DA l Registration Application - DAANC Logo
  • Dental Assistant l Registration Application

    A $100 non-refundable application processing fee is required to submit this application
  • How did you learn about DA Academy of NC?   *   
    Please share the name of friend/family member who referred you      

    Select the features that are most important to you in a school:
                               *                  

  • Your Story

  • What got you interested in the Dental Field?
    *   

    Why is right now a good time to go to school and start/change your career?
    *   

    Who would be most proud of you upon graduating from DAANC?
    *

  • Educational Background

  • Students must submit an official or copy of their completed High school, GED, or College transcript. Please provide information the completed transcript that you will be submitting below.

    Type:*   School Name    *   
    Grad Month   * Grad Year   *  
    City   *    State   *           

  • Employment Background

  • Are you currently employed?*
    Place of employment:
    How long have you been employed?      
    Current hourly wage:      
    What is your current work schedule?      

    If unemployed:
    How long have you been unemployed?      
    What challenges are you having in your job search?      
    What other jobs have you had in your past?      
    Will you continue to seek employment while attending school?      

  • Tuition Cost Planning

  • How to you plan to pay for the cost of tuition?   *
    If you are doing a payment plan, select the frequency:   *      

  • Commitment

  • Are there any barriers or fears that you have about returning to school?                     *         Other

    Give three reasons why you are a good fit for DA Academy of NC?

    1. *
    2. *   
    3. *   


    If accepted, will you commit 100% to your studies, complete your program, and graduate from DAANC?      *   

  • Upload Completed Transcript

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  • Payment

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        DA l Registration Application feeApplication fee
        $100.00
          
        CC Processing feeCC processing fee
        $3.50
          
        Total
        $0.00

        Credit Card

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