Please complete the form below to apply to the course.

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Your application will be reviewed and you will be notified by July 31st / 2024 regarding your acceptance.

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How comfortable are you extracting teeth?

What obstacles are you currently facing when extracting teeth? Please provide a couple examples.

What has motivated you to apply to this customized in-person learning experience? Please share a paragraph or two.

I understand that this course is an intensive, hands-on / online hybrid program requiring my full participation. I am committed to attending and engaging in all sessions and giving it my absolute best to ensure an optimal learning outcome for all in attendance.

What are your goals after completing this 2-day intensive experience? (How do you envision integrating what you learn into your practice?)

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