Please complete this form to apply for the Dental Hygiene program at Lamar Institute of Technology.
You will not be able to update the application once you hit the submit button. To request any changes after you submit, please email dentalhygiene@lit.edu with the updates, and be sure to include your name and date of birth.

Contact Information

Permanent Address:

 
Mailing Address:

 Same as Permanent Address
Please answer the following questions:

(min. 10, max. 200 chars.)


(min. 10, max. 200 chars.)

(min. 10, max. 200 chars.)

(eg. 2015)
Prerequisite Courses
Name of School
 
Course
(eg. BIOL2301)
Year
 
Lec. Grade
 
Lab Grade
 
Support Courses
Name of School
 
Course
(eg. ENGL1301)
Year
 
Lec. Grade
 
Lab Grade
 
 
 
 
 
Certification
By placing my initials in the box below I hereby certify the information contained in this application is true and complete to the best of my knowledge. I understand any misrepresentation or falsification of information is cause for denial of admission to any Allied Health Program or expulsion from Lamar Institute of Technology. I understand that information contained in this application will be read by faculty and/or staff of Lamar Institute of Technology Allied Health admissions personnel.
Please enter your initials here: