Online Application

IMPORTANT (READ CAREFULLY): ENTER YOUR EDUCATION THAT MEETS THE ADMISSIONS REQUIREMENTS

Disclaimer: An Ontario Secondary School Diploma (OSSD) or equivalent required to apply.

Please list your most recent school first.

School Name*

Address*

Address School 1 Line 2

Address School 1 Line 3

Address School 1 Line 4

City*

Postal Code*

International Address

Highest Educational Level Completed:

Name of Program*

High School, Dental Assistant, Health Care Management, etc.

Year Entered*

Year Left*

Achieved*

School Name

Address

City

Postal Code

International Address

Highest Educational Level Completed:

Name of Program

High School, Dental Assistant, Health Care Management, etc.

Year Entered

Year Left

Achieved

Add Another School

School Name

Address

City

Postal Code

International Address

Highest Educational Level Completed:

Name of Program

High School, Dental Assistant, Health Care Management, etc.

Year Entered

Year Left

Achieved

I AM CURRENTLY IN GRADE 12 IN PROCESS OF COMPLETING THE PREQUISITES

Yes

Name of High School

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

EXPECTED TO GRADUATE

O.E.N (Ontario Education #) - (ONLY IF APPLICABLE)

The Ontario Education Number (OEN) is a unique, nine-digit identification number assigned by the Ontario Ministry of Education to students in Ontario. This number is used to identify a student's school records and follows them throughout their education.

I HAVE GRADUATED HIGH SCHOOL WITH THE PREREQUISITES (WITHIN CANADA/OUTSIDE OF CANADA)

Yes

NAME OF HIGH SCHOOL

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

GRADUATION DATE

O.E.N (Ontario Education #) - (ONLY IF APPLICABLE)

The Ontario Education Number (OEN) is a unique, nine-digit identification number assigned by the Ontario Ministry of Education to students in Ontario. This number is used to identify a student's school records and follows them throughout their education.

I HAVE POST-SECONDARY SCHOOL (WITHIN CANADA /OUTSIDE OF CANADA)

Yes

NAME OF COLLEGE/UNIVERSITY*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Program Name*

LENGTH OF PROGRAM*

Years

GRADUATION DATE

CREDENTIAL RECEIVED*

I DO NOT MEET THE ABOVE

Yes

HIGH SCHOOL*

I WENT TO HIGH SCHOOL WITHIN CANADA
I WENT TO HIGH SCHOOL OUTSIDE OF CANADA

Address

Street Address Address Line 2 City Province Postal Code

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Education Please list your most recent school first.

First Year of Registration with Regulator

Registered in Good Standing with Provincial Dental Hygiene Regulator

Yes
No

Highest Educational Level Completed*

School/Institution*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Highest Educational Level Completed*

Program*

Year Entered*

Year Left*

ADD ANOTHER SCHOOL

Yes

Highest Educational Level Completed*

School/Institution*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Highest Educational Level Completed*

Program*

Year Entered*

Year Left*

ADD ANOTHER SCHOOL

Yes

Highest Educational Level Completed*

School/Institution*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Highest Educational Level Completed*

Program*

Year Entered*

Year Left*

Online Application

Step 1 of 9