Dental Hygiene – Accepted student Congratulations on being accepted into Dental Hygiene! If you were chosen to participate in the dental hygiene program, complete these tasks: **Important** Start with tasks marked with asterisks (**). They may take extra time. You must complete these tasks by the due date to be guaranteed a seat in the dental hygiene program. *Acceptance form Due May 1 Sign and return the acceptance form that was mailed to you. Pay $50 fee Due by the date indicated on the acceptance letter Pay the $50 deposit by mail. We require the fee to hold your spot in the program. CPR / first aid certification Due July 1 Submit a copy of your current CPR/first aid certification. *Health exam & immunization record Due June 1 Schedule a physical exam with your physician Print the health occupation programs history and physical exam form and fill out the first page before your appointment. Ask your provider’s office to fill out the remainder of the form at your visit. Additional forms Due May 1 Authorization for release of student information Job shadowing form *Background check Due May 1 Complete a Minnesota Department of Human Services Background Study. Background study application Privacy notice Confidentiality statements Due May 1 Healthcare confidentiality statement Audiovisual digital recording confidentiality statement Register for classes Due May 1 Register for classes. Refer to your program guide for the course list for your program. Contact with questions Student Services (218) 733-7601 Dental Hygiene Program apply.dentalhygiene@lsc.edu Dental Hygiene Program Director Kjersta Watt (218) 733-5988 kjersta.watt@lsc.edu Submit completed forms to:Mail: Lake Superior College Attn: Kjersta Watt 2101 Trinity Road Duluth, MN 55811 Email: apply.dentalhygiene@lsc.edu Fax: 218-733-5945 Attn: Kjersta Watt | Dental Hygiene applications
