Dental Hygiene Application

Applicant Information

First Name: *

Last Name: *

Date of Birth: *

Student ID (ctcLink ID):

Former Name(s):

Phone No: *

Preferred Email: *

Confirm Email: *

Current Address: *

City: *

State: *

Zip: *

The answers to the follow questions will be used to sort applicants onto the Annual Program List-Dental Hygiene (APL-DH). Incorrect answers will not be awarded points.

1. I have successfully (required minimum grade) completed 15 or more credits of dental hygiene prerequisite courses at BTC (repeated courses only count once). *

    Yes

    No

2. I have successfully (required minimum grade) completed 30 or more credits of dental hygiene prerequisite courses at BTC (repeated courses only count once). *

    Yes

    No

3. I successfully completed an Allied Health program or certificate at BTC. *

    Yes

    No

4. I applied last academic year to the Dental Hygiene Program with a complete application. *

    Yes

    No

What happens next?

Click the "Submit" button below to submit the application.

Once the request is submitted, a confirmation will be sent to the email you entered above.

Please see www.btc.edu/dentalhygiene for next steps and upcoming dates.

Please click the "Submit" button only once. this may take a few seconds to process

An automated confirmation will immediately be sent to the email address on this Application. Keep this confirmation as your receipt. If you do not receive the confirmation, it means that BTC did not receive your Application, and you will need to resubmit it.