DENTAL HYGIENE APPLICATION NOTICE
Northern Arizona University
Department of Dental Hygiene
(For a Microsoft Word Document, click here. For a PDF document, click here.)
Notice of Received Application
Complete and return with the application packet.
Name __________________________________________
Address _________________________________________________________
**** DO NOT fill out the rest.****
( )Your application to the Dental Hygiene Program has been received and
is complete.
( )Your application is missing:__________________________________________
__________________________________________________________________
__________________________________________________________________
Date__________________ Department of Dental Hygiene_____________________
_ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Directions:
Fold this notice closed on the dotted line. Then type your name and address on the outside of the folded paper. Place a stamp in the upper right hand corner. Enclose this self addressed, stamped notice in the large envelope with your application and transcripts. It will be mailed back to you.
Dental Hygiene
PO Box 15065
Building 66, Room 202
Flagstaff, Arizona 86011
Phone: (928)523-5122
Fax: (928)523-6195
dental.hygiene@nau.edu
Denise Helm, RDH MA
Department Chair
© 2006 Arizona Board of Regents, Northern Arizona University
South San Francisco Street, Flagstaff, Arizona 86011