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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.

Contact Us

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

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© 2006 Arizona Board of Regents, Northern Arizona University
South San Francisco Street, Flagstaff, Arizona 86011