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University of Missouri-Kansas city
School of Dentistry Inquiry Form
Required information is marked with an asterisk (*).
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Basic Information
Preferred First Name
First Name *
Middle Name
Last Name *
Birthdate *
Birthdate *
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Contact Information
Email Address*
Verify Email Address*
Student Preferred Phone*
Academic Information
Planned entry as a *
First Time Freshman
Transfer Student
Graduate-Professional Student
Entry Term *
Fall 2024
Fall 2025
Fall 2026
Fall 2027
Fall 2028
Primary Intended Major *
Dental Hygiene, Entry Level
Dental Hygiene, Online RDH-BSDH (RDH Required)
Pre-Dental Hygiene
Pre-Dentistry
High School Name (use the field below to search for your high school - if you're having trouble locating your institution, try entering the city in which it is located)
School Code (Hidden)
High School Graduation Year *
College Name (use the field below to search for your college - if you're having trouble locating your institution, try entering the city in which it is located)
College Code (Hidden)
Do you plan to take your prerequisite coursework at UMKC?*
Yes
No
MS or PhD Program
Dentistry DDS
Oral and Craniofacial Sciences Interdisciplinary PhD
Oral and Craniofacial Sciences MS
Advanced Education in General Dentistry Certificate
Endodontics Certificate
Orthodontics and Dentofacial Orthopedics Certificate
Periodontics Certificate
College Name (use the field below to search for your college - if you're having trouble locating your institution, try entering the city in which it is located)
College Code (Hidden)
Do you currently reside outside of the United States?
Do you currently reside outside of the United States?
Yes
No
State of Residency
Alabama
Alaska
American Samoa
APO/FPO (AA)
APO/FPO (AE)
APO/FPO (AP)
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
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Hawaii
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Maine
Mariana Islands
Marshall Islands
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Submit