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Dental Assisting Program Application

Saturday, April 17, 2021

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This application is for students who have completed an application to UA - Pulaski Tech. If you have any questions about this form or about Dental Assisting, please contact Weeda Jones at [email protected].


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Students requesting admission for this program MUST complete all admissions steps as outlined in this programs admissions process. All applications for this program must be received before August 15 for enrollment in the fall semester. Applications received after that date will apply to the following fall. No applications will be carried forward from year to year. You must re-apply each year.