Deans Certification Form printable pdf download

Deans Certification Form

Boston University Henry M. Goldman School of Dental Medicine

Dean's Certification

The certification of a dean or administrative officer in charge of students at the degree-granting

undergraduate college or university is required for students accepted to the four-year DMD program at

Boston University Henry M. Goldman School of Dental Medicine. It is understood that in many cases the

dean will not know the applicant personally and will base his or her recommendation on information in

school records.

Dean’s Certification form

(pdf), complete the top

Accepted four-year DMD students should print the

portion, and then submit the form to the dean or administrative officer in charge of students at the

degree-granting undergraduate college or university.

The completed Dean’s Certification must be sent directly from the degree-granting undergraduate college

or university to the Boston University Henry M. Goldman School of Dental Medicine Office of Admissions

in an envelope that has been sealed and signed across the seal.

The dean or administrative officer in charge of students should send the certification (in an envelope that

has been sealed and signed across the seal) to:

Boston University Henry M. Goldman School of Dental Medicine

Office of Admissions

DMD Admissions Coordinator

100 East Newton Street, G-305

Boston, MA 02118 USA

The issues of a disciplinary record (or absence of one) must be directly and explicitly addressed in writing.

If it is not the policy of the institution to report on disciplinary action, a statement to that effect will be

sufficient.

Completed dean’s certification forms should be submitted to the Boston University Henry M. Goldman

, and preferably within 30 days of the student’s

School of Dental Medicine Office of Admissions by June 1

acceptance.

Deans Certification Form