Apply for Our Dental Assistant Program in Houston

Enrollment Application

We accept a U.S. high school diploma, GED, or college transcript. Foreign diplomas must be validated by a service like SpanTran.

You must be at least 17 years old to enroll. If you are under 18, written consent from a parent or legal guardian is required.

You can provide either your Social Security Number or a TIN along with a valid work permit.

First Name

Last Name

Mobile Phone

Date of Birth

Gender

Street Address

City

State

Zip Code

Which session are you applying for?*

Which school location are you applying for?*

Which payment option works for you?*

How did you find out about our program?*

Did you graduate with at least a High School Diploma or GED?*

Do you have a Social Security Number?

Why do you want to be a Dental Assistant?

Why did you choose HDAS?