• Student Application

    Dental Assisting Academy of the Palm Beaches

  • Est. 2011

    Celebrating Over 10 Years of Sucess & New Careers!

    8-Week Expanded Functions Dental Assisting Program Application

    Please fill out the following demographics about yourself. You will then go on to answer a questionnaire about why you would like to become a Dental Assistant!

    We can't wait to have another student become part of our success stories! 

    ♥ DAAPB Team ♥ 

  • Format: (000) 000-0000.
  • Date of Birth *
     - -
  •  -
  • When would you like to begin in the 8-Week Dental Assisting Program?*

  • Class Session Availability: 

    May EFDA Program:
    9:30am - 3:30pm
    Wednesday (3 Seats Available)
    Thursday (6 Seat Available)

    June EFDA Program:
    9:30am - 3:30pm
    Monday (7 Seats Available)
    Tuesday (7 Seats Available)
    Saturday (3 Seats Available)

    July EFDA Program:
    Wednesday 9:30am - 3:30pm (7 Seats Available)
    Thursday 5:00pm - 9:00pm (6 Seats Available)

    *list updated daily*

  • What date did you want to start the course?*

  • What day did you want to come for your once a week clinical training lab?*

  • Dental Assisting Academy of the Palm Beaches Assessment

    Please answer the following questions to complete the DAAPB Assessment. Did you know: 99% of our students get accepted, 98% graduate and 97% find their dental dream careers & homes!
  • What shifts at work do you take?*
  • Do you have a minimum of a High School Diploma or GED? *International Degrees are accepted*

  • Please Note: Students who DO NOT have a High School Diploma or GED are subject to take an Entry Exam (Aptitude Test) to determine eligibility into the Program. 

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  • Would you like to be sent your custom most current interest-free payment plan options?*

  • Please Read:

    Choose between these options

    1. The Application is FREE to submit! 

    OR

    2. Making a deposit will enroll you in the class of your choice, by immediately securing your spot! This will ensure your spot is safe! 

    1. Application Fee $0.00 FREE
    2. Deposit Fee $500

    *The Application is FREE. *All enrollments regardless of payment choices are still under the admissions committee review until accepted into the program. *If the student is not accepted into the program all money paid will be refunded.*Be selecting Option 2 ($500 Deposit Fee), all monies paid will be credited towards total cost of tuition*IF you submit and pay the deposit, Admissions Team will give you a call to select your campus clinical lab day * 

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