2 Year Program. Applications accepted for Academic Year 2009

Brand New State of the Art Teaching Facility Completed in 2008


90% Financing for Qualified Students

University of La Salle
Leon, Guanajuato
Mexico



  
Information Request
 

* Required Fields
Personal Information
Full Name *
Date Of Birth *      
US Citizenship *  

Contact InformationPlease enter your full phone number, including international and area codes.
Preferred time to call 
Home Phone

Work Phone
Cell/Mobile Phone
 
Email Address *  
Confirm Email *  

Address
Address Line1 *  
Address Line2
Country *  
City/Town *  
State/Province *  
Zip/Postal Code *  

Educational Information
Level of Education *   If other, please fill the blank
University *  
Location*  
Year of Completion *  
 
Specialty (if any)
Specialty Explanation
Please specify your degree/ Certification, the country which you received your degree from, and year of completion.		  

Have you passed the following exams? If yes, what was your score in each category? *
American Dental Association National Dental Board (Part One)     Score
 

American Dental Association National Dental Board (Part Two)

     Score
 

How did you hear about this program?  *
   Please describe