Howard College - DH Application Form

1-866-HC-HAWKS • 1-432-264-5000 • 1001 Birdwell Lane • Big Spring, Texas 79720

The Howard County Junior College District does not discriminate on the basis of race, color, national origin, sex, disability, age, religion, veteran status, or any other legally protected status in educational programs, activities, admission, or employment practices. The following position has been designated to handle inquiries regarding the non-discrimination policies: Director of Human Resources, 1001 Birdwell Lane, Big Spring, TX 79720

* *Full Name:*
* *Personal E-mail Address:*
* *Mailing Address:*
* *City:*
* *State:*
* *Zip:*

Are you applying to more than one Dental Hygiene Program?	yes no
Have you previously attended any Dental Hygiene Program?	yes no
Have you previously attended any Dental Assisting Program?	yes no
Have you been employed in the dental field?	yes no
Describe why you wish to pursue a career in Dental Hygiene. What unique qualities or life experiences might distinguish you from other applicants?

Dental Hygiene Application Form