Forms

You MUST apply to BOTH the University and the program of your choice.  You will NOT be considered for either of the Dental Assisting Programs if you are NOT already admitted to the University.

Application Process:

The IUPUI University application can be found at http://enroll.iupui.edu/admissions/.

The dental assisting program application.  Link to form

Dental Office Observation form.  Link to form

Pre-enrollment Process:

The REQUIRED IUSD Immunization form will be collected on  Pre-Orientation Paperwork Day.  Please see the instructions on the sample form.  

Sample Student Immunization form.  Link to sample

Print the IUSD Immunization form, have it completed as instructed and turn it in during the Pre-Orientation Paperwork Day: 
Link to form

Required paperwork.  Link to information

Indiana University Driver Authorization form.  Link to form

Estimate of Dental Assisting fees for 2012-2013.  Link to form

Gainful Employment Statistics.  Link to information

Distance Learning Applicants: 

In addition to the above, Distance Learning students must also complete the following 2 forms: 

1.  Sponsoring Dentist form.  Link to form
2.  Contact Information for Sponsoring Dentist form.  Link to form