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APPLICATION FOR ADMISSION
TO THE JC DENTAL HYGIENE PROGRAM FOR
Associate in Applied Science
DENTAL
HYGIENE
2018-2019
I wish to be considered for acceptance into the Associate in Applied Science, Dental Hygiene Program, for
Fall semester: ______________________ (APPLICATION DEADLINE: MAY 31ST)
NAME First Name MI Last Name
PREVIOUS LAST NAME(S)
ADDRESS
CITY ZIP BIRTH DATE
STUDENT #
WORK/CELL PHONE
HOME/MESSAGE PHONE(s) * (Over Please) *
EMAIL ADDRESS
Only student’s JC E-mail address will be used
APPLIED PREVIOUSLY TO THE JC DH PROGRAM? Y/N WHEN
Student ID#
The following criteria MUST be met at the time of application:
Completed BIO 220, 253 with a minimum GPA of 2.5: (See Pg.5 for details)
Completed or enrolled in BIO 254. Must be completed by the start of program with a minimum GPA of 2.5.
Completed or enrolled in MAT 133 or higher. Must be completed by the start of program with a minimum GPA of 2.0.
(see p. 10 #5 for details)
Completed ENG 131, COM 231 or 240, CEM 131(chemistry courses taken at another institution that do not transfer
into Jackson College as CEM 131 will be evaluated on an individual basis), PSY 140, minimum of 2.0 in all courses (See
Pg.5 for Details)
Completed HESI Admissions Assessment (A2) Test. Students must achieve a minimum 75% in Math and the English
Language Composite Score. For sign-up instructions see the JC DH Web Site. HESI A2 scores must be completed within
the last 5 years. Admission testing is only allowed two times. (see page 10 #6 for details)
ALL TRANSCRIPTS MUST BE RECEIVED BY THE APPLICATION DEADLINE
(May 31) ADMISSION IS NOT GUARANTEED
Students MUST consult with a Student Success Navigator. The Navigator’s signature indicates that the point system has
been reviewed with the applicant. The student’s signature verifies that all the admission requirements have been met.
Student Signature Date Student Success Navigator Signature Date
JC Catalog of Entry: Fee collected and receipt attached: Y/N
Program Application Fee: $50.00
Once a Year
Must be paid at the JC Business Office
2
3
4
5
:
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(
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8
SAMPLE CURRICULUM FOR DENTAL HYGIENE AAS
Course
Number
Course Title
Credit
Hours
Clock Hours/Week
Prerequisites: Semester 1
Lec. Lab. Clinical
BIO 253
CEM 131
ENG 131 MATH 133
Anatomy & Physiology I
Fundamentals of Chemistry*
A Writing Experience Introduction to Probability and Statistics
*(chemistry courses taken at another
institution that do not transfer into
Jackson College as CEM 131 will be
evaluated on an individual basis)
4
4
3 4
3
3
3 4
3
2
0
0
0
0
15/16
Semester 2
BIO 254
BIO 220
PSYCH 140 COM 231 or
COM 240
Anatomy & Physiology II
Microbiology
Introduction to Psychology Communication Fundamentals or
Interpersonal Communication
4
4
4 3
3
3
4 3
3
2
0 0
0
0
0 0
15
DH Program: First Term: Fall
DHY 101
DHY 102
DHY 103
DHY 104 DHY 105
Principles in Dental Hygiene I
Preclinical Dental Hygiene
Orofacial Anatomy, Histology & Embryology
Biochemistry & Nutrition
Medical Emergencies in the Dental Office
2
2 4
2 1
2
0 3
2 1
0
8 2
0 0
0
0 0
0 0
Second Term: Winter
11
DHY 111 DHY 112
DHY 113
DHY 114
Principles in Dental Hygiene II Clinical Dental Hygiene I
Radiology
Periodontics
2
2 3
3
2 0
2
3
0
0 0
0
0
8 4
0
Third Term:
Spring
10
DHY 120
DHY 121
DHY 122 See college
catalog
Dental Materials
Dental Pharmacology
Clinical Dental Hygiene II
GEO 6 elective
3 2
1
3
1 2
0
3
4 0
0
0 0
4
9
Fourth term:
Fall
DHY 201
DHY 202 DHY 203
DHY 204
Principles in Dental Hygiene III
Clinical Dental Hygiene III Pain Management
Oral Pathology
2
3
2
2
2
0
1.5
2
0
0
0
0
0
12
2
0
Fifth Term:
Winter
9
DHY 211
DHY 212
DHY 213 SOC
Principles in Dental Hygiene IV
Clinical Dental Hygiene IV
Community Dental Health
GEO 7 elective
2
4 2
3
2
0 2
3
0
0 0
0
0
16 0
0
11
TOTAL NUMBER OF HOURS 80
9
10
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
1)
2)
a)
b)
c)
3)
11
4)
5)
6)
7)
8)
a)
9)
10)
12
2)
13
Area II Total: _________
14
15
16
