Admissions application

Complete the online application below.

A personal statement explaining your interest in the program is required to apply to the program.

*The non-refundable application fee is $100. This fee is due at the time of submission.

Apply here

First name

Last name

Phone

Address

Birthday

Month

Day

Year

Gender

Immunization Records/Waiver

EDUCATION

High School

First Attended

Month

Day

Year

Last Attended

Month

Day

Year

Graduated

Diploma/Certificate

College/University

First Attended

Month

Day

Year

Last Attended

Month

Day

Year

Graduated

Diploma/Certificate

Other Education

First Attended

Month

Day

Year

Last Attended

Month

Day

Year

Graduated

Diploma/Certificate

Employer

Phone

Start Date

Month

Day

Year

Last Date of Employment

Month

Day

Year

References

First & Last Name

Phone

Relationship

Enrollment

Desired Term of Enrollment

Personal Statement

How did you hear about us?

I understand that tuition for the Orthodontic Assistant School of Metro Atlanta must be paid in full before the start of my term.

I understand that the Orthodontic Assistant School of Metro Atlanta does not accept any form of financial aid, grants, or scholarships.

I understand that I am required to submit payment in the amount of $100 via Zelle to araglindds@yahoo.com immediately, which will initiate the review process of my application. By submitting the $100 application fee, I understand that acceptance is not guaranteed, and the $100 fee is NON-REFUNDABLE.

I have read and acknowledge the requirements for admission and attendance of the Orthodontic Assistant School of Metro Atlanta.

Date picker

Signature

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