Application for Admission


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, please ensure the full address is used - see application for address, or use address listed below).
  • 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