Fill - Free fillable Dental Hygiene Program (Century College) PDF form

The Century College Dental Hygiene Program serves dental assistants currently licensed in Minnesota who wish to continue

their education in the field of dental hygiene. The program provides learning experiences to develop the knowledge and skills

necessary to provide culturally competent dental hygiene services to individuals and in the community health setting. In addition

to attaining clinical skills, students will develop as ethical and socially responsible oral healthcare providers, equipped to meet

the needs of increasingly diverse patients and communities. After the successful completion of two years and one summer at

Century College and fulfillment of the requirements for licensure as established by the State Board of Dentistry, the student will

be prepared to work as a dental hygienist and/or continue in the educational setting to earn a bachelor’s degree through

articulation agreements with other colleges in Minnesota.

Earning your Bachelors Degree while completing your Dental Hygiene AAS. We have a Baccalaureate degree

completion pathway through a “dual enrollment” opportunity with Metropolitan State University for those who are interested.

Partnering with Metropolitan State, we offer the AAS/BSDH dual admission program with simultaneous admission to Century

College’s Associate of Applied Science (AAS) in Dental Hygiene and Metropolitan State University’s Bachelor of Science

in Dental Hygiene (BSDH) program. Through this unique partnership, students have the opportunity to take specific bachelor’s

level degree completion courses along with associate program courses on Century’s campus. For those who desire to obtain

a BSDH degree this opportunity provides flexibility for educational and career planning and an avenue for completing a BSDH

degree within one or two semesters after completing the AAS degree. If you have questions about this opportunity, please

contact Program Director, Tracy Kuny at

tracy.kuny@century.edu.

The Dental Hygiene program begins once per year, in the Fall Semester. There are 12 students admitted to the program each

fall. Courses are scheduled during weekday mornings and afternoons (starting as early as 8:00 am and ending as late as 5:00

pm).

To be considered for the program, applicants must have completed the minimum academic requirements by

March 27, 2020. See the Dental Hygiene Readiness Determination Form or the Dental Hygiene program brochure for

application requirements.

Applications for the Dental Hygiene Program will be accepted through March 27, 2020. The College reserves the right to

extend the application deadline to April 17, 2020 should the class not fill with the first deadline.

ADMISSION REQUIREMENTS

Dental Assistant Requirement:

• Graduation from an accredited Dental Assistant program.

• Students must currently be a Minnesota Licensed Dental Assistant. Students may mail a copy of the LDA card with

original date of issue and current certification or bring in the original to be copied in the Admissions office. Failure to

provide proper documentation will result in your application being denied.

• Applicants who have at least 1040 hours (equal to approximately six months full-time work) Licensed Dental Assistant

(LDA) experience in the past three years by the application deadline will receive priority consideration during the

selection process. Applicants with fewer than 1040 hours of work experience will be considered. Please use the

enclosed work verification form included in this packet.

Science Requirement:

Completion of the following science courses with a grade of C or better and an overall GPA of 2.75:

• Introductory Chemistry (Century CHEM 1020-4 sem cr. or CHEM 1041-5 sem cr.)

century.edu | 651.773.1700 | last updated:

12/12/2019

3300 Century Avenue North, White Bear Lake, MN 55110

Dental Hygiene Program

Fall 2020

Application Deadline: March 27, 2020

century.edu | 651.773.1700

(PLEASE NOTE: Placement into MATH 0070 is a prerequisite for CHEM 1020; Placement into MATH 1061 is a prerequisite

for CHEM 1041)

• Human Anatomy & Physiology (Century BIOL 2031 & 2032 – 8 sem cr. or BIOL 2040 & 2045 –8 sem cr) (PLEASE NOTE:

Biology 1020 or 1041 and Chemistry 1020 or 1041are prerequisites for Biology 2031)

• Microbiology (Century BIOL 2035-3 sem cr.)

Credit and GPA Requirement:

Completion of a minimum of 12 semester credits or 18 quarter credits with a cumulative grade point average of 2.5. These

credits must be college level. Note:

• Grade point average will be calculated on all college level - liberal arts credits completed at the time of application to

the Dental Hygiene program. Technical credits and credits earned under Pass/Fail, CLEP, Career Development,

Learning Lab, Study Skills, Physical Education or English as a Second Language (ESL) courses will not be calculated in

the GPA or counted in the 12/18 minimum credits required for admission.

• Students who have an overall grade point average of less than 2.5 may petition to use only “recent” college level credits

to meet the required 2.5 GPA. Students must complete the “recent” credits and submit the petition to the Admissions

Office prior to the Dental Hygiene Program application deadline.

• If a student has earned a baccalaureate degree or higher, the minimum 2.5 GPA may be calculated on the final 45

quarter credits or 30 semester credits. The science requirement must also be met.

Basic Skills Requirement:

All Dental Hygiene applicants are required to comply with the Century College policy regarding assessment testing in reading

comprehension, writing, and math as required for registration in science prerequisite courses.

SELECTION PROCESS

• At the application deadline, qualified applicants will be assessed based on the application requirements. Applicants who

have completed all of the admission requirements by the March 27 deadline will receive priority consideration.

• Applicants who are Licensed Dental Assistants with 1040 hours or more will receive priority consideration in the selection

process. Applicants who have fewer than the recommended 1040 hours of work experience will be considered if there

are not enough applicants with the minimum work experience.

• If there are more qualified applicants than available spaces, a selection process will be conducted, and an alternate list

will be established.

• Qualified applicants will either be accepted as one of the students in the program or will be placed on an alternate list.

• Students on the alternate list will be selected in the order of their alternate list number and only if previously selected

students decline their acceptance prior to the first day of the first dental hygiene class.

• Applicants on the alternate list will not be automatically carried over to the next year and therefore, will need to apply

again before the next application deadline to be considered.

APPLICATION REQUIREMENTS

Deadlines: The Dental Hygiene Program application must be completed and submitted by March 27, 2020. If you have

never applied to Century College, you must apply for general admission to Century College. There is a $20 non-refundable

application fee required for general admission to the college.

Pre-application education requirements: At the time of application, applicants must have completed all the academic

requirements listed previously as “Admission Requirements”. Applicants with required courses in-progress will only be

considered if we are unable to fill the class.

century.edu | 651.773.1700

Transcripts: Request official transcripts from high school/GED and all college courses and technical school work previously

completed, including where your Dental Assistant degree was completed and any courses in progress. Transcripts must be

sent directly from the previous institution to the address below:

High School/GED:

College/University/Technical College:

Century College Century College

Admissions Office Transfer Student Services Office

3300 Century Ave N 3300 Century Ave N

White Bear Lake, MN 55110 White Bear Lake, MN 55110

Students who have attended a MnSCU College or University will have their transcripts retrieved electronically. You must be in

good financial and academic standing at all previous colleges/universities attended to be eligible for admission to the college

and the program.

International transcripts must be evaluated by World Education Services to be petitioned for use; contact info@wes.org for

more information or visit www.wes.org

HUMAN SERVICES BACKGROUND STUDY:

Minnesota Law requires any individual having contact with patients to complete a human services background study prior to

starting the clinical experience. Results of the study are to be on file in the Dental Hygiene Program before students begin their

clinical experiences. Any student who does not pass the background study will not be permitted to participate in clinical

experiences. Therefore, the individual is ineligible to progress in the Dental Hygiene Program.

If you have been arrested, charged, or convicted of any criminal offence, you should investigate the impact the arrest, charge

or conviction may have on your chances of employment in the field before completing the application to the program.

To find more information about the Minnesota Department of Human Services Background Study, please go to the DHS website

at www.DHS.state.mn.us, select General Public, Office of Inspector General, Background Studies.

POLICY INFORMATION:

A copy of the program’s policy on hazardous materials, bloodborne and infectious diseases is available upon request or by

visiting http://www.osha.gov/SLTC/bloodbornepathogens/index.html

DATA PRIVACY NOTICE:

The college is asking you to provide information that includes private and/or confidential information under state and federal

law. You are not legally required to provide the information the college is requesting; however, the college may not be able to

effectively process your application if you do not provide sufficient information. With some exceptions, unless you consent to

further release of private information, access to this information will be limited to school officials, including faculty who have

legitimate educational interests in the information. Under certain circumstances, federal and state laws authorize release of

private information without your consent: (1) to other schools in which you seek to enroll, or are enrolled, if you are first notified

of the release; (2) to federal, state and local officials for purposes of program compliance, audit or evaluation; (3) as appropriate

in connection with your application for, or receipt of, financial aid; (4) to your parents, if your parents claim you as a dependent

student for tax purposes; (5) if the information is sought with a subpoena, to an organization engaged educational research or

accrediting agency. Minnesota State Colleges and Universities abide by the provision of Title IX and other federal and state

laws forbidding discrimination on the bases of sex, race,

color, national origin or handicap and all other state and federal laws

regarding equal opportunity.

century.edu | 651.773.1700

Dental Hygiene Program Associate in Applied Science Degree

Career/Occupational Requirements:

48 Credits

DENH

1021

Head and Neck Anatomy

2 cr

DENH

1024

Dental Embryology, Histology and Anatomy

3 cr

DENH

1030

Radiology for the Dental Hygienist

2 cr

DENH

1040

Dental Hygiene Principles I

3 cr

DENH

1045

Dental Hygiene Practice I

4 cr

DENH

1050

Periodontology

2 cr

DENH

1060

Pharmacology for the Dental Hygienist

2 cr

DENH

1070

Applied Biochemical Nutrition for the Dental Hygienist

1 cr

DENH

1080

Dental Hygiene Principles II

3 cr

DENH

1085

Dental Hygiene Practice II

3 cr

DENH

2005

Pain Management

2 cr

DENH

2010

Dental Hygiene Principles III

3 cr

DENH

2015

Dental Hygiene Practice III

5 cr

DENH

2020

General and Oral Pathology

3 cr

DENH

2030

Community Dental Health and Epidemiology

2 cr

DENH

2035

Community Dental Health Practice

1 cr

DENH

2040

Legal Aspects of Dental Practice

1 cr

DENH

2060

Dental Hygiene Seminar

1 cr

DENH

2065

Dental Hygiene Practice V

5 cr

Select one of the following Communication courses

COMM 1021

Fundamentals of Public Speaking

3 cr

COMM 1031

Interpersonal Communication

3 cr

COMM 1041

Small Group Communication

3 cr

COMM 1051

Intercultural Communication

3 cr

Goal 2 – Critical Thinking: fulfilled when al MnTC goals are complete

Goal 3 and/or Goal 4 – Sciences/Math/Logical Reasoning: 15 credits

This goal has been met by the Program Application Requirements

Goal 5 – History/Social and Behavioral Sciences: 6 credits

Psychology elective 3-4 cr

Sociology elective 3-4 cr

Goal 6 – Humanities and Fine Arts: 3 credits

Goals 7-10: Three credits in one of the four goals (Fulfilled by Communication Course)

Optional Courses

DENH 2790 Independent Study

1- 3 cr

General Education/MnTC Requirements:

20 Credits

Goal 1 – Communication:

ENGL 1021 Composition I

4 cr

7 credits

century.edu | 651.773.1700

1. Current Minnesota Licensed/Registered Dental Assistant (Must provide copy of license showing both original issue date and

expiration date)

2. Minimum of 1,040 hours of work experience as a Licensed Dental Assistant within the past three (3) years. (Work Experience

Verification Form is required)

DENTAL HYGIENE PROGRAM APPLICATION

Fall Semester: 2020

Completion of this application provides the information necessary to be considered for full admission to the Century College Dental

Hygiene program. This Dental Hygiene application is not a substitute for the Century College Application form.

Application deadline is March 27 for consideration for admission to the fall cohort of that year. All requirements for application must be

completed or submitted by the application deadline.

Earning your bachelor’s degree while completing your dental hygiene AAS. We have a Baccalaureate degree completion

pathway through a “dual enrollment” opportunity with Metropolitan State University for those who are interested. Partnering

with Metropolitan State, we offer the AAS/BSDH dual admission program with simultaneous admission to Century College’s

Associate of Applied Science (AAS) in Dental Hygiene and Metropolitan State University’s Bachelor of Science in Dental

Hygiene (BSDH) program. Through this unique partnership, students have the opportunity to take specific bachelor’s level

degree completion courses along with associate program courses on Century’s campus. For those who desire to obtain a BSDH

degree this opportunity provides flexibility for educational and career planning and an avenue for completing a BSDH degree

within one or two semesters after completing the AAS degree

. . Completing

this application automatically enrolls you at both

institutions (cost saving application fees) and provides you with a new career laddering option.

The following requirements must be met prior to application:

Dental Assistant Degree/Diploma Educational Institution:

Graduation Date:

Employer:

Dates of Employment:

Average Weekly Hours:

Last name: First name: MI:

Previous names used:

Century College Student ID # (required):

Social Security # (optional)

Street address: State : Zip:

Cen

tury Preferred email

(

or Century College e-mail) address

Ph # Cell Ph #

century.edu | 651.773.1700

3. Successful completion of the following courses (minimum 2.75 GPA.) Please indicate the course name and number, where it was

taken, the year and semester

Prerequisite Course:

Grade:

Chemistry Concepts/General Chemistry CHEM 1020 (or CHEM 1041) or exact transfer equivalent

Human Anatomy & Physiology I (BIOL 2031) or exact transfer equivalent

Human Anatomy & Physiology II (BIOL 2031) or exact transfer equivalent

Microbiology (BIOL 2035) or exact transfer equivalent

For your application to be processed, the following is required:

1. Admission.

Applicants to the Century College MANE Dental Hygiene program must first be admitted to Century College. If you have not previously

attended Century College, please submit a Century College application with the $20 application fee. (The $20 application fee is only required for NEW

Century College applications.)

This Dental Hygiene application is not a substitute for the Century College Application form.

NOTE: Applicants to

Century College must be in good academic and financial standing at all previously attended MnSCU institutions or college admission may be denied.

Basic Skills Requirement

. All Dental Hygiene applicants are required to comply with the Century College policy regarding assessment testing in

reading comprehension, writing, and math as required for registration in science prerequisite courses.

3. Education:

Applicants must supply official transcripts for all post-secondary institutions at which they previously enrolled (even if no credit or

clock hours were earned), and official transcripts for all post-secondary credits (including military, CLEP, and advanced placement). Credits

earned must be from a Regionally Accredited institution(s). If you have attended a MnSCU college or university, ask the DARS/Transfer Services

Office (DARS@century.edu) to pull an E-transcript. Send official copies of all other non-MnSCU institutions transcripts if not already done. Official

copies of non-MnSCU transcripts should be sent to

Century College DARS/Transfer Services Office. All transcripts must be processed (printed)

by the application deadline date.

Colleges and/or universities previously attended:

Have you filed a Century College Academic Petition or Request for Exception to Admission Requirements form?

YES

Misrepresentation of application information is grounds for canceling application. I certify the information I have provided on this application form and

all other admission application materials are complete, accurate and true to the best of my knowledge.

SIGNATURE REQUIRED:

Date:

Admission is granted without regard to race, creed, color, sex, age, national origin or handicap. This institution abides by the provisions of Title IX,

federal legislation forbidding discrimination on the basis of sex and by all other federal laws regarding equal opportunity.

Note: Federal and state legislation requires that the contents of student files be open to review by the student. Application forms, high school

transcripts, test date, letters, and recommendations that are sent as part of any application for admission will be open to the student's review upon

request.

Note: This application is available in alternative formats for people with disabilities by calling 651.779.3354 (voice) or through the Minnesota Relay

Service at 1.800.627.3529.

I choose NOT to pursue dual admissions with Metropolitan State University at this time. I understand this may delay the dual

enrollment process if I choose to apply for the program later and there will be an additional application fee for Metropolitan

State University. Even if you have a bachelor

’

s degree we strongly encourage dual enrollment, especially if you are applying for

financial aid. If you have questions, contact Tracy Kuny at tracy.kuny@century.edu

Initial

Institution Name

Last

Term

Attended

Institution Name

Last

Term

Attended

century.edu | 651.773.1700

*************************************************************************************************************************************

You are encouraged to make a copy of this application.

SEND COMPLETED APPLICATIONS TO:

Century College Admissions Office

3300 Century Ave N

White Bear Lake, MN 55110

Application questions can be directed to Sherry Hegstrom at sherry.hegstrom@century.edu.

Note: If an applicant has been arrested, charged or convicted of any criminal offense, he or she should investigate the

impact that the charge or conviction may have on his or her chances of employment or licensure as a dental hygienist and

the student’s chances to obtain federal, state and other higher education financial aid ( by Minnesota Statute 135A. 157).

If the applicant refuses, or is disqualified as a result of the background study, the applicant will be unable to successfully

complete the requirements of the DENH program.

Note: Involuntary termination from a healthcare institution may prohibit you from completing this program.

century.edu | 651.773.1700

DENTAL ASSISTANT WORK EXPERIENCE VERIFICATION

FOR DENTAL HYGIENE APPLICATION

Student: worked as a Licensed Chairside Dental Assistant*

from (month/year) to

(month/year)

average # hours per week

(Supervising Dentist) PLEASE PRINT (Signature)

(Address)

(Phone Number) (Date)

from (month/year) to (month/year) average # hours per week

(Supervising Dentist) PLEASE PRINT (Signature)

(Address)

(Phone Number) (Date)

Please attach additional sheets as necessary.

A copy of your current LDA card must be included with your application.

* Hours from clinical externship and work experience gained prior to date of issue of license will not be calculated in work

experience.

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Dental Hygiene Program (Century College)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Dental Hygiene Program (Century College) Form

Related forms

Fillable Dental Hygiene Program (Century College)

Fill Online, Printable, Fillable, Blank Dental Hygiene Program (Century College) Form

Related forms

First 20 documents completely FREE!