First Time Dentist/Hygienist

The $100 deposit is due March 31, 2023
The remaining balance is due May 1, 2023

The deadline to turn in all other forms to hollyrolland@atsu.edu is May 1, 2023.

You will also need to fill out the online “Jamaica Dental Mission Form” below.

If you have any problems submitting the form, please contact Holly Rolland at hollyrolland@atsu.edu.

 

 

 

 

 

 

 

 

 

  • Degree Certificate (Doctor of Dental Surgery)

 

  • Current license

 

  • 3 professional references

 

  • 2 photographs (passport size)