
From submitting your application to admission to registration, WITC is available to help guide you through the admissions process. To help you successfully complete this program, WITC has developed a set of program requirements and functional ability criteria. For students with a disability, reasonable accommodations are available to help you be successful in the program of your choice.
2020-21
Admission Requirements
The first step to get admitted is to fill out a WITC application, and WITC will guide you from there. If you're not quite ready to become a student, visit a campus to get the full WITC experience. A campus tour will give you the opportunity to meet staff, instructors and students, tour the campus and get a real feel for the campus culture.
- Complete application form and submit with fee (fee waiver may apply if previously submitted)
- Have earned a high school diploma or GED certificate; current high school seniors must provide both a current high school transcript and a final transcript with confer date
- Review and sign Background Check Disclosure
- Review and sign Functional Abilities Disclosure
- Complete admissions meeting with a WITC counselor (academic admission requirements apply)
2020-21 Dental Assistant Additional Program Information-Generic Track
2020-21 Dental Assistant Additional Program Information-Transfer Track
Program-Specific Requirements
- Submit Background Check fee
- Have an acceptable Wisconsin Caregiver Background Check, National Criminal Background Check, Minnesota Caregiver Background Check (if applicable), and other states, if applicable
- Pass a physical exam, have current immunizations and demonstrate negative status for tuberculosis (Tb)
- Possess current certification of “CPR for Healthcare Providers” or equivalent
- Review and sign Nursing and Allied Health Division Confidentiality Statement
- Review and sign dental office visit form
- Review and sign dental assistant program permission form
- Attend a mandatory program orientation session
2020-2021 Dental Assistant Student Handbook
- Allied Health Policies
- AH-1 WITC Mission, Vision, Values & Tenets
- AH-2 Rules and Regulations-Student Signature
- AH-3 Safety Accountability Statement-Student Signature
- AH-4 Bloodborne Pathogen Risk Statement
- AH-5 CDC Guidelines and Links
- AH-6 Standard Precautions Chart
- AH-7 Exposure Control Procedures (Needle stick)
- AH-8 Performance-Based Instruction
- AH-9 Student Responsibilities
- AH-10 Responsibility of the Learner
- AH-11 Test-Taking
- AH-12 Studying Hints
- AH-13 Important Dispositions for Critical Thinkers
- AH-14 Good Thinking vs. Poor Thinking
- AH-15 Computer Information
- AH-16 Communication Guidelines
- AH-17 Confidentiality-HIPAA
- AH-18 Transfer Credit
- AH-19 Witnessing Legal Documents
- AH-20 Health Status
- AH-21 CPR-Medic 1st Aid Requirements
- AH-22 Course Expectations for Assignments
- AH-23 Grading Policy
- AH-24 Academic Appeal Procedures
- AH-25 Automatic Program Dismissal
- AH-26 Complaints Concerning Allied Health Programs
- DA Program Policies
- DA-1 Catalog Page & Course Descriptions
- DA-2 Curriculum Checklist
- DA-3 Program Assessment Plan-Goals
- DA-4 Program Outcomes
- DA-5 Program Prerequisites and Progression
- DA-6 Accreditation-DANB Certification
- DA-7 Background Checks
- DA-8 Code of Conduct and Academic Dishonesty
- DA-9 Academic Requirements
- DA-10 Attendance Requirements and Absences
- DA-11 Proctoring Exams
- DA-12 Verifying Course Competency
- DA-13 Failing Grades
- DA-14 Fail Course Repeat Policy
- DA-15 Withdrawal from DA Courses
- DA-16 DA Reentry into Program
- DA-17 Dismissal Policy
- DA-18 Clinical Policy
- DA-19 Dress Code and Uniforms
- DA-20 Volunteer Hours Form
- DA-21 Clinical Performance Evaluation
- DA-22 Improvement Plan
- DA-23 DA Graduation Requirements
Dental Assistant Orientation-Fall 2020
DA Student Checklist Print this to do list.
DA Program Orientation Agenda
DA Program Orientation
2020-21 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
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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.
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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.
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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.
- 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
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1. Print Forms
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2. Each form will indicate a due date and to whom the paperwork should be sent
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- Health Form and Directions
- Health Form and Directions
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1. Print directions and forms
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2. Read Hepatitis B information
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3. Complete health information and immunization pages of the form
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4. Take form and directions to your physical exam appointment
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5. Be sure the physical exam page gets signed and stamped
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6. Submit during the first semester per instructor's deadline
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- Health Form and Directions
- DA Policies
- Dress Code, Uniforms, Required Equipment & Acceptable Behavior
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Your ID Name Badge can be ordered through your local campus.
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You may order from the uniform vendor of your choice, but you must have the items listed.
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- Dress Code, Uniforms, Required Equipment & Acceptable Behavior
- 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
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Additional Information
- Dental Assistant FAQs
- 2020-21 DA Program Cost Sheet
- 2020-21 DA Textlist
- 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.
Dental Assistant Withdrawal
- Instructions for Withdrawal from DA Core Courses
- If you are at this webpage, it means your DA Academic Advisor has been notified that you dropped your DA course (508-xxx) courses.
- If you are withdrawing from your DA core (508-xxx) courses, the DA program would like to gather data regarding your decision to withdraw. This data is useful in the DA planning process. Thank you for providing this information.
- Please carefully review the Withdrawal from the DA Program form. You may complete the form electronically and email to jennifer.holden@witc.edu or print and mail this form within one month of your exiting the program to the following address:
- Jennifer Heutmaker-Holden
- WITC-Rice Lake
- 1900 College Dr
- Rice Lake WI 54868
- If you have questions or concerns, please don't hesitate to contact Jennifer Heutmaker-Holden, DA Program Director, at jennifer.holden@witc.edu or 800/243-9482 x5146.
- If you are at this webpage, it means your DA Academic Advisor has been notified that you dropped your DA course (508-xxx) courses.
Technology Requirements
If using Macintosh or Linux based computers, coursework must be submitted using your Office365 tools provided with your WITC email account. It is important to verify with your Program Faculty if non-Windows based computers are acceptable in the program.