Application for Admission

Updated application coming soon

Your completed application will include the following:

  • Official transcripts from your high school or college, identified by seal of issuing institution (If being sent directly from the institution, see application for address, or use address listed below. If sending electronically, please request transcript is sent via email to
  • Documentation of your current status as an auxiliary, i.e. notarized copy of your hygiene license or current CDA certificate, or a copy of your application to sit for the DANB or CODA exam
  • Letters of recommendation from two persons (other than your dentist-employer)
  • Letter of verification for 2 years in general dentistry within past 5 years as a chairside assistant
  • Hepatitis B vaccination documentation or proof of current titer if vaccine documentation cannot be provided
  • Current TB test (PPD) documentation (yearly test)
  • Copy of dental assisting school diploma (if applicable)
  • Completed Employer Recommendation Form
  • Completion of Program Performance Requirements
  • Completion of Employer / Remote Site Sponsor
  • Completion of Personal Statement
  • Foreign-trained dentists: Education Course Evaluation Documentation and proof of TOEFL examination results

Send completed applications to:
Case Western Reserve University
School of Dental Medicine / EFDA Program
Samson Pavilion Room 133A
10900 Euclid Avenue
Cleveland, OH 44106-7342