Beruflich Dokumente
Kultur Dokumente
NOTE: All supporting documents are to be submitted with the DDS supplemental application
and received by the deadline date of August 18, 2017
APPLICATION FEE
A nonrefundable application fee of $100 U.S. dollars must be submitted with the application. A cashier’s check or money
order for the application fee should be payable to UNLV School of Dental Medicine DDS program.
LETTERS OF RECOMMENDATION
Three (3) letters of professional recommendation (one should be from the Academic Dean’s level of the dental school from
which the student graduated). Letters should be provided on school or company letterhead with the evaluators’ contact
details, and should have been written within the past two years.
PERSONAL STATEMENT
Submit a one-page personal statement on your professional path, professional interest and goals.
1
APPLICATION FORM FOR DDS ADMISSION
CAAPID ID #: _______________
Name ________________________________________________________________________________________
Last First Middle
Month/Day/Year
Day Telephone (___) ____________ Evening Telephone (___) _____________ FAX # (___) ___________
Residency
Country of Birth _______________________________ Country of Citizenship _________________________
Do you currently live in the United States? __________ If yes, for how long? ___________
Do you currently live in Nevada? __________ If yes, for how long? ___________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
________________________________________________________________________
2
Institutions Attended
Dental School Name: Country:
Program starting and ending time (month/year): to
Dental program length: years
Degree Conferred Date (month / day/ year):
Have you ever been subject to sanction or discipline by any academic institution? Yes No
Have you ever been convicted, pled guilty, or pled “no contest” to a crime other than a minor traffic violation?
Yes No
Have you ever been subject to a disciplinary proceeding by any professional organization or licensing body?
Yes No
*If you answer “yes” to any of the above three questions, you must describing your actions and provide complete details of the charges
and sanctions against you, including date(s) of matter(s), status of final disposition of charge(s) and name and address of authority in
possession of your records, in the box below.
I certify that the information provided in this application is complete and correct. I understand that if subsequent evidence
demonstrating the information I have provided is not complete and correct, it may result in revocation of admission, dismissal from
the School or revocation of degree. I understand that I am responsible for being familiar with and adhering to all academic
regulations.
3
Additional Information
Should you wish to explain any extenuating circumstances or provide the DDS admissions committee with additional information that
may be useful in evaluating your credentials, please send this information to:
Disclosure
Applications for admission will not be processed until all credentials have been received. The applicant is
responsible for making sure credentials are received. Only completed files will be reviewed by the UNLV
SDM Admissions DDS Sub-Committee for interview decisions.
The University of Nevada, Las Vegas School of Dental Medicine (SDM) does not, expressly or implicitly, guarantee a license to
practice dentistry upon admission to or graduation from SDM. Licensure is the exclusive right and responsibility of the State Boards
of Dentistry in each state. Students must satisfy the requirements of each state’s regulatory body independently of any college or
school requirement for graduation.
The University of Nevada, Las Vegas does not discriminate on the basis of age, race, religion, national origin, sex/sexual orientation,
veteran and /or veteran of Vietnam era, marital status, or status with regard to public assistance or disability, in admission,
employment or the operation of its educational programs. Inquiries concerning compliance with Federal and State laws prohibiting
such discrimination should be directed to the University’s Office of Diversity Initiatives.
The tuition of University of Nevada, Las Vegas School of Dental Medicine (SDM) DDS program for foreign trained dentist is a one-
fee rate to instate and outstate students.