2018 DDS PROGRAM APPLICATION CHECKLIST

NOTE: All supporting documents are to be submitted with the DDS supplemental application
and received by the deadline date of August 18, 2017

COMPLETED APPLICATION PACKET

Submit a fully completed application packet (beginning on page 2) with all forms signed and dated by the individual applying
to the program. Supporting documents are to be submitted with the application.

APPLICATION FEE
A nonrefundable application fee of $100 U.S. dollars must be submitted with the application. A cashier’s check or money
order for the application fee should be payable to UNLV School of Dental Medicine DDS program.

DENTAL EDUCATION, EXPERIENCES, RELATED ACTIVITIES, PROFESSIONSAL INFORMATION

Submit an updated Curriculum Vitae (CV). Please use the CV template provided.

FOREIGN DENTAL DEGREE (DIPLOMA) AND DENTAL SCHOOL TRANSCRIPT

An official copy of diploma and/or degree, transcript (translated into English) from the applicant’s dental school or
equivalent institution must be mailed to UNLV School of Dental Medicine Admissions Office DDS Subcommittee either by the
applicants’ dental school, or in the original sealed envelope with the supplemental application. If the transcripts are in a language
other than English, they must be accompanied by a U.S. certified English translation. Notarized copies are not accepted.

COURSE BY COURSE SCHOOL TRANSCRIPT EVALUATION

Official dental school transcripts evaluated course by course with GPA by Educational Credentials Evaluators, Inc. (ECE).
Documents need to be mailed to UNLV School of Dental Medicine Admissions Office DDS Subcommittee directly from ECE,
or in the original sealed envelope.

NATIONAL BOARD DENTAL EXAMINATIONS – Part 1

Successful completion and passing of the National Board Dental Examinations Part 1 within the past five (5) years is
required. Part 2 is highly recommended and preferred. Submit an original score report of the applicant’s National Board Dental
Examinations directly emailed from American Dental Association to DDS_admissions@unlv.edu.

TEST OF ENGLISH AS A FOREIGN LANGUATE (TOEFL)

Test of English as a Foreign Language (TOEFL) is required with a valid minimum score of 230 (computer-based test), or 92
(internet-based test), or 580 (paper test) within two (2) years. Score report must be mailed to UNLV School of Dental Medicine
Admissions Office DDS Subcommittee in the original sealed envelope with the supplemental application.

LETTERS OF RECOMMENDATION
Three (3) letters of professional recommendation (one should be from the Academic Dean’s level of the dental school from
which the student graduated). Letters should be provided on school or company letterhead with the evaluators’ contact
details, and should have been written within the past two years.

PERSONAL STATEMENT
Submit a one-page personal statement on your professional path, professional interest and goals.

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 APPLICATION FORM FOR DDS ADMISSION
CAAPID ID #: _______________

Name ________________________________________________________________________________________
Last First Middle

Name you prefer or nickname_____________________________________________________________________

Social Security Number ______________________________Date of Birth _______________ Male Female

Month/Day/Year

Mailing Address _______________________________________________________________________________

Number Street Apt. City State ZIP

Dates at this Address ____________________________________________________________________________

From Until

Permanent Address _____________________________________________________________________________

Number Street Apt. City State ZIP

E-mail Address ________________________________________________________________________________

Day Telephone (___) ____________ Evening Telephone (___) _____________ FAX # (___) ___________

Residency
Country of Birth _______________________________ Country of Citizenship _________________________

Type of VISA _____________________________________Expiration date _________________________

Do you currently live in the United States? __________ If yes, for how long? ___________

Do you currently live in Nevada? __________ If yes, for how long? ___________

If not, Country or State of Residency ______________________________________________________________

National Board Dental Examination — Parts 1 & 2 (NBDE)

Note: NBDE Part 1 scores MUST
NBDE Part 1: Score , Date_____________ be within five years. Older scores
will not be considered.
NBDE Part 2: Score , Date_____________

Test of English as a Foreign Language (TOEFL)

Test format: Date (Month/Year) _______________ Total Score _______________

Please list other dental schools you have applied to:

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
________________________________________________________________________

 I waive my right of access to recommendation letters. Yes Signature:

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Institutions Attended
Dental School Name: Country:
Program starting and ending time (month/year): to
Dental program length: years
Degree Conferred Date (month / day/ year):

 Have you ever been subject to sanction or discipline by any academic institution? Yes No
 Have you ever been convicted, pled guilty, or pled “no contest” to a crime other than a minor traffic violation?
Yes No
 Have you ever been subject to a disciplinary proceeding by any professional organization or licensing body?
Yes No

*If you answer “yes” to any of the above three questions, you must describing your actions and provide complete details of the charges
and sanctions against you, including date(s) of matter(s), status of final disposition of charge(s) and name and address of authority in
possession of your records, in the box below.

I certify that the information provided in this application is complete and correct. I understand that if subsequent evidence
demonstrating the information I have provided is not complete and correct, it may result in revocation of admission, dismissal from
the School or revocation of degree. I understand that I am responsible for being familiar with and adhering to all academic
regulations.

Signature of Applicant ___________________________________________ Date __________________________

 $100 non-refundable application fee

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Additional Information
Should you wish to explain any extenuating circumstances or provide the DDS admissions committee with additional information that
may be useful in evaluating your credentials, please send this information to:

UNIVERSITY OF NEVADA LAS VEGAS

School of Dental Medicine
Admissions Office DDS Sub-Committee
Shadow Lane Campus
1001 Shadow Lane MS 7411
Las Vegas NV 89106-4124
Email: DDS_admissions@unlv.edu

Disclosure

Applications for admission will not be processed until all credentials have been received. The applicant is
responsible for making sure credentials are received. Only completed files will be reviewed by the UNLV
SDM Admissions DDS Sub-Committee for interview decisions.

The University of Nevada, Las Vegas School of Dental Medicine (SDM) does not, expressly or implicitly, guarantee a license to
practice dentistry upon admission to or graduation from SDM. Licensure is the exclusive right and responsibility of the State Boards
of Dentistry in each state. Students must satisfy the requirements of each state’s regulatory body independently of any college or
school requirement for graduation.

The University of Nevada, Las Vegas does not discriminate on the basis of age, race, religion, national origin, sex/sexual orientation,
veteran and /or veteran of Vietnam era, marital status, or status with regard to public assistance or disability, in admission,
employment or the operation of its educational programs. Inquiries concerning compliance with Federal and State laws prohibiting
such discrimination should be directed to the University’s Office of Diversity Initiatives.

The tuition of University of Nevada, Las Vegas School of Dental Medicine (SDM) DDS program for foreign trained dentist is a one-
fee rate to instate and outstate students.