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Department of Dental Hygiene310 N. Riverpoint Blvd. Box E.Spokane, WA 99202-1677Dear Dental Hygiene Applicant:We are pleased you expressed interest in the Dental Hygiene Program at Eastern Washington University.In order to be considered for the 2020-2022 cohort, you must apply to Eastern Washington Universityand indicate Dental Hygiene as your major, complete the enclosed application packet and submit all therequired documentation in PDF format to the department by February 3, 2020. Failure to include allrequired documents will affect consideration for the program. Your completed application packetshould include the following documentation:Student Cover ChecklistApplication for AdmissionsWork or Volunteer or Observation FormDental Hygiene Prerequisite Completion WorksheetDental Hygiene Course Work ChecklistResumeOfficial Transcripts sent to EWU Undergraduate AdmissionsTo insure consideration for the Dental Hygiene Program at Eastern Washington University, applicationpackets must be submitted to the Department by February 3, 2020 at 3pm. It is the student’sresponsibility to make sure all documents are completed. Please submit the completed packet to:dentalhygiene@ewu.eduThank you for considering Eastern Washington University’s Dental Hygiene Program. If you have anyquestions or concerns about the application process, feel free to contact the Program Specialist atdentalhygiene@ewu.edu.Sincerely,Lisa Bilich RDH, MSEdDepartment ChairProfessor of Dental Hygiene
Eastern Washington University Dental HygieneApplication Requirements1. Attend a Dental Hygiene Information Session (Required).a. el-bachelor-of-science/2. Apply to Eastern Washington University in December 2019. Submit official transcripts with the mostcurrent fall quarter/semester of college or university coursework. Pay the 60.00 application fee.**Current EWU Students do not need to apply to EWU or send transcripts.To apply: https://www.ewu.edu/apply/ and select ‘transfer’3. Pay the 50.00 Dental Hygiene application fee by February 3, 2020.4. Email the receipt from the 50.00 application fee to: dentalhygiene@ewu.edu - Upon verification ofthis payment, instructions for taking the Health Science Reasoning Test (HSRT) are sent to you.5. Take the Health Science Reasoning Test (HSRT). Deadline for completing the HSRT is February 4,2020. HSRT exam is not proctored. Take it anywhere there is a strong internet connection. Only 1attempt is allowed.6. Complete the Dental Hygiene Program Application. Note transcript requests from ALL colleges /universities attended on the application. Transcripts must include grades through fall quarter /semester 2019. Resume and documentation of observation hours or volunteer hours or dental officeemployment included. Application has been signed and dated (electronic signature encouraged).7. Review application and documents for completion. Handwritten, incomplete or applications receivedafter the deadline will not be considered.8. E-Mail completed application packet to: dentalhygiene@ewu.edua. Applications will only be accepted in PDF format and will be returned if not submitted in thecorrect format or are missing documents.Things to Remember**Inform Dental Hygiene Program Specialist immediately if email address used on dental hygiene applicationhas changed.**Check email address used on dental hygiene application for letter regarding application status. Letters willbe emailed on or after March 16th, 2020.
EWU Dental Hygiene Program Fall 2020 Application Cover ChecklistApplicant Name:Date:Attend a Dental Hygiene Information Session prior to February 3, 2020.Date AttendedApply to Eastern Washington University in December 2019. Select Fall 2020. (Select Summer if you need to attend EWU for prerequisite completion).Pay 60.00 EWU Application Fee.Submit ALL college / university official transcripts to EWU Admissions. Transcripts must include gradesthrough fall quarter / semester 2019. Transcripts can be sent electronically or directly to the EWUAdmissions Office:Undergraduate Admissions304 Sutton HallCheney, WA 99004Pay the 50.00 Dental Hygiene Application Fee through EWU CashNet Link no later than February 3,2020. This fee is non-refundable. code SPO-DENTSPO(If link opens to an error page, copy and paste the web link in the website browser)Email receipt for 50.00 DH Application Fee to: dentalhygiene@ewu.edu no later than February 3,2020 at 3:00 p.m.Complete the HSRT exam no later than February 4, 2020 by 3pm (instructions will be sent bydentalhygiene@ewu.edu after receipt for 50.00 DH application fee has been received)Complete EWU Dental Hygiene Application.E-Mail completed EWU Dental Hygiene Application and supporting documents in PDF format by 3pmon February 3, 2020 to dentalhygiene@ewu.edu.**Applications will not be accepted before December 18, 2019.**
APPLICATION FOR ADMISSION TO THE DENTAL HYGIENE PROGRAMCOLLEGE OF HEALTH SCIENCE AND PUBLIC HEALTHEASTERN WASHINGTON UNIVERSITYPlease type and answer all questions completely and accurately.GENERAL INFORMATIONDate of applicationEWU Student ID Number (required)Legal NameFormer Name (if applicable)Current mailing addressStreetCityStateZipPermanent address(if different)StreetCityStateZipPrimary phone numberSecondary phone number (if applicable)EWU Email address:Email address:Have you applied to the EWU Dental Hygiene program before?YesNoIf yes, what year(s) did you apply:Have you been enrolled or dismissed from a dental hygiene program in the U.S.? YesIf yes, which program:No
COLLEGE OR OTHER POST-HIGH SCHOOL INSTITUTION ATTENDED OR CURRENTLY ATTENDING:Complete name of transferable associate degree (including “option”), if applicable.Name of College(City & State)DatesAttended(MM/YYYY toMM/YYYY)Degree(s) Earned orSeekingDate DegreeAwarded or ExpectedGraduationDateTranscriptRequested*Please send official copies of transcripts from all colleges attended. Current EWU students do not need to submittranscripts. Official transcripts must be sent to Registrar’s Office.
DENTAL HYGIENE PREREQUISITE and EWU Graduation Requirement COMPLETION WORKSHEET: Please list thecourses that you are currently taking and plan to take to complete general education and pre-dental hygienerequirements during your final year of prerequisite coursework. If your school is on the semester system, pleaseindicate below:Winter 2020Name of School:Officialdept. names, course numberscourse title, credits:(Ex: ENGL 101, 5 Spring 2020Name of School:Officialdept. names, course numberscourse title, credits:(Ex: ENGL 101, 5 --Summer 2020Name of School:Officialdept. names, course numberscourse title, credits:(Ex: ENGL 101, 5 cr.)
DENTAL HYGIENE ADMISSIONS COURSE WORK CHECKLISTInstructions: Please provide all information neatly and accurately. All sciences must have been taken with 5 years of thedate of application.1. COURSES COMPLETED OR IN PROGRESS NOW. 2 SCIENCE REPEATS ARE ALLOWED.If any sciences have been repeated, please indicate which course you want considered.REQUIREDCourse Nameand NumberQtr/Semcompleted orIn progressName of Collegeor UniversityCourseGradeQtr/Semcompleted orin progressName of Collegeor UniversityCourseGradeHas coursebeenrepeated?Inorganic Chemistry(Ex: CHEM 161)(Ex: CHEM &121 if at CC)Organic Chemistry(Ex: CHEM 162)(Ex: CHEM &122 or &131 if atCC)Anatomy & Physiology I(Ex: BIOL 232)(Ex: BIOL &160 if at CC)Anatomy & Physiology II(Ex: BIOL 233)(Ex: BIOL &241 if at CC)Nutrition(Ex: FNDT 356)(Ex: NUTRI251 or NUTR &101 ifat CC)2. COURSES COMPLETED OR PLANNED SOON:REQUIREDCourse Nameand NumberAnatomy & Physiology III(Ex: BIOL 234)(Ex: BIOL &242 if at CC)Microbiology(Ex: BIOL 235)(Ex: BIOL &260 if at CC)Biochemistry(Ex: CHEM 163)(Ex: CHEM &123 if at CC)Interpersonal Communication(NOT public speaking)(Ex: CMST 210)English(Ex: ENGL 201)Psychology(Ex: PSYC 100)Sociology(Ex: SOCI 101)I certify the information submitted in this application is complete and accurate to the best of my knowledge. I grant the department ofdental hygiene permission, if necessary, to request additional information from previous schools concerning my academic and conductrecord. I understand that failure to complete all EWU Breadth Area Core Requirements, Math, English, Humanities, Social Sciences, andGlobal Studies, Diversity, and dental hygiene prerequisites prior to the fall 2020 entry into the program will result in my acceptance beingrescinded.Signature: Date:Print Name:
EMPLOYMENT or VOLUNTEER or OBSERVATION FORMOne of the following three options is required for applicant eligibility for Fall 2021.Please use my previous Employment, Volunteer, Observation hours from my previous application.1. DENTAL OFFICE EMPLOYMENT VERIFICATION:(20 hours minimum of paid employment)INCLUSIVE DATES OF EMPLOYMENT:EMPLOYER’S NAME:ADDRESS:CITY: STATE: ZIP: PHONE:JOB DESCRIPTION:EMPLOYER’S SIGNATURE:2. DENTAL OFFICE VOLUNTEER EXPERIENCE VERIFICATION:(20 hours minimum of volunteer work in dental setting(s))TOTAL HOURS AT SETTING #1:SUPERVISOR’S NAME AT SETTING #1:ADDRESS:CITY: STATE: ZIP: PHONE:VOLUNTEER ACTIVITIES:SUPERVISOR’S SIGNATURE:TOTAL HOURS AT SETTING #2:SUPERVISOR’S NAME AT SETTING #2:ADDRESS:CITY: STATE: ZIP: PHONE:VOLUNTEER ACTIVITIES:SUPERVISOR’S SIGNATURE:NOTE: The employers listed above may be contacted for verification.
3. OBSERVATION OF DENTAL HYGIENISTS IN PRACTICE: The dental hygiene department admissionscommittee requires that each student applicant without significant dental office work or volunteerexperience in dental settings (see sections 1 & 2 above for descriptions) observe dental hygienists in practice.Observing dentists in practice, while a worthwhile activity, does not meet this requirement.Applicants with significant dental office work or volunteer experience in dental settings (offices or clinics) arenot required to meet this requirement.The observation experience (for applicants without experience) must be a minimum of 20 hours in one ormore settings (offices or clinics).We encourage applicants (whether they have significant dental backgrounds or not) to observe at the EWUdental hygiene clinic, if possible. An appointment should be made with the front office staff during fall orspring semester (509) 828-1300. Professional dress is requested.**Information on this form can be handwritten.**DATE OFVISITNO. OFHOURSACTIVITIESOBSERVEDHYGIENIST’S SIGNATURE,OFFICE ADDRESS, AND PHONE#NOTE: The hygienists listed above may be contacted for verification.
To insure consideration for the Dental Hygiene Program at Eastern Washington University, application packets must be submitted to the Department by February 3, 2020 at 3pm. It is the student’s . after the deadline will not be considered. 8. E-Mail completed application packet to: dent
