Dental Assisting Associate in Science Program Application

Complete the online application below and submit all documentation as required to be considered for May 2025 admission in the PHSC Dental Assisting Associate in Science program.


Read instructions thoroughly and supply all documentation required to be considered for the Dental Assisting Associate in Science degree program.

Instructions and Important Information

Read all requirements and complete and submit this online application. Applicants must submit all limited access program admission requirements to be considered for review. Applicants who submit only part of an application or are missing required documents will not be processed, must reapply to the program, and repay the limited access application fee once all requirements are met.

Applicants who are offered a seat in the program and fail to respond by the date indicated on the offer letter or who fail to enroll for the term for which admission is offered must reapply for a future date. 

Applicants who meet minimum requirements are admitted on a first qualified, first applied basis. Eligible applicants will be assigned a place in the next available class.


I understand that any previous unsuccessful attempts in health science courses may result in being denied entry per the policies outlined in the College Catalog under “Readmission to Limited Access/Selected Admissions Health Programs.”

Graduation: If selected, I understand that I must have both an overall GPA of 2.0 and a PHSC program GPA of 2.0 to graduate from this program.

Tobacco Use: I understand that the use of tobacco at all PHSC campuses is prohibited and that I will refrain from all tobacco use.

Orientation Requirement: I understand that if selected, I must complete a Basic Life Support (BLS) for Health Care Providers CPR Certification (PHSC Course NCH 0050) at PHSC or from a PHSC Training Site by the orientation date.

I understand that I am responsible for submitting a complete application by the stated deadlines and submitting all required documents and that incomplete applications are not considered.

I understand that official correspondence will be sent only to my student email address which ends in


  • Submit a PHSC application with a $25 non-refundable fee for new students or a PHSC readmission application for returning PHSC students not enrolled for more than 3 consecutive terms (1 year).
  • Payment of the separate $25 non-refundable limited access Dental Assisting application fee.
  • Official high school transcript with graduation date indicating receipt of a standard high school diploma or an official transcript of GED scores indicating receipt of a high school equivalency diploma, if not already submitted. 
  • Official transcripts from each U.S. college and university attended other than PHSC.

Campus Locations

This program is only offered at the West Campus in New Port Richey. 


Dental Assisting Applicant
Applicant Required Documents

Please note the required documents listed below must be submitted via email to, or delivered in person to the Admissions office at the West Campus in New Port Richey within 7 days of submitting this web application, or the program application deadline, whichever is sooner.

Applicant Initials:
Applicant Initials:
Applicant Certification

I certify that all statements given in this application are true and accurate to the best of my knowledge. Any falsified information may result in my dismissal from the program. I have read and understand the information and requirements regarding application policies, requirements, prerequisites, selection process, and other information concerning the Dental Assisting program at PHSC. I understand that I am responsible for submitting all required documents in an acceptable format by the deadline date(s). I understand that official correspondence will be sent only to my student email address which ends in

This webform is adapted from college form SAR-60.