Dental Assistant Requirements and Application

Dental Assistant Orientation-Fall 2019 

DA Student Checklist Print this to do list.

DA Program Orientation Agenda
DA Program Orientation

2019-20 Academic Calendar

2019-20 DA Curriculum Checklist Curriculum Checklists are to be used as a guide. Although your academic advisor can provide guidance, you are ultimately responsible for selecting courses that meet a program's graduation requirements. 

• Background Checks

  • 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 student's academic standing. This is explained in further detail in the Background Check Disclosure form listed above, under Admission Requirements. 

  • All DA students are required to complete a Wisconsin Caregiver Background Check and a National Criminal Background Check, which must be completed through Verified Credentials, Inc.

  • In addition to that, if you are a student who will complete a clinical rotation in Minnesota, you will also be required to complete a Minnesota Caregiver Background Check. Your Program Instructor/Advisor will inform you if a Minnesota background check is needed. 

    • MN Department of Human Services (DHS) Background Studies

    • The MN Dept. of Health Services NETStudy 2.0 background study requires all persons who provide services to children and vulnerable adults to be fingerprinted and photographed. 
    • Students will be required to provide WITC a copy of an Acceptable Form of ID for DHS Background studies, the completed MN DHS Data Worksheet and $20. 
    • WITC staff will verify the information provided, and enter it into the MN DHS website, which will generate the Background Study Fingerprint & Photo Authorization document that is sent to the student. Students MUST present the authorization document and same form of ID to be fingerprinted and photographed. Students will be reuquired to pay the $9.10 fee at the fingerprint and photo location. 
    • Within 14 calendar days of receiving the Background Study Fingerprint and Photo Authorization document, students must be fingerprinted and photographed. If not completed within 14 calendar days, the above process and fee payment will need to be repeated. 
    • Background Study Notice of Privacy Practices

    • 1. Print Forms

    • 2. Each form will indicate a due date and to whom the paperwork should be sent

• Health Form and Directions 
  • Health Form and Directions

    • 1. Print directions and forms

    • 2. Read Hepatitis B information

    • 3. Complete health information and immunization pages of the form

    • 4. Take form and directions to your physical exam appointment

    • 5. Be sure the physical exam page gets signed and stamped

    • 6. Submit during the first semester per instructor's deadline

• DA Uniforms
  • Uniforms

    • Your ID Name Badge can be ordered through your local campus.

    • 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 Disclosure - See the form listed above, under Admission Requirements.  Read the functions and initial/sign the last page as described. Submit to instructor by designated due date
  • Confidentiality Statement
  • Computer Skills Checklist
  • Student Information Sheet
  • CPR Requirements
  • Dental Office Visit Record
  • Orientation Survey
  • DA Program Permission Form
  • Student Demographic Data
  • Acknowledge of Risk Form

• Additional Information 

  • Dental Assistant FAQs
  • 2019-20 DA Program Cost Sheet
  • 2019-20 DA Textlist
  • DA Dress Code
  • Insurance Information
  • ADAA Membership The WITC Dental Assistant program recommends all students become members of the American Dental Assistants Association (ADAA).  
  • 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.