Dental Experience Verification Form
All applicants must have experience with intra-oral procedures by In-Office observation, Online Observation or Dental Assisting. All required hours must be with adult patients. For any questions please contact dentalhygiene@utahtech.edu.
During the application process you will have the option to fill out this form digitally , or you can upload a physical copy.
Directions: You are required to select and provide verification for ONE of the options listed below along with a 200 word Essay telling us:
How the procedures you’ve observed prepared you for your education in Dental Hygiene
- 200 Paid Dental Assisting Hours
- 25 Active IN-OFFICE Observation Hours,
- 25 ONLINE Observation Hours
- Partial IN-OFFICE and ONLINE Observation
Download Experience Verification Form