Contract for Returning Students
Dental Assisting Program
I, agree to the following policies and stipulations for returning
into the Indian Hills Community College Dental Assisting program. I understand that re-entry into the program is
based upon my G.P.A. and testing scores of the class entering:
1. Application into the program is required prior to 12 weeks of term entering.
2. Student must attend an orientation with Program Director.
3. Re-entry into the program is limited to two times.
4. Student is required to pay all expenses incurred, including clinical supplies.
5. The student is required to complete all required clinical rechecks prior to the end of the first returning
term. This includes completion of that term’s competencies and rechecks.
6. Attendance is required for all classes and clinical.
7. Students who re-enter in Term 3 will be advised to repeat the Assisting Clinical I, even if it was passed in a
prior attempt.
8. The student may be required to enter at a dierent term for completion of courses. For example, if a
student failed a course in term 3, which is now oered in term 2, the student will be required to begin in
term 2 for completion of that specific course.
9. An assignment of clinical facility is made by the Clinical Coordinator according to facility availability.
10. TB testing, criminal background checks and BLS training must be completed prior to clinical start.
Name:
Signature: Date:
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