The University of Maine at Augusta
A Member of the University of Maine System
Certificate, DENTAL ASSISTING
( 41 credit hours)


Name: Name Soc Sec #: Social security number Date: Today's date


This checksheet is intended to be informational only.
Students must consult with an academic advisor prior to registration





ADMISSION  REQUIREMENTS
Check this box if these class requirement is complete. High school diploma or equivalent
Check this box if these class requirement is complete. One year of laboratory sciences (preferably biology or chemistry)
Check this box if these class requirement is complete. Successful completion of mathematics courses (Basic Math, General Math, Business Math, Pre-Algebra, Algebra I, Algebra II, Algebra/Trigonometry, Geometry
Check this box if these class requirement is complete. Complete physical examination within three months of entering the program
Check this box if these class requirement is complete. Hepatitis B vaccination series around at least two months prior to the first semester
Check this box if these class requirement is complete. Current certification in Cardiopulmonary Resuscitation (CPR)Place check here if the following course is completed ex. date.
Check this box if these class requirement is complete. Recent tetanus immunization (within five years) Place check here if the following course is completed  date.
Check this box if these class requirement is complete. PPD Place check here if the following course is completed  date.
Check this box if these class requirement is complete. Varicella Zoster Titer Place check here if the following course is completed  date.
You must complete the following as requirements for your minor:
GENERAL EDUCATION REQUIREMENTS
Check this box if these class requirement is complete.  SCIENCE (4 credit hours)
      Place check here if the following course is completed  BIO 100: Human Biology
CERTIFICATE REQUIREMENTS
Check this box if these class requirement is complete.  DENTAL ASSISTING (25 credit hours) 
       Place check here if the following course is completed  DEH 100: Introduction to Dental Assisting
       Place check here if the following course is completed  DEA 101: Chairside Dental Assisting I
       Place check here if the following course is completed  DEA 102: Biodental Sciences I
       Place check here if the following course is completed  DEA 150: Clinical Practice
       Place check here if the following course is completed  DEA 151: Chairside Dental Assisting II
       Place check here if the following course is completed  DEA 152: Dental Office Management
       Place check here if the following course is completed  DEA 153: Dental Health Edcuation
       Place check here if the following course is completed  DEA 154: Biodental Sciences II
Check this box if these class requirement is complete.  DENTAL HYGIENE (7 credit hours)
       Place check here if the following course is completed  DEH 203: Dental Radiology
       Place check here if the following course is completed  DEH 213: Dental Materials
       Place check here if the following course is completed  DEH 217: Dental Materials Lab
 
Check this box if these class requirement is complete.  SOCIAL SCIENCES/COMMUNICATION (6 credit hours)
       Place check here if the following course is completed  PSY 100: Introduction to Psychology
and choose one of the following:
       Place check here if the following course is completed  COM 101: Public Speaking
       Place check here if the following course is completed  COM 102: Interpersonal Communication

Advising Notes

The Dental Assisting Program is accredited by the Commission on Dental Association of the American Dental Association.  This program emphasizes the knowledge and skills required for chairside dental assisting.  It also prepares students with the skills needed to provide clinical support services and perform selected laboratory procedures, as well as basic business office procedures.

Upon graduate, students will be eligible to take the Certification Examination in General Chairside Assisting and Radiation Health and Safety administered by the Dental Assisting National Board.  Successful completion of the examination carries with it the credential of Certified Dental Assistant (CDA) and qualifies the candidate for licensure in Dental Radiography from the Maine Board of Dental Examiners.

 

 
APPROVED TO RECEIVE CERTIFICATE:
 
 
 
 
Enter name for records office and date  Enter college dean's signature and date here
Records Office Date College Dean Date
 
 

Students are encouraged to contact their local Advising Center for academic advising and support services throughout their stay at UMA.

 
 

 
In effect for students admitted to Fall 2002.