semester courses.

• Students will be held accountable for the policy and procedures of the Dental Assisting Program as outlined in the

Dental Assisting Student Policy Handbook, as well as the College Student Handbook.

• OST 1330 Business English may be used to satisfy the prerequisite requirement for SPC2608 Oral

Communications/Research/Presentation Skills for this program.

Additional Completion Requirements

• Submit completed School of Dental Science application for continuing enrollment to the Academic Advisor in the

College of Health and Public Services. Applications are accepted anytime during the year.

• Completion of a minimum of eight (8) observation hours of a dental assistant in a general dentistry facility is required

before submitting an application for continuing enrollment.

• Student selection for continuing enrollment is based on specific admission criteria and a points system. Selection is

made once a year. The Program starts annually in July.

• Cumulative grade point average of 2.0 or better is required to apply for continuing enrollment.

• Applicants with higher cumulative GPAs and successful completion of all corequisite courses will be considered more

favorably for continuing enrollment.

• Program general education and dental assisting courses must be completed with a grade of "C" or better.

PROGRAM SPECIFIC COURSES

Sem. Hrs.

SAMPLE PROGRAM OF STUDY

ENC 1101

Introduction to Composition

3.0

Semester (Summer Term B – Six Weeks)

Sem. Hrs.

SLS 1122

Managing Your Success

3.0

OST 1330

Business English

3.0

Voc. Crs.

PSY 1012

General Psychology

3.0

DEA 0000

Introduction to Dental Assisting

1.0

SLS 1122

Managing Your Success

3.0

DES 0002

Dental Anatomy and Physiology

1.0

SPC 2608

Oral Communication/

Research/Presentation Skills

3.0

Voc. Crs.

Semester (Fall)

Sem. Hrs.

DEA 0000

Introduction to Dental Assisting

1.0

ENC 1101

Introduction to Composition

3.0

DEA 0020C

Chairside Assisting I and Lab

3.5

DEA 0130

Biomedical Science

2.0

OST 1330

Business English

3.0

DEA 0801C

Chairside Assisting II and Lab

3.5

PSY 1012

General Psychology

3.0

DEA 0850L

Externship I

8.0

Voc. Crs.

DEA 0851L

Externship II

8.0

DEA 0020C

Chairside Assisting I and Lab

3.5

DES 0002

Dental Anatomy and Physiology

1.0

DES 0103C

Dental Materials and Lab Procedures

3.0

DES 0103C

Dental Materials and Lab Procedures

3.0

DES 0205C

Dental Radiology and Lab

3.0

DES 0205C

Dental Radiology and Lab

3.0

Semester (Spring)

Sem. Hrs.

DES 0501

Practice Management

1.0

SPC 2608

Oral Comm./Research/Presentation Skills

3.0

DES 0844

Preventive Dentistry and Nutrition

1.0

Voc. Crs.

Sem. Hrs.

TOTAL

DEA 0130

Biomedical Science

2.0

Voc. Crs.

TOTAL

DEA 0801C

Chairside Assisting II and Lab

3.5

Contact Hrs.

TOTAL

1230

DEA 0850L

Externship I

8.0

ENC1101: Prior to enrollment in college-level English,

some students may be advised to complete college

preparatory/developmental course work. See an Academic

Advisor to determine developmental course requirements.

DES 0501

Practice Management

1.0

DES 0844

Preventive Dentistry and Nutrition

1.0

Semester (Summer Term A - Six Weeks)

Voc. Crs.

SPC2608: OST1330 may be used to satisfy the prerequisite

requirements for SPC2608 in this program.

DEA 0851L

Externship II

8.0

Note: Sequence of courses may vary. Check catalog course

descriptions for requisite requirements.

CC 2020-2021

DAYTONA STATE COLLEGE

SCHOOL OF DENTAL SCIENCE

DENTAL ASSISTING PROGRAM

APPLIC

ATION SUBMISSION CHECKLIST

Apply for admission to Daytona State College.

Request official transcripts from any other educational institutions attended and have them sent

directl

y to:

Daytona State College

Admiss

ions Office

1200 W. International Speedway Boulevard

Daytona Beach, FL 32114

Take the vocational level placement test (TABE) at the Assessment Services and meet the Exit

Scores to qualify for admission. Placement test exemption may apply. Contact an Academic

Advisor for assistance.

Completed a minimum of eight (8) observation hours of a dental assistant in a general dentistry

practice.

Recommended to complete the following program specific courses prior to beginning the dental

assis

ting program:

 ENC 1101 Introduction to Composition -OR- OST 1330 Business English

 PSY 1012 General Psychology

 SLS 1122 Managing Your Success

 SPC 2608 Oral Communications/Research/Presentation Skills

Encouraged to complete the following courses prior to beginning the dental assisting program

(not required):

 BSC 0070 (BSC1080) Basic Anatomy and Physiology for Health Careers -OR-

 BSC 1085C Human Anatomy & Physiology I and Lab

 CGS 2100 Microcomputer Applications

 HSC 1531 Medical Terminology

 HUN 1201 Human Nutrition

Complete the School of Dental Science 2020-2021 Application and meet with an advisor on

the campus nearest you to have your assessment results interpreted and application reviewed

and signed.

ubmit the completed application and observation hours form to the Academic Advisor,

Melissa Brown in Building 320, Room 549 on the Daytona Beach Campus. Application packets

can also be mailed to Melissa Brown.

The following it

ems are to be submitted with the application:

School of Dental Science Application

Unofficial Copy

of Most Recent College Transcripts

Observation Hours Form

Needs Transcript Evaluation

(Official use)

DAYTONA STATE COLLEGE

COLLEGE OF HEALTH AND PUBLIC SERVICES

SCHOOL OF DENTAL SCIENCE

2020-2021 ADMISSION APPLICATION

Have you applied for admission to Daytona State College? Yes No

Check the Program you are applying to: Dental Assisting Program

Dental Hygiene Program*

Applications are ONLY accepted during the month of February

for the following July Class.

Please Print Clearly

Name: Student ID #:

First MI Last

Address:

City: State: Zip Code:

College Email Address:

Primary Number: Alternate Number:

Alternate Contact Person: Contact Number:

*Please list other colleges that

you have attended:

*Official transcripts must be received in the College’s Admissions Office and an unofficial copy of your transcripts

must be submitted with this application. Dental Hygiene Applicants: Official transcripts must be received in the

College’s Admissions Office by the end of February for the application to be considered for program entry. It is

the responsibility of the applicant to ensure DSC Admissions Office has received the official transcripts.

Dental Assisting Applicants:

Some applicants may be exempt from placement testing. Please contact an Academic Advisor to see if

you qualify for exemption.

TABE Scores: Reading ________ Language ________

Math ________

(Scores must be at “Exit” level for program entry. Test scores are only valid for two (2) years.)

PERT Scores:

Language ________ Math ________

Dental Hygiene Applicants:

TEAS Scores:

ATIS (59

) ________ Reading (69

) ________ Mathematics (63

) ________

(Tests may not be combined to show minimum score achievement. The scores must be achieved in each

category on the same test attempt. You may test a total of two (2) times within a calendar year (Jan-Dec).

Only TEAS scores taken at DSC are accepted.)

Reading ________

Dental Assisting and Dental Hygiene Applicants

Test scores and/or qualifying coursework must be checked and signed by an Academic Advisor.

TABE/PERT Test scores are only valid for two (2) years.

TEAS Test scores are only valid for three (3) years and must be taken at DSC to be accepted.

This student has been advised as to the program’s criteria and/or admission process.

Advisor Signature: Date:

Dental Assisting and Dental Hygiene Applicants:

Applications will be accepted only on the Daytona Beach Campus. The completed application must be

submitted to Melissa Brown, Academic Advisor, in Building 320, Room 549. Ms. Brown can be

contacted at 386-506-3052 or Melissa.Brown@DaytonaState.edu. Applications require additional

application materials to be submitted with the application. Incomplete applications will not be

accepted.

Complete applications may also be mailed to:

Daytona State College

Melissa Brown, Academic Advisor

College of Health and Public Services

P.O. Box 2811

Daytona Beach, FL 32120-2811

Dental Hygiene Applicants Only: Applications will only be accepted during the month of February.

I understand that I must meet all general admission requirements of the College. I certify that I

have received and read a copy of the current Program Guide for the program to which I am

applying. I understand that I must comply with all requirements, including prerequisite courses,

prior to being considered for admission to the program. I also understand that my initial

acceptance is provisional (contingent upon my background check).

Signature: Date:

AFTER ADMISSION:

Prior to the first day of class, Basic Life Support for the Healthcare Provider certification from the

American Heart Association or the American Red Cross, completed physical examination, and

immunization forms are to be submitted to the Assistant Chairperson/Program Manager. A Florida

Department of Law Enforcement (FDLE)/Level II background screening, finger printing, and drug testing

report is also to be received.

Daytona State College assures equal opportunity in employment and education services to all individuals

without regard to race, sex, color, age, religion, disability, national origin, political affiliation or belief, or

marital status.

Revised 03/2020

SCHOOL OF DENTAL SCIENCE

DENTAL ASSISTING PROGRAM

DOCUMENTATION OF OBSERVATION HOURS

APPLIC

ANTS:

This is the official form that must be used to document observation hours. There are no

substitutions used when accounting for these hours.

APPLICANT’S NAME:

DENTIST’S NAME:

OFFICE ADDRESS:

CITY:

STATE: ZIP CODE:

OFFICE TELEPHONE NUMBER:

DATE OF OBSERVATION: HOURS OBSERVED:

(Please indicate number)

I certify

that this Dental Assisting Program applicant has observed the dental assistant in my dental office

on the date above and for the number of hours indicated above.

DENTIST’S SIGNATURE DATE

• Please use a separate form documenting your observation hours of a dental assistant for

each General Dentistry practice you have completed observation hours.

• You must have a minimum of 8 observation hours completed and documented prior to

submitting an application to this program.

• These hours must have been completed within one year of applying to the Dental

Assisting Program.

• You may make copies of this form.

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Academic Year 2020-2021 DENTAL ASSISTING PROGRAM (Daytona State College)

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