The University of Maine at Augusta
A Member of the University of Maine System
Certificate, DENTAL ASSISTING
( 42 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.

In effect for students admitted to Fall 2004




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 firs semester
Check this box if these class requirement is complete.  Current certification in Cardiopulmonary Resuscitation (CPR)_______________ex. date
Check this box if these class requirement is complete.  Recent tetanus immunization (within five years) _________________date
Check this box if these class requirement is complete.  PPD__________________date
Check this box if these class requirement is complete.  Varicella Zoster Titer __________________date

You must complete the following as requirements for your degree:
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 (24 credit hours)
       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 Education
       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 (8 credit hours)
       Place check here if the following course is completed  DEH 100: Introduction to the Dental Health Professions
       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.  COMMUNICATION/PSYCHOLOGY (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 Communications

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 graduation, 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   
Records Office Date
 
 
Students are encouraged to contact their faculty advisor and the Advising Center
for academic advising and support services throughout their stay at UMA.