Coastal Bend College Dental Hygiene
Admissions Information

Name:
_______________________
Directions:
Your application will NOT be considered complete unless supporting documentation is attached to this sheet. The documents should be attached IN ORDER (A-F) with the pertinent information highlighted.
A.
High School Academic Criteria:
1.
High School GPA
____________________
2.
Rank in Class
____________________
3.
GED Score
____________________
B.
College Liberal Arts Courses:
 
 
Grade
Times Attempted
College Attended
1.
English (ENGL 1301)
_________________
________________
_________________
2.
Speech (SPCH 1311)
_________________
________________
_________________
3.
Psychology (PSYC 2301)
_________________
________________
_________________
4.
Humanities (SOCI 2319)
_________________
________________
_________________
C.
College Science Courses:
 
 
Grade
Times Attempted
College Attended
1.
Anatomy & Physiology I  (BIOL 2401)
________________
________________
_________________
2.
Anatomy & Physiology II (BIOL 2402)
________________
________________
_________________
3.
Microbiology (BIOL 2420)
________________
________________
_________________
4.
Chemistry (CHEM 1406)
________________
________________
_________________
D.
Test Scores:
1.
SAT
Composite Score
_________
 
 
 
2.
ACT
Composite Score
_________
 
 
 
3.
TASP
Reading
_________
Writing
_________
Math
_________
E.
Degree Earned:
 
 
Year
College/University
1.
Masters
___________________
_____________________________________________________
2.
Bachelors
___________________
_____________________________________________________
3.
Associates
___________________
_____________________________________________________
F.
Dental Assisting Experience:
1.
Certified
__________
2.
One Year or Longer
____________
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