Supplemental Application Form - Dalhousie University

ADVERTISEMENT

Faculty of Dentistry
School of Dental Hygiene
Supplemental Application Form
Name:
The Supplemental Application Form must be completed by all applicants to the School of Dental Hygiene and returned to the
Admissions Officer, Faculty of Dentistry, Dalhousie University, PO Box 15000, Halifax, Nova Scotia B3H 4R2.
The School of Dental Hygiene is committed to increasing the number of qualified dental hygienists who belong to Black or
aboriginal peoples of the Atlantic region. Applicants from these groups who have completed the entrance requirements are
encouraged to submit additional information in support of their application for review by the Admissions Committee,
in the form of a letter.
Are you attending university in the current academic year?
  Yes
  No
List the courses you are taking this academic year:
Academic Requirements: The academic requirements for admission to the diploma in Dental Hygiene program are: completion of at least 30 credit
hours of university study, including one 3-credit hour course in Introductory Statistics. (Admission requirements amended November, 2011)
Courses offered in fulfillment of requirements for admission to the Dental Hygiene Program.
Course
Mark
Course Number
University
Year
Statistics (3 credit-hours)
Courses must be completed by June 1. Will you have all pre-requisites completed by June 1?
  Yes
  No
Note: If No, your application may still be considered if unfilled places remain in the class, and pre-requisites are completed by Aug.15.
Please indicate if you plan to complete pre-requisites in Summer Session:
  Yes
  No
Residency Status: See Calendar or Web statement for policy on permanent residence.
Are you a permanent resident of the Atlantic Provinces?
  Yes
  No
If yes:
  NS
  NF
  NB
  PE
Length of residence in the Atlantic Provinces
Name of next of kin
Relationship
Address of next of kin
Date(s) on which you took (or will take) an English Language Proficiency Test (for students whose first language is not English):
Month __________________________________ Year ___________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2