Returning Doctor

If you are returning, the documents below are required.

$100 deposit due by 3/31/23 to reserve lodging room.
Remaining balance due 5/1/2023

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.

 

 

 

 

 

  • Certified copy of current license

 

  • 1 photographs (passport size)