SPS Dental Academy | Dental Assisting Program

provided by Strategic Practice Solutions

Initial Questionnaire

Thank you for expressing interest in Strategic Practice Solutions Dental Academy – Dental Assisting Program. The first step in the application process is to tell us more about yourself. Upon submitting the questionnaire, you will be prompted to schedule a Zoom meeting for an interview (online interview) with a member of the admissions team.  We are so excited to begin this journey with you! 

First Name
Last Name
Phone Number
Email
What prompted your interest in a dental assisting?
What interested you in our DENTAL ASSISTANT training program?
How did you hear about this program?
We may be able to help qualifying students(Required)
We may be able to help qualifying students secure opportunities for financial assistance to pay for partial or Full tuition costs. Do you want to learn more about these opportunities?
We have created this program to be 10 consecutive weeks of training to instill the skills that are highly sought out by Dentists. Once the 10 weeks are completed, a student can expect to be paid anywhere from $19 to $25 per hour . The hourly rate depends on a person's commitment level to learn and improve their skills. What do you feel your commitment level would be to a 10 week program that will be life changing?
This program accepts students who are age 18 or older. Are you 18 or older?(Required)
This program accepts students who are age 18 or older. Students from foreign countries must present proof of education from their country of origin equivalent to a high school diploma or high school equivalency exam. Are you 18 or older? Students from foreign countries must present proof of education from their country of origin equivalent to a high school diploma or high school equivalency exam. Are you able to meet this requirement?
This program requires proof that you have a valid government-issued ID(Required)
This program requires proof that you have a valid government-issued ID. Do you have a valid government-issued ID?
This program requires all students to be conversational in English(Required)
This program requires all students to be conversational in English (whether English as a first language or English fluency) to enable processing and communicating information on a patient’s status with accuracy in a timely manner; and the ability to complete the application forms and provide an entrance interview with a school representative without the assistance of an interpreter. Are you able to meet this requirement?
Competentcies(Required)
This program requires competencies in the following areas: intellectual (conceptual, integrative, and quantitative abilities for problem solving and diagnosis), motor, sensory, communication, and behavioral and social aspects of the performance of a dental assistant. Are you able to meet this requirement?
Interpersonal Skills(Required)
This program requires the following interpersonal skills: capable of responsive, empathetic listening to establish rapport in a way that promotes openness on issues of concern and sensitivity to potential cultural differences. Are you able to meet this requirement?
Physical(Required)
This program requires the following physical abilities: manual dexterity to deliver dental assisting care services; ability to tolerate physically demanding workloads; and to function effectively under stress. Are you able to meet this requirement?
XRays(Required)
This program requires the use of x-ray lab stations during onsite training. Due to potential radiation hazards for pregnant women during required onsite training, persons who are pregnant or become pregnant must provide a letter from her physician stating she can be in the building when x-rays are being taken and that she may participate in the required x-ray lab stations. Are you able to meet this requirement?
XRays(Required)
Are you authorized to work in the United States and have proof of government issued identity/authorization in order to do so?
By submitting this questionnaire, I certify that the information contained in this questionnaire is true and accurate to the best of my knowledge. Further, by submitting this questionnaire, I understand and acknowledge that admission to the program does not guarantee successful completion of the program or job placement.


Please submit this questionnaire to be prompted to schedule an initial Zoom meeting interview via computer or mobile device. Thank you for your interest! We look forward to speaking with you!