* = Required Field
  • South Florida State College
    Dental Hygiene Program Application


  • For program requirements please click here: South Florida State College
  • Contact Information
    Please complete all the necessary fields with your personal information.

    • [mm/dd/yyyy]
    • This is the email address the college will use for future contact.

    • - -
    • - -
    • Please list any other Health Sciences Programs of Interest as secondary enrollment options if applicable. A separate application must be submitted for each program. (See SFSC catalog for listing of all Health Sciences Programs):
    • I certify that all information on this application is correct. I understand that it is my responsibility to provide all necessary documentation required to process this application, including proof of residency and official transcripts.

    • [mm/dd/yyyy]

  • All applicants must attach a scanned copy of the required observation
    form prior to clicking the submit button.

    Dental Hygiene - 40 hour observation form

  • Observation Form - DO NOT SUBMIT A BLANK FORM (You must complete observation hours BEFORE you can apply)