This is a printable form. Use the Print button to print and complete it by hand.
Dental Hygiene Application Completion Form
Print and include this page with your application packet.
Applicant name
Blinn ID
Email
Phone
Application checklist
- Completed Dental Hygiene application form
- Application completion form
- Official or unofficial transcripts, as required
- ATI TEAS scores, if required in packet instructions
- Observation log
- Community service log
- Recommendation forms
- Any additional required supporting documentation
Please note: Incomplete packets may not be considered for review.
Applicant signature
Date