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2021 FALL DENTAL HYGIENE PROGRAM
ADMISSION PACKET
Dental Hygiene Program Application and Requirements Deadline – February 1, 2021
It is the student’s responsibility to monitor the completion of the Minimum Admission Requirements (MAR)
whether enrolled at CVCC or elsewhere. CVCC reserves the right to change curriculum and admission
requirements without prior notice. Applicants are responsible for completing admission requirements and
ensuring all materials have been submitted by the deadline.
Please do not wait until the deadline to start the process. Application to any healthcare program is
complex. Applicants who begin the CVCC admission process weeks or months before the deadline
give themselves time to resolve unexpected issues.
This packet provides information to assist you with the admission and selection process for the Dental Hygiene
program. Please carefully review all information provided in this packet. Additional information can be found
on the CVCC Dental Hygiene webpage. For questions regarding the program, contact the Director at (828)
327-7000 extension 4158 or by email at [email protected]. For questions regarding admission requirements
please contact Admissions at extension 4216 or by emailing [email protected].
How do I find information about Dental Hygiene and employment opportunities? For general
information refer to the Bureau of Labor Statistics Occupational Outlook Handbook – Dental Hygienists at
https://www.bls.gov/ooh/healthcare/dental-hygienists.htm.
What is the class schedule/length for the Dental Hygiene program? The core dental hygiene courses
are only offered during the day on a full-time basis. The program consists of seven semesters, which require two
years to complete after all program pre-requisites are satisfied. The program begins in the fall term. Graduates
of the program are eligible, with the approval of the Dental Hygiene Program Director, to take the National
Board Dental Hygiene Examination and the CITA Examination, as well as other state or regional examinations
depending upon requirements. Graduates applying for NC Licensure will be required to undergo a criminal
records check and fingerprinting.
How do I apply for the program? Complete the CVCC Online Application for Admission under the “Apply
Now” tab on the CVCC homepage and if possible, visit with an admissions staff member in Student Services by
the specified deadline. Applications may be activated by distance provided the applicant sends an email to
[email protected] in which a request is made to activate the Application by distance accompanied by a
photo of the applicant’s photo ID. Whether an application is activated in person or by distance, applicants
are responsible reading and understanding packet contents and meeting requirements. Admission to the
program is based upon completion of all minimum requirements as listed on the attached Minimum Admission
Requirements (MAR) Checklist by the specified deadline date, the number of vacancies in the program and
the competitive selection process. Completion of the MAR is not a guarantee of acceptance. CVCC does not
use waiting lists for any health program.
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What if I completed the pre-requisites based on prior requirements and have different coursework or
test scores than listed on the 2021 MAR Checklist? Effective April 1, 2018, Dental Hygiene candidates are
required to take the TEAS exam. PSB exam scores will not be considered. Dental Hygiene program applicants
must follow all requirements found in the 2021 MAR Checklist. Applicants presenting anything other than the
requirements listed on the 2021 MAR Checklist will not be considered for admission. It is the student’s
responsibility to read the current Dental Hygiene Admissions Packet for further information regarding current
Dental Hygiene program requirements.
How much does the program cost? College tuition is set by the North Carolina State Legislature and is
subject to change. Dental Hygiene students are required to purchase a variety of books, instruments, clinic
uniforms, malpractice insurance, accident insurance, and other fees as set by the College. The approximate
cost for the program is $9,500. This figure is based upon current in-state tuition rates and reflects an
approximate cost only. For additional information, refer to the Dental Hygiene – Estimated Additional Program
Costs document.
How do I apply for Financial Aid? All applicants are encouraged to apply for financial aid by completing
the Free Application for Federal Student Aid (FAFSA.ed.gov). For information about financial aid, contact
the Office of Scholarships and Financial Aid by email at [email protected] or by calling at 828-327-
7000, ext. 4860.
Do I need a computer? Coursework requires students to have their own computer with dependable
internet access, printer access, microphone, webcam accessibility, Word, PowerPoint and Excel. Upon
application activation to CVCC, students are assigned a CVCC email address. Communication between
student, faculty and any other college personnel will be by CVCC email. Students are expected to use the
CVCC email for all college correspondence. Students need to read CVCC emails daily and check
Blackboard for announcements/assignments, whether enrolled at CVCC or elsewhere. Applicants are
notified of an accepted or non-accepted status via CVCC email.
Will I be required to complete a Criminal Background Check/Drug Screening? Yes.
• At this time, clinical facilities are not requiring a criminal background check/drug screening for dental
hygiene students, however, facilities can/may require one in the future. A student is required to
complete a criminal background check when applying for a NC Dental Hygiene license. The NC State
Board of Dental Examiners uses LiveScan to complete the criminal background check.
• Students will be required to pay fees associated with background checks/drug screenings.
• Clinical facilities may refuse access to clinical experiences based upon results of a criminal background
check and/or drug screening.
• Should any facility refuse to allow a student access to a clinical experience, the student will be unable
to continue in the CVCC Dental Hygiene program.
• Predetermination of Eligibility for Licensure: Individuals with a criminal history may petition the North
Carolina State Board of Dental Examiners any time prior to applying for a license to determine if the
individual’s criminal history will likely disqualify them from obtaining a license. Individuals may receive
such a predetermination through either a formal or an informal process. Visit here to learn more before
applying to the Dental Hygiene program https://www.ncdentalboard.org/Predetermination.htm.
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If I am an undocumented immigrant, how does that impact my application to this program? Students
who are not citizens of the United States pay out of state tuition in accordance with the State Board of
Community Colleges (1D SBCCC 400.2(b)). In addition, federal law prohibits states from granting professional
licenses to undocumented immigrants.
What if I move my residence while applying for this program? It is a student’s responsibility to inform the
college of changes in personal information regarding name, phone number and mailing address. To make
changes to personal information, follow the instructions found in the FAQ section of Student Records on the
MyCVCC Portal. Students may also visit Student Services to request the change.
What if I am not admitted to the program? Applicants not admitted to the program will need to re-apply by
completing the MAR Checklist for the year of reapplication AND visiting/emailing Student Services to confirm
an active program status. Students are responsible for following the guidelines for reapplication. Students are
required to submit a new MAR Checklist and other required documentation each year of reapplication.
I am currently a Dental Hygiene student at another college/university and would like to transfer to
CVCC. Email the Program Director at [email protected] for more information.
Do I need to wait until the deadline to submit items and apply? No. Applicants should not wait until the
deadline to begin the admissions process. Applicants are responsible for making sure all materials have been
submitted to the College as directed.
How do I submit a MAR Checklist? From the applicant’s CVCC email account (activated after visit/email to
Student Services), email a scanned copy or cell phone photo of the completed MAR Checklist to
[email protected]. The MAR Checklist must be entirely readable with the student’s name and CVCC ID#.
MAR Checklists are not accepted after the published deadline; applicants should make note of the deadline
date published in the packet and on the MAR Checklist.
When and how will I be notified of acceptance to the program? Applicants are notified of acceptance
to the program within 2 - 4 weeks of the deadline via an email to their CVCC email account. Applicants
chosen as alternates or not accepted for the program will be notified at that same time. Students may apply
to only one (1) healthcare program at a time. Should acceptance to that program be denied, the student
may apply to another healthcare program whose application deadline has not yet occurred at CVCC. (CVCC
Procedures 3.4)
What am I required to do before the first day of class if accepted? Accepted students must attend an
Orientation Session with the Dental Hygiene Program Director and Faculty at which time the student will be
provided with information concerning other program requirements including: Healthcare Provider CPR
certification, health examination form certifying that he/she appears to be able to participate in the activities
of a health profession in a clinical setting, uniforms, and additional program costs.
What if I am unable to attend the Orientation Session or meet the other requirements before the first
day of class? Students not attending the Session and/or being unable to meet any additional requirements
listed above will be unable to enter the Dental Hygiene program.
Who can I contact if I have additional questions? For questions regarding the dental hygiene program
contact the Director at (828) 327-7000 extension 4158 or email [email protected]. For questions regarding
general admission, contact Admissions at (828) 327-7000 extension 4216 or email [email protected].
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Minimum Admission Requirements (MARs) Explained
Please do not wait until the deadline to start the process. Application to any healthcare program is
complex. Applicants who begin the CVCC admission process weeks or months before the deadline
give themselves time to resolve unexpected issues.
To be considered for acceptance, all applicants must complete Minimum Admission Requirements
(MAR) by the published deadline of February 1, 2021. The following information breaks down each
Minimum Admission Requirement in detail and provides hyperlinks to navigate to resources that may
be helpful in fulfilling each requirement. Applicants are responsible for making sure all materials are
submitted to the College by the deadline and as directed by the packet.
1. DO THIS STEP FIRST: Activate* the CVCC Application with “Dental Hygiene” as the intended major
and visit Student Services during regular business hours with a photo ID to confirm your records have
active status if you have been a previous student.
*Submitted applications are activated when a student brings a valid photo ID to the Student Services
building and meets with an admissions staff member. No appointment is necessary to activate an
Application or confirm an active program status for previous students. Students MUST have an active
program status to be considered for the program. Applications may be activated by distance
provided the applicant sends an email by the deadline to [email protected] in which a request is
made to activate the Application along with a copy of a photo ID. Whether applications are
activated in person or by distance, applicants are responsible for reading and understanding the
packet contents and meeting requirements.
To avoid disappointment, do not wait until the deadline date to start the Application process. Visit
the CVCC Admissions webpage for hours of operation. Directions and Campus Maps are available
on the CVCC webpage.
2. Official, Sealed High School/High School Equivalency Transcript submitted and received before the
deadline.
Submit an official High School/High School Equivalency transcript in a sealed envelope issued from
the school, electronically through a 3rd party vendor to [email protected] or by postal mail. Plan
accordingly to ensure transcripts arrive by the deadline. Information on how to request transcripts
may be found at the How to Request Official Transcripts webpage.
3. All Official, Sealed College Transcripts from all originating institutions, submitted and received
before the deadline.
Submit ALL official college transcripts from EVERY school ever attended (except CVCC) in a sealed
envelope issued from the school, electronically through a 3rd party vendor (Parchment, ScriptSafe
etc.) to [email protected] or by postal mail. Plan accordingly to ensure transcripts arrive by the
deadline. Information on how to request transcripts may be found at the How to Request Official
Transcripts webpage.
Applicants are encouraged, but not required at time of application, to bring official, sealed
transcripts or unofficial transcripts. Plan accordingly as ALL official transcripts must be received by the
deadline in order to be considered for the program
Page 5 of 16
Minimum Admission Requirements (MARs) Explained
4. Meet Required CVCC Grade Point Average (GPA).
• Students previously enrolled, or currently enrolled at CVCC, must have a minimum
cumulative GPA of 3.00 on all CVCC coursework.
• Applicants who have not attended CVCC but have completed at least 6 curriculum
course credit hours at another regionally accredited college or university and earned at
least a cumulative GPA of 3.00 or better may use that GPA.
5. Complete Shadowing Requirement.
ALL dental hygiene applicants must “shadow” a licensed Dental Hygienist (not the dentist) for at least
12 hours: a minimum of 4 hours per day on 3 separate days or a minimum of 6 hours per day on 2
separate days. Shadowing must have occurred within the past 2 years to be considered (February 1,
2019 through February 1, 2021). Contact the Director of the Dental Hygiene Department for
Shadowing questions.
Use the Dental Hygiene – Applicant Shadowing Documentation in this packet. Submit the completed
Shadowing Documentation with the MAR Checklist to [email protected] before the deadline.
Documents emailed to any address other than [email protected] will not be considered.
6. Complete these required general education courses with a minimum grade of “C” for each course:
BIO 163 – Basic Anatomy & Physiology (BIO
168 & 169 or BIO 165 & 166 will substitute for
BIO 163.
Note: A student must complete both courses
in a sequence with a “C” OR higher to allow
substitution)
CHM 130* & CHM 130A* – Gen., Org. &
Biochemistry
*NOTE: The only substitution for CHM 130/130A is
CHM 131, 131A and CHM 132 – ALL 3 COURSES.
BIO 175 – General Microbiology (or BIO 275 –
Microbiology)
COM 110 – Introduction to Communication
(COM 120 or COM 231 will substitute for COM
110)
ENG 111 – Writing and Inquiry PSY 150 – General Psychology
ENG 112 – Writing/Research in the Disciplines
or ENG 114 – Prof Research & Reporting
HUM/FA Elective - Options listed in the CVCC
Catalog
IMPORTANT NOTE: Substitution information is provided as a general guideline. Substitution courses are
subject to change without notice.
Page 6 of 16
Minimum Admission Requirements (MARs) Explained
7. Complete the TEAS Exam.
• Every applicant must take the TEAS or provide TEAS scores from ATI (www.atitesting.com)
before the deadline.
• The TEAS test is given by appointment only. Applicants may schedule a test date online
through the Testing Center webpage. The TEAS exam fee is paid through the CVCC
Business Office. The Business Office will provide a receipt of payment. The receipt of
payment will be taken to the CVCC Testing Center on the test date. Testing will not be
allowed without the receipt. Photo ID is required to take the TEAS Exam. Please contact
the Business Office at (828) 327-7000 for additional questions.
• If the applicant tests at CVCC, the TEAS scores are automatically recorded in the
applicant’s record. If the applicant tests off-site, scores must be sent to CVCC directly from
ATI; these scores must be received at CVCC by the deadline. Regardless of test site, TEAS
scores are valid for three (3) years.
• There is no limit placed on the number of times an applicant can take the TEAS exam. The
highest score within three (3) years will be used. Applicants may test only once per day.
• An ATI TEAS Study Guide is available for purchase in the CVCC Campus Store or may be
purchased online at www.atitesting.com.
8. Submit the completed MAR Checklist before the deadline.
• From the applicant’s CVCC email account (activated after the visit/email request to activate
in Student Services), email a scanned copy or cell phone photo of the completed MAR
Checklist to [email protected]. The MAR Checklist must be entirely readable with the
student’s name and CVCC ID#. MAR Checklists are not accepted after the published
deadline; applicants should make note of the deadline date published in the packet and on
the MAR Checklist.
• All documents must be emailed by the published deadline to [email protected].
Documents emailed to any other CVCC email address are not considered.
Page 7 of 16
COMPETITIVE SELECTION AND RANKING
The following criteria will be used to evaluate and select the best-qualified applicants from those who
completed all Minimum Admission Requirements (MAR) by the deadline. Those applicants receiving the highest
number of points will be admitted to the program until the class is filled. The number of students accepted each
year can vary. The Dental Hygiene program plans to accept 20 students each fall.
(a.) Assignment of points for all prerequisite General Education Courses in the DH Program
BIO 163 – Basic Anatomy & Physiology (BIO
168 & 169 or BIO 165 & 166 will substitute for
BIO 163. Note: A student must complete both
courses in a sequence with a “C” of higher in
each course to allow substitution.)
CHM 130 & CHM 130A – Gen., Org. &
Biochemistry
NOTE: The only substitution for CHM 130/130A
is CHM 131, 131A and CHM 132 - all 3 courses)
BIO 175 – General Microbiology (or BIO 275 –
Microbiology)
COM 110 – Introduction to Communication (COM
120 or COM 231 will substitute for COM 110)
ENG 111 – Writing and Inquiry PSY 150 – General Psychology
ENG 112 – Writing/Research in the Disciplines
or ENG 114 – Prof Research & Reporting
HUM/FA Elective - Options listed in the CVCC
Catalog
(b.) Points for the applicant’s cumulative GPA. The applicant’s unweighted cumulative high school GPA
may be used. The applicant must have graduated from high school January 1, 2018 or later. Applicants in
their senior year of high school at the time of application will be required to submit a partial high school
transcript and the cumulative unweighted GPA at the time of the deadline will be used. Applicants who
have graduated from high school within the specified timeframe will use either the unweighted HS GPA or
the cumulative GPA at CVCC, whichever is higher. Transfer students bringing in 6 or more transfer credits
from a regionally accredited college or university may use that college’s GPA, CVCC’s GPA, or the
unweighted HS GPA. The highest cumulative GPA total will be used. There will not be any GPA combinations.
Only the highest single source cumulative GPA will be used.
(c.) Applicants who graduated with a diploma from a CODA accredited Dental Assisting Program
will earn extra points provided the school was CODA accredited at the time of applicant’s
graduation. Visit www.danb.org for a list of accredited schools. Transcripts showing coursework
and graduation date from the program must be provided and received by the published deadline date.
• Applicants who are a DA II in NC and who have worked full time for one year as a chairside
assistant will earn extra points in the competitive admission process. Refer to the “Dental
Hygiene – Information for Dental Assistant II Documentation” information in this packet for
specifics. Submit both the “DA II Documentation Form” and the “Applicant Work Experience
Documentation” Form. Applicants are responsible for ensuring ALL relevant documentation is
submitted to [email protected] by the published deadline. Documents emailed to any
other CVCC email address are not considered.
(d.) Applicants will be awarded points according to their score on the TEAS exam. There is no limit on
the number of times an applicant may take the TEAS test, but applicants may test only once per day. Official
test scores sent electronically by ATI must be received by the published deadline to be considered. Scores
within the last three (3) years will be considered and the highest total score will be used.
Page 8 of 16
Dental Hygiene - Technical Standards
Catawba Valley Community College does not discriminate against qualified individuals with disabilities
and will attempt to provide reasonable accommodations as required by law. The following activities
are examples of the kind of activities which a student in the Dental Hygiene program will be required
to perform in order to successfully complete the program. If an accepted applicant believes that
he/she cannot meet one of more of the standards without accommodations, the applicant should
consult the counselor of the program for student with disabilities.
Issue Standard Example
Occupational
Exposure
The dental hygiene student may
be exposed to communicable
diseases, body fluids, toxic
substances, latex and medicinal
preparations.
Students shall use appropriate
precautions at all times.
Provide care, using standard precaution, for a
client/patient with a communicable disease.
Communication
Skills
Written, verbal & auditory
communication skills to permit
effective interaction with others.
Communicate with staff members, patients
and other students while wearing high
filtration masks. Ascertain medical/dental
history information. Monitor patient needs
during treatment. Provide individualized
homecare instructions.
Visual
Visual acuity sufficient to read
medical information and assess
dental conditions.
Annotate chart entries on paper and/or
computerized medical records. Assess
intraoral conditions. Interpret dental
radiographs.
Mobility Sufficient mobility to maneuver in
small areas.
Access patient within confines of dental
operatory and radiographic room, which
involves a variety of sitting and; standing
positions, including bending, twisting and
reaching. Access darkroom for development
of radiographs.
Motor Skills
Fine and gross motor skills
sufficient to perform complex
psychomotor tasks
Exploring and scaling teeth with small
diameter instruments. Manipulating power-
driven instruments. Placing dental
radiographs.
Cognitive/Critical
Thinking
Cognitive ability sufficient to
recognize deviations from
normal, co-diagnose, and plan
treatment.
Respond quickly and appropriately to
medical emergencies. Utilize assessment
information to identify pathology,
individualize treatment, and suggest referral
when necessary.
Please note: Examples are not all inclusive.
If you have a disability and need accommodations, please contact the Counselor/Students with
Disabilities Program at least 72 hours in advance at (828) 327-7000, ext. 4222
Page 9 of 16
DENTAL HYGIENE – Estimated Additional Program Costs
General Fees Estimated Cost
Supplies $300.00
(Based on usage: face shields, disposable barrier jackets, etc.)
Malpractice Insurance $27.50 per year – payable each Fall Semester
Student Hygiene Assoc. Dues $160.00 per year
(Mandatory membership)
Instrument Kit & clinical supplies $2500.00
(The majority of instruments will be purchased during 1st semester.)
Dentoform $288.00
CastleBranch $40.00
Anatomically Shaped Teeth $77.00
Required Uniform Estimated Cost
Scrub Tops & Pants & $300.00
White Leather Shoes
Other Costs Estimated Cost
Hepatitis Vaccine/Titer up to $300.00
Physical Exam $200.00
Pinning Ceremony/Class Dues To Be Determined
(Based on student planning and fund raising)
Licensure Costs Estimated Cost
National Board Exam $400.00
CITA Examination $1500.00
NC License Fee $75.00
(Plus travel & other patient expenses)
Please Note:
• These cost estimates are in addition to the costs any student attending CVCC will incur
each semester, such as tuition, activity fees, accident insurance, books, and class
supplies such as pens, paper, etc.
• Students applying for graduation will pay diploma fees.
• Estimates for these costs may be found in the CVCC Catalog (http://www.cvcc.edu).
Page 10 of 16
DENTAL HYGIENE - Course Sequence
IMPORTANT NOTE: It is a student’s responsibility, whether enrolled at CVCC or elsewhere, to monitor program information for changes in curriculum/requirements on a semester by semester basis.
PRE-REQUISITES1: (Pre-requisites must be completed by the end of the fall semester prior to the year you wish to enter Dental Hygiene. Below is a suggested course sequence when working on pre-requisites.)
FIRST SEMESTER Class Lab Clinic Credit BIO 163 Basic Anatomy and Physiology 4 2 0 5 CHM 130 General, Organic & Biochemistry 3 0 0 3 CHM 130A General, Organic & Biochemistry Lab 0 2 0 1 ENG 111 Writing and Inquiry 3 0 0 3 PSY 150 General Psychology 3 0 0 3 Total Credit Hours 15 SECOND SEMESTER Class Lab Clinic Credit BIO 175 General Microbiology 2 2 0 3 OR BIO 275 Microbiology 3 3 0 4 COM 110 Intro to Communication 3 0 0 3 ENG 112 Writing/Research in the Disciplines 3 0 0 3 OR ENG 114 Prof Research & Reporting 3 0 0 3 Humanities/Fine Arts Elective 3 0 0 3 Total Credit Hours 12/13 FIRST YEAR2: (After acceptance into the Dental Hygiene program) FALL SEMESTER Class Lab Clinic Credit DEN 110 Orofacial Anatomy 2 2 0 3 DEN 111 Infection/Hazard Control 2 0 0 2 DEN 120 DH Preclinic lecture 2 0 0 2 DEN 121 DH Preclinic Lab 0 6 0 2 Total Credit Hours 9 SPRING SEMESTER Class Lab Clinic Credit DEN 112 Dental Radiography 2 3 0 3 DEN 222 General & Oral Pathology 2 0 0 2 DEN 130 DH Theory I 2 0 0 2 DEN 131 DH Clinic I 0 0 9 3 DEN 124 Periodontology 2 0 0 2 Total Credit Hours 12 SUMMER SEMESTER Class Lab Clinic Credit DEN 123 Nutrition/Dental Health 2 0 0 2 DEN 140 DH Theory II 1 0 0 1 DEN 141 DH Clinic II 0 0 6 2 MED 118 Medical Law and Ethics 2 0 0 2 Total Credit Hours 5
Page 11 of 16
SECOND YEAR2: FALL SEMESTER Class Lab Clinic Credit DEN 220 DH Theory III 2 0 0 2 DEN 221 DH Clinic III 0 0 12 4 DEN 223 Dental Pharmacology 2 0 0 2 DEN 232 Community Dental Health 2 0 3 3 Total Credit Hours 11 SPRING SEMESTER Class Lab Clinic Credit DEN 224 Materials and Procedures 1 3 0 2 DEN 230 DH Theory IV 1 0 0 1 DEN 231 DH Clinic IV 0 0 12 4 DEN 233 Professional Development 2 0 0 2 Total Credit Hours 9 Total Hours Required for Graduation: 76 1 These courses may be taken in any sequence or combination provided that the pre-requisites of each are met. 2 These courses must be taken in this specific sequence.
Page 12 of 16
DENTAL HYGIENE – Applicant Shadowing Documentation
Submission Deadline: February 1, 2021 by 11:59pm EST
Applicant: ___________________________________________ CVCC ID# ______________________
ALL dental hygiene applicants must “shadow” a licensed Dental Hygienist (not the dentist) for at least 12 hours:
a minimum of 4 hours per day on 3 separate days or a minimum of 6 hours per day on 2 separate days.
Contact the Director of the Dental Hygiene Department for Shadowing questions.
Contact any dental professional to arrange shadowing. Shadowing documentation will be valid for two (2)
years (February 1, 2019 through February 1, 2021) but must be submitted each year of application to the
program.
Dental Hygienist Certification
This certifies that the above named applicant completed______ hours of shadowing on ___________________.
Name: _______________________________________ NC License #: _______________________________
Address: _________________________________________ Telephone:______________________________
Signature: ____________________________________________________ Date: _______________________
This certifies that the above named applicant completed ______ hours of shadowing on _________________.
Name: _______________________________________ NC License #: _______________________________
Address: _________________________________________ Telephone:______________________________
Signature: ____________________________________________________ Date: _______________________
This certifies that the above named applicant completed ______ hours of shadowing on _________________.
Name: _______________________________________ NC License #: _______________________________
Address: _________________________________________ Telephone:______________________________
Signature: ____________________________________________________ Date: _______________________
Applicant: Scan (or take a cell phone photo) of this form and email it to [email protected] before
the published deadline. Documents emailed to any address other than [email protected] will not
be considered. Applicants are responsible for ensuring all documentation is submitted as directed in
the packet and by the deadline.
Page 13 of 16
Dental Hygiene – Information for Dental Assistant II Documentation
Submission Deadline: February 1, 2021 at 11:59pm EST
Applicants who are a Dental Assistant II (DA II) in NC will earn extra points in the competitive
admission process. The Applicant (and Dentist, where specified) must complete the
documentation outlined below to confirm the Applicant’s DA II status. Applicants are
responsible for ensuring all documentation is submitted as directed by the packet and by the
deadline.
There are two ways an Applicant may provide documentation for DA II status:
1.) Applicants who successfully completed an ADA CODA accredited Dental Assisting
Program must submit BOTH of the following documents:
a. The official transcript from the ADA CODA accredited Dental Assisting program
must be submitted to CVCC (electronically through a 3rd party vendor or sent in
postal mail from the issuing school to CVCC.); AND
b. Complete Section A of the “Dental Hygiene – DA II Documentation Form” and
email to [email protected].
OR
2. Applicants who did not graduate from an ADA CODA accredited Dental Assisting
Program must provide evidence of ALL four of the following items:
a. Complete Section B of the “Dental Hygiene – DA II Documentation Form” to provide
evidence of full-time employment and experience as a chairside assistant for two
years (3000 hours) within the past 5 years. The Applicant and the Dentist must
complete the form. Applicants may submit the form to [email protected].
b. A 3-hour course in sterilization and infection control;
Submit Certificate (scan and email to [email protected])
c. A 3- hour course in dental office emergencies;
Submit Certificate (scan and email to [email protected])
d. Radiology Training consistent with G.S. 90-29(s)(12)
Submit Certificate (Scan and email to [email protected])
Page 14 of 16
Dental Hygiene – DA II Documentation Form
Submission Deadline: February 1, 2021 by 11:59pm EST
All required documentation must be submitted by the published deadline. The applicant
must scan and email this form to [email protected]. Late submissions, or those emailed
to any address other than [email protected], are not considered.
Applicants may need to copy this form if full time employment and experience as a
chairside assistant for 2 years occurred at multiple dental practices. Applicants are
responsible for ensuring all documentation is submitted as directed by the packet and by the
deadline.
Section A: Complete this section to document completion of a Dental Assisting program:
Applicant: ____________________________________ CVCC ID # _____________________
Name of ADA CODA Accredited Dental Assisting School:
________________________________________________________________________________
OR
Section B: Complete this section to document full time employment and experience as a
chairside assistant for two years:
Applicant: ____________________________________ CVCC ID # _____________________
Name of Dental Practice: _______________________________________________________
Address of Dental Practice (s): ___________________________________________________
City, State, Zip: __________________________________________________________________
Phone Number of Dental Practice: _______________________________________________
Dates of Employment at the practice: ____________________________________________
To be completed by the Dentist: I, _____________________________________________, attest that the Dental Hygiene applicant,
(Print Dentist’s Name)
_______________________________________________, has worked as a chairside assistant for
(Print Applicant’s Name)
_______________________________________________.
(How long employed, specify months and years)
Dentist Signature: ______________________________ Date: __________________
Page 15 of 16
DENTAL HYGIENE – Applicant Work Experience Documentation
Submission Deadline: February 1, 2021 by 11:59pm EST
Applicants who have worked full time for one year as a D.A. II will earn extra points in the
competitive program admission process. The Applicant and the Dentist must complete this
documentation and the Applicant is responsible for submitting it. Applicants may need to
copy this document if work experience occurred in multiple dental practices.
To be completed by the Applicant:
Applicant: ________________________________________ CVCC ID# ___________________
Name of DA School: ____________________________________________________________
Name of Dental Practice(s): _____________________________________________________
Address: ________________________________________________________________________
City, State, Zip: __________________________________________________________________
Dates of Employment at the practice: ___________________________________________
To be completed by the Dentist:
To the best of my knowledge, the applicant has provided accurate information regarding
employment in this practice.
Printed name: _________________________________________________
Signature: _____________________________________________________
License#: ______________________________________________________
Date: __________________________________________________________
This form must be received at CVCC by the published deadline. Please scan and email to
[email protected]. Late submissions, or those emailed to any address other than
[email protected], are not considered. Applicants bear responsibility for ensuring ALL
documentation is received before the published deadline as directed by the packet.
Page 16 of 16
Fall 2021 Dental Hygiene
Pre-Admission Coursework Guide
The information provided below is for planning purposes only. Admission and curriculum
requirements are subject to change without notice, particularly course substitutions.
Students who have not completed all items on the MAR Checklist are not considered for
admission to the program. It is a student’s responsibility, whether enrolled at CVCC or
elsewhere, to monitor program requirements each semester.
These courses, which require a minimum grade of “C” or better in each course/lab,
meet minimum requirements for program consideration. The following courses must be
completed by the deadline:
BIO 163 – Basic Anatomy & Physiology (5 credit hours)
OR BIO 168 (4cr hr) and BIO 169 (4 cr hr) - both courses in the sequence
OR BIO 165 (4 cr hr) and BIO 166 (4 cr hr) – both courses in the sequence
BIO 175 – General Microbiology (3 credit hours)
OR
BIO 275 – Microbiology (4 credit hours)
CHM 130 & 130A – Gen., Org. & Biochemistry (4 credit hours)
COM 110 – Introduction to Communication (3 credit hours)
OR
COM 120 (3 cr hr) OR COM 231(3 cr hr)
ENG 111 – Writing and Inquiry (3 credit hours)
ENG 112 – Writing/Research in the Disciplines (3 credit hours)
OR
ENG 114 – Professional Research and Reporting (3 credit hours)
Humanities/Fine Arts Elective (3 credit hours)
PSY 150 – General Psychology (3 credit hours)
