SC Dental Hygiene Application

Application Materials
  1. I am applying for the Fall Semester of (Year)
  2. I will complete my prerequisite courses by May of this year
  3. Return all application materials to: Sheridan College Dental Hygiene Program PO Box 1500 Sheridan, WY 82801 All application materials must be received postmarked by the application deadline of February 15 in order for the application to be considered. The Dental Hygiene class size is limited to 24 students. If selected, a $250 deposit is required to hold your place in the class. If you resign your position, you will forfeit this deposit. This deposit will be applied to the purchase of required dental hygiene books, instruments, and other program fees.
Full Name
  1. (required)
  2. (required)
Additional Information
  1. Have you been convicted of a high misdemeanor, felony, or have a pending criminal investigation against you for felony charges?
Contact Information
  1. Current Address
  2. (required)
  3. (required)
  4. (required)
  5. (required)
  6. Permanent Address
  7. (valid email required)
  8. By clicking the 'submit' button, I declare under penalty of perjury that the information furnished in this application is, to the best of my knowledge and belief, true, correct, and complete.
    Northern Wyoming Community College District (Sheridan College, Gillette College, and outreach programs in Buffalo, Kaycee and Wright) and the Wyoming Department of Education do not discriminate on the basis of race, color, national origin, sex, age or disability in admission or access to, or treatment or employment in, its educational programs or activities. Inquiries concerning Title VI, Title IX, Section 504 and ADA may be referred to the Vice President of Administration, NWCCD, P.O. Box 1500, Sheridan, WY 82801 (307)674-6446, or the Wyoming Department of Education, Office for Civil Rights Coordinator, 2nd Floor, Hathaway Building, Cheyenne, WY 82002-0050,(307)777-6218.