An Equal Opportunity Educational Institution

DH 2024 Application- 1 -

Dental Hygiene Department Application Packet

There have been significant changes in the 2024 application. Read the entire packet carefully and follow all directions. Failure

to follow instruction may cause your packet to be rejected as incomplete. It is the applicant’s responsibility to ensure that the

Dental Hygiene Department receives all required paperwork and information by the deadlines.

Dear Applicant: 2024

Thank you for your interest in the Wharton County Junior College Dental Hygiene Program. Our two-year program (five

semesters) is accredited by the American Dental Association Commission on Dental Accreditation. Students who submit a

completed application packet and meet all deadline criteria will be evaluated by a selection committee for acceptance into the

program.

No applicant will be denied acceptance on the basis of disease status, such as HIV, HBV, or HCV. In the occurrence of such

infection, the Rules & Regulations established by the Texas State Board of Dental Examiners (TSBDE) state the health care

provider must notify patients and obtain their written consent prior to patient treatment. The student may encounter obstacles

with acquiring patient consent thus making completion of clinical educational requirements difficult. In the event that the

student

completes the program, the TSBDE may deny licensure. Therefore, in the instance of such disease status, career

counseling may be in order.

Wharton County Junior College Dental Hygiene Department requires all accepted applicants to undergo a

Criminal Background

Check prior to full admittance into the program. Final acceptance into the program is contingent upon a satisfactory background

check, which will be completed by an approved agency at the applicant’s expense. The estimated cost is $70.00. The TSBDE may

deny application for licensure based on a person’s conviction under state or federal law of a felony or misdemeanor that directly

relates to the duties and responsibilities of the profession for which the person seeks licensure. For further information see The

Texas Occupations Code, Section 263.001, Ineligibility for Licensure.

In order to receive full acceptance for enrollment in the Dental Hygiene Program, an applicant with an unsatisfactory

criminal background check must obtain a Criminal History Evaluation (CHE) from the TSBDE to ensure licensure eligibility

upon graduation https://tsbde.texas.gov/licensing/criminal-history-evaluation/

If you have been charged and/or convicted of any misdemeanor or felony (other

than a traffic violation) you must submit the CHE to the TSBDE 90 days prior to

the application deadline.

DH 2024 Application- 2 -

The CHE will then be complete if you are selected into the class or if you have alternate status; and will not prevent final

acceptance into the program. Your acceptance may be denied if you have an unsatisfactory background check and fail to obtain a

CHE confirming licensure eligibility.

Students accepted into the Dental Hygiene program are subject to random drug screenings throughout the program which

consisting of a Health Care Professional Panel. These screenings are randomly scheduled and the expense of the screening is

the student’s responsibility. Only drug screenings conducted through a College-approved agency will be accepted. A student

with a positive drug screen will be dismissed from the program and may re-apply after a minimum of twelve months, and

provide documentation of successful counseling and treatment. The cost of the drug screen will be at the

applicant’s/student’s expense and is approximately $50. Additional information will be provided in the Acceptance Packet

Patient treatment is a required component of the curriculum. This is achieved in the Dr. Anna T. Harrison Dental Hygiene

Clinic located on the Wharton campus. The program has established an Infection Control Policy that is available to interested

parties on the dental hygiene webpage at

http://www.wcjc.edu/Programs/allied-health/dental-hygiene/infection-control-

policy.aspx .

Assistance with financial aid and scholarships is available. Personnel in the Office of Financial Aid will be able to assist you with

financial aid and scholarship options. The Office of Financial Aid, 1-800-561-9252, ext. 6345, designates application deadlines as

April 1 for fall funds and November 1 for spring funds, even if program acceptance is still pending.

Applications for financial aid

may also be submitted at www.fafsa.ed.gov .

This application packet includes:

1. Program Deadlines & Requirements, pg. 3-4

2. Selection Committee Criteria, pg. 5

3. Dental Hygiene Department Philosophy Statement and Goals, pg. 6

4. Course Transferability, pg. 6

5. Program Information, pg. 6

6. DH Curriculum, pg. 8

7. Immunization Requirements, pg. 10

8. Example of Technical Standards, pg. 10

9. Expense Estimates, pg. 11

10. Dental Hygiene Application, pg. 12-14

If you need further assistance with the application process or other program information, please contact Cylinda Konvicka at 979-

532-6429 or

konvickac@wcjc.edu . It is the applicant’s responsibility to verify that the department secretary receives all

documents pertaining to the application packet prior to the May 31

deadline. Also, please be advised that our department

does not require personal interviews.

Sincerely,

Carol J. Derkowski, R.D.H., M.A.I.E.

Director of Dental Hygiene

DH 2024 Application- 3 -

Deadlines for Completed

Application

May 31

Number Accepted

Up to 28 applicants will be selected, dependent upon space availability and program

constraints. Meeting all application criteria does not guarantee admission to the

program

It is imperative that you read and follow all instructions. Only a COMPLETE

application will be considered. All documentation must be received prior to the May

deadline to be considered for acceptance into the Dental Hygiene Program. It is

the applicant’s responsibility to ensure all documentation is received by the

deadline. Do not include letters of recommendation as they are not considered.

GPA

Minimum 2.5 GPA in all required college courses. A minimum GPA of 2.5 is required

ACT

For previously taken dental hygiene courses, regardless of school.

National ACT is preferred with a minimum composite score of 19 and minimum

reading score of 18; ACT must be taken within the last 5 years of final application

deadline. The writing portion of the ACT is not required.

ACT is required of all applicants. There are no exceptions.

ACT Contact

www.act.org or contact your local college testing center

Hepatitis B Immunization

Must be documented in progress by the May 31

deadline. Hepatitis B series must be

completed prior to January 1

of the freshman spring semester.

Age upon Graduation

TSI Complete

Applicants must be a minimum of 18 years old by projected graduation date due to

TSBDE licensure requirements.

Your TSI status must be complete to be considered for the program.

Chemistry

2 semesters of High School chemistry with a minimum grade of “C” OR

4 hours college chemistry – CHEM 1405 or CHEM 1411

BIOL 2401

Anatomy and Physiology 1

BIOL 2402

BIOL 2420

Anatomy and Physiology II, may be in progress at the time of application submission

Microbiology

Dental Hygiene Department

Program Deadlines & Requirements

Program Requirements:

PREREQUISITE COURSES

REQUIRED GENERAL EDUCATION

COURSES

†

ENGL 1301 English Composition

Language, Philosophy &

Culture or Creative Arts

3 hours Language, Philosophy & Culture or Creative Arts (see College catalog for options)

PSYC 2301 OR 2314 Introduction to Psychology or Lifespan Growth and Development

SPCH 1311, 1315, 1318, OR

1321

Fundamentals of Speech, Interpersonal Communication, or Business and Professional

Speaking

SOCI 1301 Introduction to Sociology

Prerequisite courses must be completed with a grade of “C” or above and should be completed prior to application

submission. If they are not completed by the May 31

deadline your chances of acceptance are greatly reduced.

†

Required General Education Courses courses must be completed prior to DH program graduation. The program is

curriculum intensive, thus it is recommended to complete most or all co-requisites prior to entering the DH program.

DH 2024 Application- 4 -

Requirements and Deadlines AFTER Acceptance

Upon acceptance following must be provided. The forms will be included with the acceptance packet. A CPR course, at the

students expense, will be scheduled as part of Orientation.

Requirements

Details

Deadlines

Criminal Background and Drug

Screening

Information emailed with

Acceptance Letter

Must be submitted to specific company within

15 days of acceptance into program

Criminal History Evaluation

(CHE)

Required ONLY if you have been

charged and/or convicted of any

misdemeanor or felony ( other than

a traffic violation )

If Required: Request must be submitted to the

TSBDE 90 days prior to the application.

Completed CHE from the TSBDE must be

submitted prior to acceptance.

Deposit of $125 to secure your

position

Information emailed with

acceptance letter

Paid to WCJC business office by deadline listed

on form

Technical Standards and

Immunization forms

Information emailed with

acceptance letter and completed by

health care provider

Must be submitted to DH office with one

month of acceptance

CPR Certification

Scheduled as part of Orientation.

Information included in acceptance

packet.

A CPR course is a required part of Orientation

to ensure certification throughout the

program.

Mandatory Orientation

All students are required to attend

on the first Wednesday of August

Required Attendance. Detailed information in

the acceptance letter

Complete Application Packet Should Include:

It is highly recommended that applicants make copies of all documentation prior to submitting application packet. ALL MATERIALS

MUST BE SENT IN ONE PACKET. Do not include letters of recommendation they will not be considered.

[] WCJC Application If you are not a WCJC student, you must apply to the college as well as the DH program. Apply

to WCJC through Applytexas.org. Include proof of application with your packet

[] DH Application Dental Hygiene Program application with all portions completed

[] Transcripts Official transcripts of all colleges attended must be sent to the registrar’s office. Copies of these

transcripts or a separate set of transcripts must be included with the DH application. Students with

transfer credits (courses completed at other colleges) MUST have transcripts analyzed by WCJC

(Request for Degree/Evaluation available

https://docs.google.com/forms/d/e/1FAIpQLScEaW-

W22C7a3cS1yiS8ogjpxuX08k0X2DZq36kOibyL8MTgg/viewform Please submit requests for

transcript evaluation to the Registrar’s office no later than April 1 in order to meet the application

deadline. A copy of the evaluation will be automatically sent to the DH program. Transcript copies

must clearly show student’s name and information, as well as completed or in-progress courses.

[] Letter of Eligability If you have previously enrolled in any other dental hygiene program, you must provide a letter

from the program director stating that you are a student eligible for readmission to that program.

Your GPA on dental hygiene courses must be a minimum of 2.5

[] High School Transcripts High School transcripts are only required if you are using high school chemistry for the

prerequisite requirement or your ACT scores are listed on them.

[] ACT Scores Official ACT scores must be sent to the registrar. A copy of the official scores will be acceptable

to include in the DH application packet. It must be taken within the last 5 years. Required of all

applicants. No exceptions so please do not ask.

[] Hepatitis B Immunization Documentation of Hep B series, in progress or completed, noted at the bottom of

page 10 by health care provider

[] Work Experience Proof of 6 months minimum, related work experience, such as dental assistant. A letter

from

Employer stating specific job description is acceptable. This is NOT required.

[] TSI Complete This is requirement for graduation

All materials must be sent in one complete packet. WCJC is not responsible for incomplete applications

Mail to: ATTN. Cylinda Konvicka

911 Boling Hwy

Wharton, TX 77488

DH 2024 Application- 5 -

Dental Hygiene

Department

Selection Committee

Criteria

Please Read Application Carefully and FOLLOW

DIRECTIONS

1) Applicant Has a Complete Application Packet

i) Packet contains all information and documentation as specified on pages 3 and 4, Program Deadlines & Requirements,

and has met the May 31

deadline. DO NOT send application in the following: binders, sheet protectors on any type

of portfolio. Send ONLY information required.

ii) Prerequisite Courses are completed with a grade of “C” or above

a) Prerequisite courses “In Progress” during application submission must be completed prior to entering the program.

Applicant’s chance of acceptance may be reduced if course work is not completed prior to May 31

application

deadline.

iii) General Education Courses are completed or In Progress

a) Preference may be given to applicants with more required general education hours completed prior to application

deadline of May 31

iv) Minimum GPA (2.5) in requisite courses met. Includes a 2.5 GPA in previously taken dental hygiene courses.

v) ACT meets minimum composite score and minimum reading score

a) Minimum composite score of 19 and minimum reading score of 18 is achieved or exceeded, documented

properly, and current within the last 5 years of the final application deadline. (National preferred over Local). This

is required of ALL students. There are no exceptions so please do not ask.

vi) Transcripts showing completion of spring In Progress courses are received prior to the May 31

deadline.

2) Applicant Evaluation

i) Applicants are considered according to requisite GPA, ACT score, and the Point System with the exceptional applicants

considered first for acceptance. In the event applicants have identical scores, then science grades in chemistry, anatomy,

and microbiology will be evaluated and ranked by individual grades.

a) Extra points will be assigned for proof of previous certificates, degrees, high ACT score, and prior/current

related work experience (6 months or more), and WCJC district residents.

ii) Transcript evaluations will be conducted by the selection committee.

a) Course load (number of semester hours attempted and completed) of each college semester will be considered.

b) Number of dropped, failed, and repeated courses will be considered, especially for the prerequisite courses.

Multiple failed attempts or repeats may decrease the overall application rating.

c) Previously taken dental hygiene courses will also be considered. A minimum 2.0 to 2.5 GPA is required on these

courses, depending on the number of dental hygiene courses taken.

iii) Applicant has shown the ability to meet all required deadlines for the application process.

3) Acceptance, Alternate, or Rejection of Applications

i) Emails will be sent within four weeks after deadline and will identify the application status.

a) Acceptance Letters/Packets are conditional, pending all further deadlines and documentation requirements

are satisfied, including a satisfactory criminal background check and deposit of $125 to secure a place in the

class. If any stated requirements in an individual’s letter/packet are not met, the position will be offered to

DH 2024 Application- 6 -

alternate.

(1) A declined position will result in the position being filled by an alternate

applicant.

b) Alternate candidate positions are offered to qualified applicants only, with a potential fluctuation in the number

offered, dependent upon the application pool and the number of withdrawn applications.

c) Alternate candidates are not necessarily ranked; when a position arises, the space may be filled with the first

alternate contacted.

d) Rejection of an application will result in an email stating why the application was not qualified and suggesting

ways to enhance the application upon resubmission.

e) It is the applicant’s responsibility to ensure that the application is complete and qualified, via contact with the

Dental Hygiene Department as changes occur.

Dental Hygiene

Department

Philosophy

Statement

The Department of Dental Hygiene, an educational unit of Wharton County Junior College, Division of Allied Health, is a two-year

program culminating in the Associate of Applied Science Degree. The Curricula are structured to assist the students in the

development of skills necessary for entry into the oral health care delivery system. The faculty is committed to creating an

educational environment that will facilitate the development of creative, critical thinking, responsible professionals who use skills

of problem

solving, decision making, and evaluation to direct their future. Furthermore, the faculty strives

to instill in graduates the importance of lifelong learning, the advancement of professional skills, and continued competence.

The goal of the Wharton County Junior College Dental Hygiene Program is to graduate hygienists who:

1. Provide highly skilled, comprehensive patient care using professional knowledge, skills and judgment while recognizing each

patient as an individual.

2. Serve the community in private practice and public health settings while demonstrating oral health promotion and disease

prevention.

3. Provide educational and clinical services to support optimal oral health while applying the principles of the dental hygiene

process of care.

4. Recognize the value of continued education following graduation.

5. Participate in professional associations for the advancement of dental hygiene and promotion of oral health.

6. Commit to upholding the ethics of the dental hygiene profession.

Dental Hygiene Course Transferability

Wharton County Junior College DHYG-designated courses are transferable to other Texas colleges as outlined in Texas Higher

Education Coordinating Board (THECB) Workforce Education Course Manual (WECM). Other requisite courses necessary to

graduate from the Dental Hygiene Program are transferable to other Texas colleges as outlined in THECB Academic Course Guide

Manual (ACGM).

Program Information

This nationally accredited program educates students in two years with one summer session in-between. Upon program

completion, students receive an associate in applied science degree. As a forerunner for dental hygiene programs, WCJC

established the first accredited dental hygiene program in a Texas community college setting. The program is accredited by the

Commission on Dental Accreditation of the American Dental Association, the Southern Association of Colleges and Schools, and

the Texas Higher Education Coordinating Board. Graduates of the program are eligible to take the National Board Dental Hygiene

Examination, the Western Regional Board Examination, and the Texas Jurisprudence examination for licensure. Upon receipt of

state licensure, the Registered Dental Hygienist may provide educational, clinical, and therapeutic services.

As part of a dental team in a private dental office, dental hygienists perform numerous services designed to detect and prevent

diseases of the mouth. These include performing a prophylaxis (cleaning teeth); examining head, neck, and oral areas for signs of

disease; obtaining a thorough dental and medical history; educating patients and the community on oral hygiene and nutrition;

exposing and developing radiographs; and applying fluoride and sealants. In addition to private dental practices, dental hygienists

DH 2024 Application- 7 -

may seek employment in public health settings, correctional facilities, mental health facilities and as sales

representatives. Opportunities for dental hygiene education are also available.

Dental Hygiene is one of the few healthcare professions that offers the flexibility of full-time or part-time work to help you combine

professional opportunities of a meaningful career with personal endeavors. Demand for registered dental hygienists is excellent with

salaries reflecting that appeal. Depending upon the geographic area, hourly wages range from $32-50. The Dental Hygiene

Department maintains an outstanding record of placing its graduates in dental hygiene employment. Students graduating from this

program typically receive employment anywhere in the state of Texas and beyond.

DH 2024 Application- 8 -

Dental Hygiene Curriculum

(68 semester credit hours)

An Associate of Applied Science degree program offered by the Division of Allied Health.

Course

Course Title

Semester Hours

Prerequisite semester:

BIOL 2401

Human Anatomy & Physiology I

BIOL 2402

Human Anatomy & Physiology II

BIOL 2420

Microbiology

12 sem hrs

Freshman Year, First Semester

DHYG 1301

Orofacial Anatomy, Histology & Embryology

DHYG 1311

Periodontology

DHYG 1331

Preclinical Dental Hygiene

DHYG 1103

Preventive Dental Hygiene I

Humanities or Performing/Visual Arts*

13 sem hrs

Freshman Year, Second Semester

DHYG 1339

General and Oral Pathology

DHYG 1304

Dental Radiology

DHYG 1261

Clinical Dental Hygiene I

DHYG 1227

Preventive Dental Hygiene Care

DHYG 1207

General & Dental Nutrition

ENGL 1301*

Composition I

DH 2024 Application- 9 -

15 sem hrs

Summer Session I

DHYG 1219

Dental Materials

2 sem. hrs

Sophomore Year, First Semester

DHYG 1235

Pharmacology for the Dental Hygienist

DHYG 2362

Clinical Dental Hygiene II

DHYG 1315

Community Dentistry

DHYG 2201

Dental Hygiene Care I

SOCI 1301*

Sociology

13 sem. hrs

Sophomore Year, Second Semester

DHYG 2363

Clinical Dental Hygiene III

DHYG 2231

Dental Hygiene Care II

DHYG 2153

Dental Hygiene Practice

DHYG 2102

Applied Community Dentistry

Speech

SPCH 1311, 1315, 1318, or 1321

PSYC 2301*

Psychology

13 sem. hrs

Capstone Experience: During the last semester of the program, the capstone experience consists of a Mock National Board Dental

Hygiene Examination that tests comprehensive cognitive abilities. The Mock examination assesses the ability to understand

important information from basic biomedical, dental, and dental hygiene sciences and also the ability to apply such information in a

problem-solving context. Successful completion of the Mock examination is a prerequisite to taking the National Board Dental

Hygiene Examination prior to graduation.

DH 2024 Application- 10 -

Immunization Requirements

Documentation by your health care provider for the following immunizations must be provided upon acceptance into the

program. The program uses a document tracking service and information will be provided in the acceptance packet. The

following is for applicant information only. Please note that blood tests are required to document proof of serological

immunity. If results are negative then immunizations will be required. It is suggested that this be initiated prior to

acceptance. Immunizations are required to participate clinical rotations as well as on-site patient treatment.

TETANUS/Diphtheria (T-dap)

Booster within 10 years

HEPATITIS B

3 shot series or antibody test

In progress at time of

application submission.

Completion prior to Jan. 1

freshman year.

M.M.R. (measles, mumps,

rubella)

Positive antibody test

Proof of serologic immunity

VARICELLA (chicken pox)

Positive Varicella antibody, or 2

doses of varicella vaccine

Proof of serologic immunity

TUBERCULOSIS

Annual (yearly) screening

PPD Mantoux results only. Tine

or Monovac are not acceptable.

Examples of Technical Standards Necessary to Perform

Dental Hygiene-Related Duties

This is for applicant information only; form will be provided upon acceptance into the DH Program. Accepted students

must verify ability to comply with the following technical standards.

1. DEXTERITY – sufficient coordination and fine motor skills to potentially perform lab and clinical procedures;

including but not limited to the use of curets and probes.

2. COMMUNICATION SKILLS – sufficient verbal and written ability with sufficient proficiency in English to communicate

succinctly with faculty and patients, obtain information from texts and lectures and accurately construct legal

documentation.

3. VISUAL ACUITY – healthy vision (near or farsighted) with or without corrective lenses.

Ocular condition should not hinder normal hygienist procedures such as reading radiographs, obtaining a patient

history and providing patient care.

4. TACTILE ACUITY – displays sufficient, normal tactile acuity to potentially perform delicate hygiene procedures.

5. AUDITORY ABILITY – hearing is sufficient to clearly determine blood pressure with proper instrumentation,

understand normal speaking tones and communicate effectively with patients and faculty.

6. PHYSICAL ABILITY – overall physical condition should not hinder maneuverability in limited

spaces; allow for ergonomic positioning of body for safe operator-patient positioning over extended periods

of time.

7. CRITICAL THINKING ABILITY – displays mental ability to interpret written information and visual assessments (as best

determined within the context of a normal physical exam).

8. INTERPERSONAL ABILITY – does not have a medical history or condition that would result

in an inability to function and adapt under stressful conditions.

DH 2024 Application- 11 -

Dental Hygiene Department Expense Estimate

The following is an estimate of expenses during the two years of enrollment in the Dental Hygiene

Program. These figures are ESTIMATES ONLY and may change at any time.

Do not purchase anything in advance without prior instructions in writing from your instructors.

Fall Semester

Freshman Year

Spring

Semester

Freshman Year

Instrument Kit $ 800 Instrument Kit/lease $ 500/200

Scrubs $ 150 Instrument Replacement $ 50

Equipment lease $200 Disposables: Wrap, Gloves, etc. $ 100

Leather Shoes $ 60 Tuition, Fees: In District Est. 12hrs $ 1000

Books: New/Used $ 550/450

Disposables: Wrap, Gloves, etc. $ 50 Student Conference, Registration,

Hotel

$ 500*

SCADHA dues $ 65 Estimate Total $ 2800

Blood Pressure Kit $ 50

Summer Semester

Freshman Year

Tuition, Fees: In District Est.

10 hrs.

$ 1000 Tuition, Fees: In District

Est.

3 hrs

$ 400

Books: New

Used

$ 900

$ 700

Books $ 55

Estimate Total $ 3075 Estimate Total $ 455

Fall Semester

Sophomore Year

Spring

Semester

Sophomore Year

Instrument Kit/Lease $ 700 Instrument Replacement/lease $ 200

Instrument Replacement $ 50 Disposables: Wrap, Gloves, etc. $ 100

Disposables: Wrap, Gloves, etc. $ 100 WCJC Dental Hygiene Pin $ 10

SCADHA dues $ 65 National Board Exam $ 400

Tuition & Fees 10 hrs.

National Board Review

Books New/Used

$ 1000 CRDTS Clinical Exam

$1300

$500 State Board Application Fee $ 100

$400/300 Jurisprudence Exam $ 75

Tuition, Fees: In District

Est.

$ 750

Estimate Total $ 2,715 Books $ 65

National Board Review Course $450

Estimated Total $3450

Attendance at student conference required 1 time during the 2 year program. The estimated cost for registration fee and hotel

is $500. This fee has been added to the estimated total cost .

The projected cost for the two year (five semester) Dental Hygiene Program is about $12,500 in district with used books. This

projection is an estimate and can change at any time according to the college catalog schedule of fees, price of books, state

and national exams, and miscellaneous expenses.

DH 2024 Application- 12 -

WCJC Dental Hygiene Application Form

Fall 2024

Date of Application

Name

Last First Middle Maiden

Address

City State Zip

Phone

Home Work Cell

Email Social Security Number

Application is submitted for Fall of WCJC Dental Hygiene Program school year

Do you meet age requirement of 18-years old? Yes No

U.S. Citizen Other

Have you previously attended any dental hygiene program? Yes No . If yes, what

school

If yes, you must provide a letter of good standing with this application.

List all Dental Hygiene Programs to which you are applying (for WCJC research data only):

Name

Address

City

State

Zip

WORK RECORD – Include only dental-related work experience (6-month minimum)

Firm’s Name

Address

Work Experience is NOT required

Employment Dates

Position

Reason for

Leaving

EDUCATION HISTORY – Complete all applicable spaces

High School Attended Graduated _GED Date of Graduation_

ACT Test Taken within 5 years: Yes _No _Date Taken Location_

ACT Composite Score Chemistry Taken: High School College College Hours Completed_

Prerequisites

Name of School

Semester

Year

Grade

Progress

BIOL 2401 Anatomy/Phys. I

BIOL 2402 Anatomy/Phys. II

BIOL 2420 - Microbiology

CHEM 1405 Intro Chem.

CHEM 1411 Gen. Chem

Required General Education

ENGL 1301

PSYC 2301 OR 2314

Language, Philosophy, &

Culture or Creative Arts– 3

hours

SOCI 1301

SPCH 1311,1315, 1318 OR 1321

DH 2024 Application- 13 -

Certificates Awarded:

Degrees Awarded: Yes No _Associate Baccalaureate & higher

College Degree Awarded From: College

State Country

I hereby certify that the above information is correct to the best of my knowledge. I also understand that Wharton County

Junior College Dental Hygiene Department will maintain my personal information in a secure and confidential manner.

Signature:

Date:

Important Deadlines:

Final Selection May 31

All applications, transcripts and Hep B shot records must be received prior to May 31

Each September all application files will be shredded unless the applicant requests otherwise.

Remember, it is the applicant’s responsibility to verify with the department secretary that all records have been received and the

file is complete, BEFORE the application deadlines. This includes credit for all course work completed prior to entering the

program.

Attach documentation or have health care provider document the following immunization series initiation or completion

dose must be prior to May 31

application deadline):

HEPATITIS B

– three (3) doses or a positive Hep B surface antibody test

DOSE 1 DOSE 2 DOSE 3

HEP B Surface Antibody Date Reactive Non-Reactive

Health Care Provider Signature

Printed Name and Address

Phone

DH 2024 Application- 14 -

This form (pages 14 & 15) is to be completed by the Dental Hygiene Department Secretary.

It will be used, by the selection committee, as a cover sheet to the application.

Name

Last First

Student ID Number@__

Admission Points

Degree Completion from Accredited Institutions

Certificates =1 Adm. Pts. List Certificates:

Associate =2 Adm. Pts.

Baccalaureate =4 Adm. Pts. & higher

Admission Points

ACT Data

Minimum Composite Score of “19” required

Minimum Reading Score of “18” required

Date Taken: National Local Composite Score

Science

Math

Reading

One Admission Point for each point on the composite ACT score

Admission Points

Other Data

Related Work Experience – minimum 6 months – written proof provided = 2.0 Adm. Pts.

Admission Points

Total Admission Points:

Admission Points Awarded

DH 2024 Application- 15 -

WCJC Dental Hygiene Department

Transcript Evaluation Form

Name

Social Security Number

Last First Middle

Transcript Information – Sample: To be filled out by DH Staff

Course

Semester

Completed

Grade

Credit Hours

Grade

Points *

Total

Grade

Points

BIOL 2401

BIOL 2402

BIOL 2420

CHEM 1405

OR 1411

ENGL 1301

PSYC 2301

OR 2314

Language,

hilosophy & Culture or

reative Arts-3 hrs.

CI 1301

SPCH 1311, 1315, 1318

1321

*Grade Points

A = 4 Points

B = 3 Points

C = 2 Points

Total Credit Hrs.

Total Grade

Points

Grade Point Average – Requisite Courses

Total

Grade

Points

Grade

Pts

GPA

Total

Grade

Points

divided

Total

Credit

Hours

GPA

Admission

points

from

page

Admission

Pts

Add

points

for

residents

WCJC

school

district

District

Pts

Total

All GPA calculations are calculated in the manner of all college transcripts.