Last First Middle (complete) Jr., etc. Street/P.O. Box City State Zip Code County



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DENTAL ASSISTING PROGRAM APPLIED TECHNOLOGY DIPLOMA INFORMATION SESSION ATTENDANCE Please complete the following and forward to: Deanna Stentiford Health Sciences, Building 9 College of Central Florida 00 S.W. College Road Ocala, FL 4474-445 CF ID No.: (if applicable) Legal Name: Mailing Address: Telephone: Email: Date of Information Session: Last First Middle (complete) Jr., etc. Street/P.O. Box City State Zip Code County Home (include area code) Cell (include area code) Work (include area code) Testing Dates: TABE: HESI: Do you have Internet access that could be used for your education? Yes No Have you attended college before? Yes No If so, where? How did you hear about this program? For Office Use Only: Packet Provided: Mailed: For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page of

Dear Applicant: A very exciting career in dental assisting is available at the College of Central Florida. Students learn best through a variety of methods. The Dental Assisting program is of unique nature and involves various ways of studying. It is designed to learn through classroom lectures, skills lab hours, clinical rotations at our Hampton Center as well as clinical rotations in the dental communities of Marion, Citrus and Levy counties. The enclosed application and information packet will explain the application process to CF and the Dental Assisting program. I encourage you to attend a FREE Dental Assisting information session. To confirm dates about information sessions, please visit our website at www.cf.edu/dental. There is never a better time than TODAY to begin a new and exciting career in the field of dentistry. If you are interested in this program please contact one of us below so that we may assist you with scheduling and any academic advising needs. We look forward to working with you in the planning of your future as a health professional. College of Central Florida Deanna M. Stentiford, Ed.S, RDH, CDA Dental Assisting Program Manager 5-854-, ext. 59 stentifd@cf.edu Jerelyn S. Zacke, M.A., RDH, CDA Associate Professor, Dental Assisting 5-854-, ext. 70 zackej@cf.edu For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page of

Dental Assisting College of Central Florida PROGRAM INFORMATION PACKET The Dental Assisting program is designed to train individuals to become professionals in a dental health environment. Upon completion of the program, students are eligible to sit for the Dental Assisting National Board. The program is accredited by the Commission on Dental Accreditation, CODA, (www.ada.org) with the status approval without reporting requirements. NOTICE OF OPPORTUNITY TO FILE COMPLAINTS: In accord with the U.S. Department of Education s Criteria and Procedures for Recognition of Accrediting Agencies, the commission requires accredited programs to notify students of an opportunity to file complaints with the commission. A copy of the appropriate accreditation standards and/or the commission's policy and procedure for submission of complaints may be obtained by contacting the commission at E. Chicago Ave., Chicago, IL 606-678 or by calling -800-6-8099, ext. 465. The philosophy of the program is such that it stimulates student s learning in communication, decisionmaking, problem-solving, independent thinking as well as knowledge needed for performing dental assisting tasks in the office. The program is designed for the dedicated and motivated students who will graduate with qualifications to sit for the Dental Assisting National Board and ultimately become professional members of a dental team. The program is a full-time, three-semester daytime program. Students need to be flexible, mature and responsible. GOALS: To provide knowledge and skills for the students so they can effectively work in all areas of dentistry To prepare the student for certification in advanced functions To prepare the student to successfully pass the Dental Assisting National Board To meet the job-market requirements for the community To provide additional counseling and coursework for those students who wish to continue their education. In this packet you will find the following information: Admission criteria and other points of interest for admission to the College of Central Florida and the Dental Assisting program Admission criteria and process used to admit students into this limited access program Approximate cost for the program Curriculum for the program Application to the program Applicant s checklist. All Health Sciences programs are restricted to applicants who have met specific requirements. Data provided is informational only and not intended to be contractual in nature. Information is subject to change without notice. For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page of

ADMISSION CRITERIA THERE ARE NO PREREQUISITE COURSES REQUIRED FOR THE DENTAL ASSISTING PROGRAM. To be considered for the program the student must complete the following:. Application to the College of Central Florida Applications for admission to CF are submitted online at www.cf.edu. The Program Code to be used on the application for Dental Assisting is 550. Students must submit official transcripts from all colleges attended and an official high school transcript. Admission to the college will not be completed until all transcripts are received. Students are not required to attend an overall college orientation. Note: If you are a past CF student who has not been enrolled for a year or more, please complete the readmit application; there is no charge for readmit, but new documentation may be required.. Application to the Dental Assisting Program Submit the Dental Assisting program application (last page of this packet) with all appropriate attachments to the Health Sciences office, Building 9, Ocala Campus. Applications are reviewed monthly. THIS IS A LIMITED ACCESS PROGRAM. ACCEPTANCE TO THE COLLEGE DOES NOT INDICATE ACCEPTANCE TO THE DENTAL ASSISTING PROGRAM.. Information Session (optional) Students can attend a FREE information session on the Dental Assisting program. These sessions are offered most months. For confirmation of session dates, times and location, please click here or visit our website at www.cf.edu/dental. 4. Testing Test of Adult Basic Education (TABE). Students must take the TABE aptitude test prior to application to the program ($5 fee). The program requires 0 points in each area (Language, Reading and Math). TABE scores must be current at the time of graduation so the test must be taken within two years of graduation date. For assistance on remediation of the TABE test call 5-854-, ext. 45. Copy of test results must accompany your application. You are exempt from taking the TABE if: you have an A.A. degree or higher, or completed college credit courses in Math and English with a grade of C or higher, or, completed a Developmental Reading and Prep Math with a grade of C or higher. Health Education Systems Inc. (HESI) Test: Students must take the HESI test prior to application to the program ($40). Preference seating will be given to scores of 50 percent in Math and 75 percent in Reading. Applicants who do not achieve these scores are advised to remediate and retest. You may retake the HESI test twice during the year of application, no sooner than four months after the first testing date. Study guides are available at our CF Learning Resources Center, Bookstore and various websites. You may also obtain more information on the HESI test at evolve.elsevier.com. A copy of test results must accompany your application. There is no exemption from taking the HESI. You must call to schedule the TABE and HESI test by calling 5-854-: Ocala Campus, ext. 564 Levy Center, ext. Citrus Campus, ext. 668 Hampton Center, ext. 95 If test dates are full, you may ask to be put on a stand-by basis. Both tests are available at above locations. For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page 4 of

5. Observation Hours For students to get a general idea of a dental assistant s job, the student is required to do some observation. The student must have eight hours of chairside observation with a dental assistant. To be considered for the program, the student will need to submit documentation of the observation hours with their application. The documentation must be on office letterhead and signed by the dentist. The observation can only be done in a recommended dental office and it must be with a dental assistant (not a dental hygienist). Prior to observations, students must submit the names of three dental offices they wish to observe to the Dental Assisting program office via email (stentifd@cf.edu or stricklj@cf.edu). The program will then respond with approval of offices to the student. It is the student s responsibility to contact the office to arrange the observation experience. 6. Observation Written Paper This paper must be at least one page, typed using a -point font with -inch margins. The paper must answer the following questions: What are your expectations of the dental assisting profession? Why did you apply to the Dental Assisting program? What knowledge did you gain during your required observation of a dental assistant? 7. Criminal Background Check All Health Sciences students must have a federal criminal background check. The background check must be completed at CF. Scheduling for fingerprinting varies. Follow the procedures listed below for the criminal background check. Procedure:. Go to the Ocala Campus Cashiers Office in the Bryant Student Union and pay the fee for the Federal Criminal Background Check (current fee: $55).. Once you have paid you will be provided with a receipt and pink Criminal History Record Check Waiver Agreement and Statement form. Complete these forms.. Take the receipt and completed forms to Building, Ocala Campus, Room 08, during the times indicated on the forms. (NO exceptions). Proof of the background check, original receipt, must be submitted with the Dental Assisting application. Please keep the white receipt for future reference if required. 8. Academic Advisement for Program (optional) Academic advisement is available by appointment with the Health Sciences academic advisor. For an appointment please call 5-854-, ext. 74. STUDENTS WHO HAVE SUCCESSFULLY COMPLETED THE STEPS ABOVE ARE READY TO APPLY TO THE PROGRAM. Selection of students is based on the time the COMPLETED application is submitted. Students will continue to be accepted until the class is full. Students will then be accepted to the next available class. The program begins each August. For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page 5 of

Approximate Program Cost for Dental Assisting at CF Application Process CF Application Fee $0.00 TABE 5.00 HESI Test 40.00 Criminal Background Check 55.00 After Application and Prior to Start of Program Health Certificate 50.00 CPR 40.00 Uniforms 00.00 First Semester Approximate Matriculation Fee:,86.70 Student fees: 578.75 DANB Part Student kit Insurances Total Semester Tuition:,95.45 Second Semester Approximate Matriculation Fee:,75.60 Student Fees: 5.00 Lab Fees DANB Part Total Semester Tuition:,040.60 Third Semester Approximate Matriculation Fee:,8.70 Student Fees: 5.00 Lab Fees DANB Part Total Semester Tuition:,047.70 End of Program Graduation Pin 50.00 Florida Resident Non Florida Resident Tuition: $ 5,55.00 $,094.00 Approximate Expenses: $,50.75 $,50.75 $ 7,858.75 $,597.75 Approximate Tuition Florida Resident Non-Resident Cost per College Credit $ 07.0 $ 4.88 (50 college credits) Total Matriculation: $ 5,55.00 $,094.00 Fees do not include textbooks and supplies. Please note all the above are estimated costs and are subject to change. For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page 6 of

CF DENTAL ASSISTING CURRICULUM Applied Technology Diploma 50 credit hours COURSE NUMBER COURSE TITLE No. OF CREDITS SEMESTER I Fall DES00 DES00 DEA805L DEA806L BSC080 DES800 DES806L DES600 Head/Neck, Dental Anatomy Histology/Embryology Dental Clinic Seminar Clinic Practice I Basic Anatomy and Physiology Introduction to Clinical Procedures Introduction to Clinical Procedures Lab Dental Office Emergencies Semester Credit Hours 5 credits SEMESTER II Spring DES00 DES00L DES00 DES00L DES09 DEA5 DES840 DEA855L DEA5 SEMESTER III Summer DES8C DEA0 DES05 DEA856 DEA856L DES50 Dental Radiology Dental Radiology Lab Dental Materials Dental Materials Lab Dental Specialties Dental Microbiology Preventive Dentistry Clinic Practice II Dental Psychology and Communication Semester Credit Hours Expanded Functions with Lab Oral Pathology Dental Pharmacology Clinic III Seminar Clinic Practice III Dental Office Management Semester Credit Hours Total Program Credit Hours 6 7 credits 7 8 credits 50 For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page 7 of

APPLICANT CHECK LIST Submit online application to the College of Central Florida. Check with the Office of Admissions at CF to be sure your program code is 550 for Dental Assisting. Submit all OFFICIAL transcripts from high school and colleges to the Admissions Office at CF. Your program application (last page of this packet) should include: Attached copy of your TABE scores. Attached copy of your HESI scores. Proof of chairside observation with a dental assistant on dental office letterhead and signed by the dentist (8 hours minimum). Observation written paper. Make sure the essay follows all guidelines on the admission process page. Attached original (pink) receipt with the raised seal of your Criminal Background Check. SUBMIT THE DENTAL ASSISTING APPLICATION SIGNED AND DATED WITH ALL REQUIRED DOCUMENTATION TO THE HEALTH SCIENCES OFFICE, BUILDING 9, OCALA CAMPUS. KEEP COPIES OF ALL DOCUMENTS SUBMITTED TO THE OFFICE FOR YOUR FILES. ITEMS TO BE COMPLETED IF YOU ARE ACCEPTED Return the Acknowledgement of Acceptance form to the Health Sciences office, Building 9, Ocala Campus by the date indicated in acceptance letter indicating if you accept or decline your seat in the program. Attend a mandatory orientation session on the date specified in your acceptance letter; at that time you will receive further information. Submit all health forms (including any laboratory test results and immunization records) to the Health Sciences office, Building 9, Ocala Campus by the date indicated in your acceptance letter. Submit a copy of a current CPR card (BLS for Health Care Provider person rescue; adult, infant/child) to the Health Sciences office, Building 9, Ocala Campus by the date indicated in your acceptance letter. Documentation of completion of a four-hour bloodborne pathogen course letter due the first day of class. For assistance www.probloodborne.com/en/ Failure to follow the above steps may result in the loss of your seat in the Dental Assisting program. The information in this document is informational only and not intended to be contractual in nature and is subject to change. For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page 8 of

Associate in Science Degree DENTAL ASSISTING TECHNOLOGY AND MANAGEMENT 70 credit hours The Dental Assisting Technology and Management program is an Associate in Science degree that encompasses a multitude of career opportunities. The program combines completion of the Applied Technology Degree in Dental Assisting with options in marketing, dental office management, or education. It will provide skills in a variety of areas in communication, business, computers and management that can be used in areas such as dental products representative, dental office management, and education in dental assisting programs. Students may complete general education courses before or after completion of the Applied Technology Degree but not concurrently with the Dental Assisting courses. The A.S. degree in Dental Assisting Technology and Management is 70 credits and requires the CPT/PERT test for general educational courses. These programs are new programs so no statistics are available for placement or salary. Option : Option : 4 Option : 5 A.S. Degree in Dental Assisting and Dental Practice Management A.S. Degree in Dental Assisting and Education A.S. Degree in Dental Assisting and Marketing Please note: This is an optional A.S. degree program. The Dental Assisting ATD prepares you for employment as a dental assistant. The general educational courses shown on the next page will take your dental assisting to the next level. For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page 9 of

COURSE NUMBER GENERAL EDUCATION COURSES CREDIT HOURS ENC0 Freshman Composition Skills I MAC 05 MAC MGF 06 MGF 07 STA 0 STA 0H **College Algebra Calculus I with Analytic Geometry Liberal Arts Mathematics I Liberal Arts Mathematics II Elementary Statistics Honors Elementary Statistics (CHOOSE ONE) ARH 000 HUM 00 LIT 000 MUL 00 PHI 00 THE 000 Art Appreciation Introduction to the Humanities Introduction to Literature Music Appreciation Introduction to Philosophy Introduction to the Theatre (CHOOSE ONE) AMH 00 ANT 000 ECO 0 POS 04 PSY 0 SYG 000 BSC00 BSC085 United States History Since 877 Introduction to Anthropology Principles of Economics Macro American National Government General Psychology Introductory Sociology Integrated Principles of Biology I OR Human Anatomy and Physiology I (CHOOSE ONE) General Education (required for AS degree, but not for ATD) ***MAC05 College Algebra is recommended for students planning to enroll in the college s baccalaureate degree programs. In addition to the above requirements, complete one of the following options: : Dental Practice Management: BUL4 GEB0 DEA949 4: Education EDF005 EDF085 EDF00 DEA949 5: Marketing MAR0 MKA0 DEA948 Course Title Business Law I Introduction to Business Dental Co-op Total Program Credit Hours Introduction to the Teaching Profession Introduction to Diversity for Educators or Educational Psychology Dental Co-op Total Program Credit Hours Principles of Marketing Sales, Marketing and Advertising Dental Co-op Total Program Credit Hours Total Credits 70 70 70 Dental Assisting ATD program (47 credits) plus one of the options above ( credits) = 70 credits For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page 0 of

DENTAL ASSISTING PROGRAM APPLICATION CF ID No.: Legal Name: Mailing Address: Last First Middle (complete) Jr., etc. Street/PO Box City State Zip Code County Year you would like to begin the program? August Telephone: Email: Home (include area code) Cell (include area code) Work (include area code) TABE Test Scores: Reading Mathematics Language Or attach proof of TABE exemption HESI Test Scores: Reading Mathematics Name of high school or GED: Name of colleges or universities attended: Please list any professional license or certifications: I hereby certify that the information contained in this application is true and complete to the best of my knowledge. I understand that any misinterpretation or falsification of information is cause of denial of admission or expulsion from the college. I understand that illegal use, possession and/or misuse of any mind-altering substances are reasons for immediate dismissal from any programs in the Health Sciences Division. I understand that any arrests revealed on a criminal background check could be reason for denial of application or immediate dismissal from any program in the Health Sciences Division. Signature of Applicant Date: For Office Use Only Please submit application to: College of Central Florida Health Sciences Office, Building 9 00 S.W. College Road Ocala, FL 4474-445 Date Submitted: Received by: For inquiries regarding nondiscrimination policies contact Equity Officer, Ocala Campus, Ewers Century Center, Room 0C, 00 S.W. College Road, 5-854-, ext. 47, or smithc@cf.edu. AA-HS-DAMKPR www.cf.edu 5-87-5800 Revised /7/04 Page of