(801) 803-0005

Application

Acceptance Application 

Please fill out form completely and click the submit button at the bottom of the page. Once your application has been sent, a representative of Premier Dental Assisting School will be contacting you to complete the registration process. All applicants will be back ground checked prior to acceptance. 

If you have any questions please give us a call at (801) 803-0005.  

APPLICANT INFORMATION 
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Last Name: *
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