Apply Now - Practical Dental Assisting of Utah

This application is for Dental Assisting Program

In addition to the Dental Assisting Program, if you enroll in additional programs you will receive a discount for those programs.

Select Additional Programs:

Office Administration

Orthodontic

Total Tuition Cost: $3,495.00

Total Tuition Cost: $3,990.00

Total Tuition Cost: $4,495.00

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Course Start Date:

Completion Date:

Student Information

Name*

First Last

Email*

Date of Birth*

Student Information

Address*

City*

State*

Zip Code*

Cell Phone*

How did you hear about our course?

How did you hear about us?*

Referral Name

Refunds and Cancellations

A graduation certificate will only be awarded to those students attaining a 70% or above grade average. Those students whose grade average is below 70% will not receive a certificate but will be allowed to retake the entire course (if desired) at a reduced fee of $1500.
A full refund will be made of all deposits or payments if cancellation is made before the start of the first class or within three business days of the enrollment agreement being signed or initial deposit being made (time expires on midnight of third business day). There will be no refunds after class has begun, as we reserve the seat for the class chosen.
Those wishing to cancel for extenuating circumstances, such as illness or personal reasons, may resume their course of study in the next class series with no penalty, and may repeat the already completed sessions if desired, and upon approval of director.
Those with delinquent accounts (late payments) have the risk of being referred to a collection agency and accruing a 33% collection fee.

Three-Business-Day Cooling-Off Period

A three-business-day cooling-off period during which time the student may rescind the contract and receive a refund of all money paid. The cooling-off period may not end prior to midnight of the third business day after the latest of the following days:

the day the student signs an enrollment agreement
the day the student pays the institution an initial deposit or first payment toward tuition and fees; or
the day that the student first visits the institution, if the program lasts more than 30 consecutive calendar days.

Disclaimer

Registered under the Utah Postsecondary Proprietary School Act (Title 13, Chapter 34, Utah Code). Registered registration under the Utah Postsecondary Proprietary School Act does not mean that the State of Utah supervises, recommends, nor accredits the institution. It is the student’s responsibility to determine whether credits, degrees, or certificates from the institution will transfer to other institutions or meet employers’ training requirements. This may be done by calling the prospective school or employer. The institution is not accredited by a regional or national accrediting body recognized by the United States Department of Education.

No credit or tuition reductions will be granted for previous credits or experience at any other institution or place of employment.

Placement assistance is available. Doctors in search of staff are referred to our graduates. Training includes interviewing skills and resume preparation in our “Career Workshop.” We will also assist students in finding an off-site internship at their request. We do not make this a requirement as many of our students are unable to accommodate an internship. No guarantee of employment placement is made or implied.

I certify that I have received and read the pages entitled “Catalog and Course Information” and that I have reviewed all information on this enrollment agreement. I agree to abide by all school rules, state laws, and OSHA regulations.

Signature*

05/29/2023

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