2016-17 Dental Assistant Orientation
Checklist -- to be used as as guide.
academic advisor can provide guidance, you are ultimately responsible for
selecting courses that meet a programís graduation requirements.
The clinical agencies that host the WITC DA students for clinical
courses have significantly increased their demands for background check
scrutiny over the past several years. We want to ensure students
understand, prior to the start of the program, that
if there are
no clinical agencies that will accept the student based on the
background check history, the student must be excused from the DA
program, regardless of the studentís academic standing.
statement of understanding explains this.
All DA students are required to complete a
Wisconsin Caregiver Background Check
National Criminal Background Check,
which must be completed through
Verified Credentials, Inc.
In additional to that, if you are a student who will complete a
clinical course in Minnesota, you will also be required to complete a
Minnesota Caregiver Background Check.
Your Program Instructor/Advisor will inform
if a Minnesota background check is needed.
1. Print forms
form will indicate a due date and to whom the paperwork should be sent.
Health Form and Directions
1. Print directions and form
Hepatitis B information
3. Complete health information and immunization
pages of the form.
4. Take form and directions to your physical exam
5. Submit during the first
semester per instructor's deadline.
Be sure the physical exam page gets signed
Your ID Name Badge can be ordered through your local
You may order from the uniform vendor of your choice, but
you must have the items listed.
Complete and give to Instructor:
DA Functional Abilities
Student Information Sheet
Office Visit Record
DA Permission Form
Pregnancy Permission Form
Dental Assistant FAQs
DA Program Cost Sheet
Malpractice Insurance Information
ADAA Membership - The WITC Dental
Assistant program recommends all students become members of the
American Dental Assistants Association (ADAA). Click
here for more information.
Student Biographical Change Request -- please print and use this form if you change your
name, address or phone number(s). You should submit it to your local Student
Services to be certain that the changes are entered in the
main computer system.
Assistant program pages