Paper application check list



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PAPER APPLICATION CHECK LIST
**THIS APPLICATION/CHECKLIST ONLY APPLIES TO THOSE WHO ARE BYPASSING CAAPID AND IS SUBMITING APPLICATION DIRECTLY TO SCHOOL OF DENTAL MEDICINE.
APPLICATION DEADLINE IS March 01, 2015 (No exceptions will be made).

Before sending in your application, please make sure all documents listed below are included. Failure to provide with required documents before the deadline will result in application not being reviewed without refund of the application fee.


PLEASE SUBMIT THE FOLLOWING DOCUMENTS IN THE ORDER LISTED BELOW (Please note, our program DOES NOT require sealed envelopes for documents:
COMPLETED APPLICATION FORM (Signed and Dated)

Please clearly print or type.


PERSONAL STATEMENT
DENTAL EXPERIENCE

This may be in the form of an essay, resume, or curriculum vitae.


OFFICIAL COURSE-BY-COURSE EVALUATIONS

Official ECE (www.ece.org) course-by-course evaluation. No actual college transcripts will be accepted unless you have done any studies in the United States. Please make sure the document submitted is labeled ‘Course-By-Course Evaluation’.
TRANSCRIPTS

You must include any Transcripts from any US institution or post-doctoral programs that you may have with your supplemental documents




DENTAL DEGREE

School certified or notarized copy; if in a language other than English, a translation must be made by a U.S. translator and notarized by a bonafide notary public. Please note that no provisional degrees are accepted.


NATIONAL BOARD DENTAL EXAMINATION- PART I

Original National Board Dental Examination Part I score report. There is no cut off score for NBDE Part I; only a passing score is required. Part II is encouraged, however, is not required. If Part II has been taken, scores need to be submitted before the deadline to be considered as part of the application.
TEST OF ENGLISH AS A FOREIGN LANGUAGE (TOEFL)

Original results of having successfully received a minimum score of 94 on the internet-based version of the exam. Score received at the time of application being submitted must be less than 2 years old from the date exam was taken. All applicants must take TOEFL, regardless of residency status or circumstances. You will need to submit TOEFL even if you are a US citizen/resident, grew up in the US, hold any other type of U.S. degrees (BS, MS, MBA, PhD), or even if currently enrolled in a different institution. No other English skill exams may replace TOEFL.
THREE LETTERS OF RECOMMENDATIONS

The recommendation letter will not be accepted if the letter is older than 12 months from the date it was written at the time of application being submitted. Letters should be in English, or translated by a bonafide U.S. translator if it was written in language other than English. Sending in more than the required number of letters will not be given any priority over other applicants. Letters must include contact information of author, phone number, email address, physical address/school or office physical address. Please use form attached to indicate whether or not you waive the right to see each letter or do not waive the right.

Letters may come from dentists, non-dentists, deans, educators of various post graduate programs the applicant may be enrolled or have enrolled in, from current or past employers and charities volunteered for. The letters of evaluation should come from those who have direct and current knowledge of the applicant and should address the applicant’s work ethic, personality, knowledge base, personal skills, clinical dental skills character and reliability

BOARD OF REGENTS QUESTIONNAIRE
APPLICATION FEE

A non-refundable application fee of $400.00 in the form of a cashier’s check or money order; please make checks payable to University of Colorado School of Dental Medicine (UCSODM).



All application, required documents and fee must be received by March 1, 2015. Any documents received after this date will not be considered as part of the application. Once your application is received, an email confirmation stating the status of the application will be sent out. Please note that admission process is not on a rolling-basis, therefore, applicants will receive notice of decision after the proposed deadline.
Note: For translations you may contact:

  1. Contact your school for certified/notarized translation; or

  2. A translator accredited by the American Translators Association (www.atanet.org) or 703.683.6100

  3. Certified or registered court interpreter. Information on court interpreters is available through the Judicial Council at 415.865.7530. General information is provided at www.courtinfo.ca.gov. The court interpreter must sign the translation and declaration in the presence of a Notary Public.


MAILING ADDRESSES TO SUBMIT APPLICATION:

UNIVERSITY OF COLORADO

SCHOOL OF DENTAL MEDICINE

INTERNATIONAL STUDENT PROGRAM

ATTN: BEATRIZ BUSTAMANTE

MAIL STOP F838

13065 E. 17th Ave Suite 403

AURORA, CO 80045























UNIVERSITY OF COLORADO
















SCHOOL OF DENTAL MEDICINE
















INTERNATIONAL STUDENT PROGRAM





































PROGRAM APPLICATION Class of 2017










































 

 

 

 

 







Last Name/Family Name, First Name, Middle Name

























Other Name (Please list any other name that will appear on your academic records): ________________________________________________________






















Personal Data

 

 

 

 

 

 






















Gender:







US Visa type (if applicable)







Date of Birth: (MM/DD/YYYY)







# Of years living in US:







Country of Birth:







US Social Security number (if applicable):




Country of Education:



















Country of Citizenship:








































Current Mailing Address:

 

 

 

 

 

 






















Street:



















City:







State/Province:




Zip Code:

Country:



















Primary Phone: ( )



















Secondary phone: ( )



















E-mail (required) (print clearly)








































Permanent Mailing Address (if different than above)

 

 

 

 

 






















Street:



















City:







State/Province:




Zip Code:

Country:








































TOEFL Score

 

 

 

 

 

 






















Total Score:




Date:




Test type:




























National Board Dental Examination Scores (including new and old NBDE Formats)

 

 

 






















Total Score:







Part I Date (s):










Total Score:







Part II Date (s) (if taken):

























































































EDUCATION HISTORY

 

 

 

 

 

 

List all schools attended, starting with most recent education/program

Full Name of Institution

Location of Institution (City, Country)

Start Date-End Date

Course of Study

Degree Earned

Month & Year Date of Degree

 

 

 

 

 

 

 

 

 




 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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