Application Form – Expanded Function Restorative Education Program

Are you a registered dental hygienist?
Graduation Date
National board exam you intend to take
Have you read the requirements of the course and are you able to attend 2 weeks of online lectures prior to the in person start date of 6/12/24?
The mandatory online lectures will be scheduled for 5pm-7pm on the following dates: 5/28, 5/29, 5/30, 6/4, 6/5, 6/6.
Are you able to travel to Spokane, WA and stay for the duration of the course 6/12-6/19?
This field is for validation purposes and should be left unchanged.