Midwestern University College of Dental Medicine – Illinois

Reference only — confirm prompts and deadlines on the school site. Official admissions page

1. 1

   If applicable

   Have you ever applied or been accepted to any health profession program, or enrolled and then withdrew or were dismissed?

2. 2

   If applicable

   For any grades lower than C-minus, please provide an explanation.

3. 3

   If applicable

   If applicable, discuss other responsibilities or employment concurrent with undergraduate coursework.

4. 4

   Optional

   Have you been in a paid position for greater than 250 hours as a dental hygienist, assistant, or other dental auxiliary?

5. 5

   If applicable

   Have you ever been subject to revocation or suspension of a professional license, or been censured, reprimanded, or placed on probation?