GETTING STARTED

Is as easy as a few clicks!

In just a few short minutes you’ll be on your way to finding out about a fantastic new education and career in Dental Assisting!

ARE YOU

READY?

Let’s begin by entering your information into our Secure Team Member Info Sheet. Be sure to fill in all the fields that are marked, ” * ” next to them! Once you’ve entered your details into the Team Member Info Form, simply click the Submit button and we’ll take you to a new page where you can schedule a meeting right away to Meet YOUR Team!

We’re so excited that you’re ready to take the next step forward in your Dental Assisting education path.

Questions? Remember we’re here for you!
Chat, Email or Click to Call us at AAA School of Dental Assisting.

Team Member Info Sheet

Team Member Information Form

Student Information

Name

Social Security Number(Required)

Nickname(Required)

Birthday(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County(Required)

Mobile Phone(Required)

Email(Required)

Preferred Method of Contact(Required)

Phone

Text

Course Information

School Location(Required)

Session of Interest(Required)

Course Start Date(Required)

Course Date & Time(Required)

Tuition Payment Option

Uniform Top Size(Required)

Uniform Bottom size(Required)

Documents and Transcripts

Photo of Driver's License(Required)

Max. file size: 50 MB.

School Diploma/Degree(Required)

Max. file size: 50 MB.

Demographics

Current Occupation(Required)

Job Title(Required)

Level of Education(Required)

Age Group(Required)

Gender(Required)

Race/Ethnicity(Required)

Relationship Status(Required)

Questionnaire

Application Essay(Required)

Please write a paragraph each question in total 600 words. 1. Why do you want to become a dental assistant? 2. What makes you a great fit for this career? 3. What are your future life and career goals?

Why You Want To Join Dentistry?(Required)

How did you learn about AAA School of Dental Assisting?(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

Emergency Contact Relationship(Required)

What our TEAM MEMBERS ARE SAYING

Classes Begin

Soon!

Days

Hours

Minutes

Seconds