Start Application

Complete the form below and a school representative will follow up with you.

Student Information

Last Name

First Name

Street Address

City

State

Zip

Cell Phone

Birth Date

Applicant must be 18 years old when starting the class

Desired Start Date of Class

Education & Background

Education Completion Type

Graduation / GED Date (MM/YYYY)

Have you ever been convicted of any felony or drug-related misdemeanor?

NoYes

Criminal History Notice: Certain criminal convictions may delay or prevent Registered Dental Assistant (RDA) registration through the Texas State Board of Dental Examiners. Contact the TSBDE with questions before enrolling.

Licensing Disclosure

This program prepares students to apply for Registered Dental Assistant (RDA) registration through the Texas State Board of Dental Examiners (TSBDE). Completion of this program does not guarantee licensure, registration, or employment.

Approved and Regulated by the Texas Workforce Commission, Career Schools and Colleges, Austin, Texas.

By submitting this form you agree to be contacted by DFW Dental Assisting School regarding your enrollment.