PAYMENT ~ DDS Application

DDS Application

Preliminary Info
Program of Study*

First YearTransfer
Applicant Status*

DomesticInternationalAboriginal
Please upload your Indian status card*

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Have You Applied Previously*

NoYes

Contact Info
Country
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

English Facility Test (If Applicable)
English Test Name
English Test Date

MonthDayYear
Date
English Test Overall Score

Prerequisite Courses
The following courses are mandatory in order to apply to the dentistry program. In each section write in the name of the course(s), course(s) code, and the credits obtained.
Prerequisite course(s): Biochemistry *
Prerequisite courses: Physiology *
Prerequisite courses: Life Sciences *
Prerequisite courses: Social Sciences or Humanities *

Graduate Studies (If Applicable)
University Attended
Graduate Years
Graduate Department
Graduate Degree Name
Date Graduate Degree Expected

MonthDayYear
Date

Current Activities
Are you currently attending a post-secondary institution?*

NoYes
If 'Yes', list all courses taken during the current academic year

Supporting Information
Personal Statement*

Explain why you want to pursue a dental career (maximum two pages).
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Greatest Accomplishment*

Outline what you consider to be your greatest accomplishment and the reasons you have chosen to highlight it (Maximum one page).
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NOTE: we have no specific format requirements.

Terms
I certify that all statements on the application and in any material filed in support hereof, are true, correct and complete and that all material information has been disclosed. I understand that if the University finds to the contrary, my admission to, or registration in the University may be rescinded and cancelled after notice in writing to me at my home address as shown hereon. The name at the top of this form is the complete name by which I am legally and correctly known. I understand that if I have not previously applied to or registered at the University this name will be officially recognized in academic records of the University, and it will not be changed there without a formal verification. I understand that if I have previously applied to or registered at the University and the name on this form is other than that by which I am known in the academic records of the University, I must complete a change of name form. I am aware that Dentistry students, as part of their curriculum, will have placements (rotations) at various dental practice settings. At some of these sites, students may work directly with, or in close proximity to, children or vulnerable persons. To protect these groups and maintain their safety, sites may require Dentistry students to obtain a Police Record Check. A Police Record Check is more comprehensive than "Criminal Record Checks" and "clearance letters".
I acknowledge that I have read and agreed to the above*

I agree.
Application Checklist

Refere to our website for information on admission requirement.
- Official univeristy transcripts. Arrage to have all your university transcripts sent to the admissions office directly from the issuing institution in a sealed envelope.
- Dental Aptitude test scores. Ask the CDA/ADA to send us your DAT scores.
- CASPer Score. After wirting the CASPer test have your scores send to us directly.

Payment

My Products*

DDS Application

$350.00CAD

Total

$0.00CAD

Credit Card (Visa, Mastercard, Discover, Amex and Visa Debit accepted)
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Please verify that you are human*
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