Sealant Application ($405)

A dental assistant holding this expanded duty permit may place pit and fissure sealants.

Please read the following information before proceeding to the application at the bottom of the page.
(Failure to do so could potentially delay or void your enrollment.)

Requirements: 
(Each of the below requirements must be met)

  • Participant has a minimum of one consecutive year active chair side experience as a dental assistant
  • Hold a current Dental Assisting Permit from the Oklahoma Board of Dentistry showing they are certified in Coronal Polishing (a letter stating you passed the Coronal Polishing course DOES NOT qualify an assistant to enroll. Board permit is the ONLY proof accepted.)
  • Must be currently employed as a chairside dental assistant.

Before Enrolling

  • ALL APPLICATIONS MUST BE SUBMITTED ONLINE.  Hard copy applications will not be accepted.
  • All course dates will say [Join Waitlist]. This does NOT mean the course is full. It is an internal programming feature we cannot change.
  • Enrollment fee must be PAID IN FULL and the application approved before the applicant will be given a spot in the course.
  • You will not be considered for enrollment with an incomplete application (includes Employment Verification Forms that do not include (1) chairside start date, (2) employing dentist's signature, (3) DA's signature.)
  • Applications will be processed in the order they are received.
  • Once payment is received and the application is approved, a final confirmation with receipt will be sent. If payment was submitted online, please allow up to 7 business days for your final confirmation.
  • SPACE IS LIMITED.

View the General FAQ and the Sealant FAQ for any questions.

WAITLIST FORM (Please note transfer fees and/or late fees may apply if a spot becomes available.)

Forms & Information

 Employment Verification Form 

  • MUST be signed by BOTH the employing dentist AND the applicant.
  • Chairside start date MUST be filled in.
  • The Employment Verification Form is NOT the application.

Patient Requirements
Equipment Requirements
How to Upload Documents

Application

Downloadable Course Schedule

All course dates will say [Join Waitlist]. This does NOT mean the course is full. It is an internal programming feature we cannot change.

If your first choice course is full, you are welcome to add yourself to the Waitlist for that course and will be contacted if a spot becomes available.