Supplemental materials form

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Applicants must complete each section of this form as part of the application packet.

Applicant information

Middle initial:
(mm/dd/yyyy)
  1. Do you speak, read or write a language other than English fluently?


    If yes, what language(s)?

  2. Have you held leadership positions?


    If yes, please describe position.

  3. Have you engaged in any community service?


    If yes, please list and elaborate.

  4. Have you had experience (shadowing or working) in a dental setting?


    If yes, please explain.

  5. Do you have any hobbies requiring hand-eye coordination?


    If yes, please explain.

  6. Have you received any honors or awards?


    If yes, please explain.

Prerequisites

Please complete this form as part of the application packet. Indicate what courses have been completed or will be completed to fulfill each prerequisite area, including when and where each course was completed or will be completed. All prerequisite courses must be completed by May 30 prior to entry in desired fall semester.

VCU course Your course number Semester hours Semester of completion College
Biology (general)* - 3-5 semester hours
Biology*
Biology*
Chemistry (college)* - 3-5 semester hours
Chemistry*
Chemistry*
Human anatomy and physiology* - 5-8 semester hours
Human anatomy and physiology*
Human anatomy and physiology*
Human anatomy and physiology*
Microbiology* - 3-5 semester hours
Microbiology*
Microbiology*
English (composition) - 6-9 semester hours - VCU students must complete UNIV 111, 112 and 200.
English
English
Humanities - 3 semester hours
Humanities
Psychology (introductory) - 3 semester hours
Psychology
Sociology (introductory) - 3 semester hours
Sociology
Speech - 3 semester hours
Speech
Statistics - 3 semester hours
Statistics
Visual/performing arts** - 3 semester hours
Visual/performing arts**
Electives (list all) - 13-22 semester hours
Elective
Elective
Elective
Elective
Elective
Elective
Elective
Elective
Elective

* Science courses must have been completed within the past six years and must include laboratory experience.

** A hands-on course is preferred.

Resume

Attach resume or other accomplishments (formats: doc, docx, pdf and txt)

Personal Statement

Attach personal statement/essay (formats: doc, docx, pdf and txt)

Applicants to the dental hygiene program are required to submit an essay stating concisely why you are interested in pursuing the Bachelor of Science in Dental Hygiene at Virginia Commonwealth University. Discuss your career goals and how having this degree will help you move toward your career goals. Indicate your prior life and work experiences that will be useful in your education and your strengths that will contribute to your success in the program.

School of Dentistry, Division of Dental Hygiene Technical Standards

Please read the Technical Standards for Dental Education Programs for the School of Dentistry and sign below.

 

You will receive a confirmation email upon submission of this form.