Pure Dental Academy Mesquite

Application

Mesquite Location
Pure Dental Assistant Academy
301 W. Grubb Dr.
Mesquite, Texas 75149
469-472-1142
"Dental Assisting" Program Information and Qualifications

Student must have a High School Diploma or GED.

Student must pass background check to be accepted to the Pure Dental Academy Dental Assisting Program.

Tuition: $3500.00 Includes: Books, uniforms, supplies, CPR certification, Nitrous Oxide Monitoring testing, and RDA test.

Length of program: 6 weeks, 40-hour externship with Mint Dentistry after completion of course for eligible students. The student will take the RDA test through the Texas State Board of Dental Examiners. Tuition must be paid in full before Student will be allowed to take the State Board Exam.

Upon completion of your application, a $100 non-refundable deposit is required to finalize your application. This deposit will be deducted from the total tuition cost.

Form was revised on December 2nd, 2019

Choose Desired Class
Choose your desired class: *

June 29th, 2020 August 17th, 2020
Preferred time: *

Morning (8am - 12pm) Afternoon (1pm - 5pm) Evening (6pm - 10pm)
Preferred time: *

Morning (8am - 12pm) Afternoon (1pm - 5pm) Evening (6pm - 10pm)
All classes are Monday - Thursday

Tuition
Payment Plan (payment not required to apply | Upon completion of your enrollment, a $100 non-refundable deposit is required to secure your spot in the class. This deposit will be deducted from the total tuition cost.): *

Paid in full ($3,500) at time of registration - you will receive a $200.00 discount off the tuition = $3,300.00 $1250.00 down payment and six consecutive weekly auto-drafted payments of $375.00 beginning the Monday after the first class. Must be paid in full by week six. $800.00 down payment six consecutive weekly auto-drafted payments of $450.00 beginning the Monday after the first class.
No interest will be charged for any of the above payment plans.
Choose Method of Payment (payment not required to apply | Upon completion of your enrollment, a $100 non-refundable deposit is required to secure your spot in the class. This deposit will be deducted from the total tuition cost.): *

Money Order Cashier Check Cash Credit Card Other
"Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. Recovery here under by the debtor shall not exceed the amounts paid by the debtor here under."

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Signatures
Cancellation Policy *
Refund Policy *
Acknowledgments *
Approved and regulated by the Texas Workforce Commission, Career Schools and Colleges, Austin, Texas.
Student/Guardian Name *

First Name Last Name
Student Signature *
Date *

Month Day Year
Date
Parent or Guardian Signature
Date *

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Application