Dental Hygiene Program Information/Application Packet

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Introduction: Information/Application Packet The MSSU provides basic education and experience, to prepare graduates for licensure as dental hygienists. Each fall semester a class of 30 students will begin the two-year program. Students generally have classes five days per week. General Description: Dental hygienists are licensed, preventive oral health care professionals who provide educational, clinical and therapeutic services to the public in a variety of settings. As a member of the dental healthcare team, the dental hygienist promotes and maintains oral wellness through such services as oral health assessments, taking radiographs, dental health education, non-surgical periodontal therapy, removal of deposits and stains from the teeth, and application of dental sealants and fluorides. Admission Requirements: Complete all prerequisite courses with grade C or better by the end of the spring semester of the year in which you are applying. If a passing grade is not achieved after two attempts in any program prerequisite course, an applicant will not be considered for the program. o COMM 100: Oral Communications o ENG 101: College Composition (WI) o MATH 030: Intermediate Algebra (or higher) o BIO 121: Human Anatomy & Physiology I o BIO 221: Human Anatomy & Physiology II o BIO 231: General & Medical Microbiology o CHEM 120: Chemistry for Allied Health Sciences o MSSU course numbers Minimum GPA 2.75 Submission of the Dental Hygiene Application prior to the deadline of January 31 st. For transfer students, please refer to the link below for assistance in identifying how courses from selected colleges will transfer to MSSU. http://www.mssu.edu/registrar/transfer-guides Application to MSSU, and the MSSU dental hygiene program requires a TWO STEP process.

STEP ONE: PRIOR TO APPLYING TO THE MSSU DENTAL HYGIENE PROGRAM 1. Apply for Admissions to MSSU available online or on campus. 2. Must have been accepted to MSSU, and all official transcripts from every college and/or university attended on file with the MSSU admission/registrar s office. 3. One meeting with an MSSU dental hygiene faculty advisor. (Contact Mrs. Grimsley to set up an appointment; 417-625-9709) STEP TWO: DENTAL HYGIENE APPLICATION INSTRUCTIONS THE FOLLOWING DOCUMENTATION IS REQUIRED AND MUST BE INCLUDED WITH THE DENTAL HYGIENE APPLICATION: 1. Completed dental hygiene program application 2. Unofficial transcripts from every college and/or university attended. 3. A 250-WORD ESSAY: How does the profession of dental hygiene impact today s society? FORMAT: Times New Roman, 12 point font, double spaced, 1 inch margins. 4. A schedule of courses in which you are enrolled for the spring semester 5. Shadowing form confirming 40 hours of documented shadowing of at least TWO practicing dental hygienists at work (must be less than 6 months prior to submission of application), or 2 years documented experience as a Dental Assistant in an office that employs dental hygienist(s). Submit ONLY required information.

Application to MSSU (Part of Step two) NAME: (Last) (First) (Middle) (Maiden) ADDRESS: (Street) (City) (State) (Zip Code) Telephone Cell phone Other phone MSSU Student ID # Personal E-mail Address MSSU E-mail Address MSSU Admission Status: Application Submitted Application HAS NOT been submitted (Check Appropriate Status) Accepted for Admission Currently Enrolled Formerly Enrolled I. Have you ever been dismissed from any school or college for any reason? Yes No If yes, explain II. Have you previously enrolled in another dental hygiene program? Yes No a. If yes, please specify at what institution(s) b. Did you graduate from this dental hygiene program? Yes No c. IF no, are you eligible to return to the dental hygiene program you that you did not complete? Yes No Not sure III. Have you ever been convicted of a felony? Yes No I certify that the information provided in this application is correct to the best of my knowledge. I understand that I will not be considered for admission to the dental program until I have been accepted to Missouri Southern State University. (Signature) (Date) It is the responsibility of the applicant to update any information that may change after submission of the application. Minimal effort will be made to contact those who have not notified the office of any changes.

For job shadowing hours to qualify, document must confirm: (Part of step two) 40 hours of shadowing at least TWO Registered Dental Hygienist at work (preferably in two separate dental offices/clinics) be less than 6 months prior to submission of the application OR document 2 years experience as a Dental Assistant. JOB SHADOWING DATE OFFICE/HYGIENIST SHADOWED HOURS RDH SIGNATURE TOTAL HOURS 40 MINIMUM NOTE: Observation of a dentist is commendable, but does not meet requirements and will not be used in the selection process. *Use additional sheets if necessary to document shadowing hours

MAIL Dental Hygiene application and all required information to: MSSU DENTAL HYGIENE PROGRAM 3950 East Newman Road Joplin, MO 64801 We encourage you to mail your application as registered mail with a return receipt and keep copies for your records Receipt of application will be confirmed by e-mail, within 2 weeks. Due to the number of applicants, immediate notification may not be possible. Please be patient. Once the application has been received, if any additional information is required, WE WILL CONTACT YOU.

SELECTION PROCESS: A rubric is used with the following criteria 1. Cumulative college GPA points 2. Prerequisites Science courses points 3. General Education prerequisites courses - points 4. Essay 1 possible points 5. Documentation of 40 hours of Shadowing NOTIFICATION: ALL APPLICANTS will be notified of their status (accepted, provisionally accepted, accepted as an alternate, or not accepted) by mail after all applications have been reviewed, typically by mid-april. APPLICANT ACCEPTANCE OF POSITION OFFERED: Upon notification of being accepted, the student will need to provide: a. A WRITTEN LETTER OF ACCEPTANCE, AND b. $175.00 ORIENTATION FEE (NON-REFUNDABLE) ONCE ACCEPTED: ACCEPTED APPLICANTS WILL BE REQUIRED to attend a MANDATORY two-day orientation on the main campus in Joplin in JUNE, or JULY. STUDENTS ARE REQUIRED TO COMPLETE THE FOLLOWING PRIOR TO ORIENTATION: (Forms will be provided upon notification of admission and MUST be completed and signed by appropriate providers.) 1. A documented satisfactory physical, dental and visual health examination 2. A Complete Blood Count, less than 6 months prior to entering the program 3. The following immunization or titers verifying immunity: a. HEP A and B b. Tuberculin test c. Tetanus/TDAP d. MMRV 4. Proof of Health Insurance 5. Basic Life Support for Health Care Providers 2 year certification, not to expire before mid-june of students 2 nd year in the dental hygiene program 6. Upon receipt and review, a signed copy of the Communicable Disease Policy NOTE: Failure to complete the 6 requirements listed above will result in loss of eligibility for admission to the dental hygiene program. ** A copy of MSSU policy for Blood borne Pathogens & infectious diseases is available for review upon request.