University of Missouri-Kansas City

University of Missouri-Kansas CitySchool of Dentistry

Advanced Education Programs

Application Materialsupdated February, 2007

UNIVERSITY OF MISSOURI-KANSAS CITY

SCHOOL OF DENTISTRY

ADVANCED EDUCATION PROGRAMS

Application Information

Applicants to any advanced education program of the School of Dentistry must submit all of the following information:$ Curriculum vitae; $ Original essay of one page describing their professional goals; $ Reference (by a minimum of three individuals capable of evaluating the academic potential of the candidates

for advanced education program study); $ Transcripts (from undergraduate, dental, graduate and professional schools attended); $ National board scores; $ Class rank in dental school (if applicable).

Additional information, as identified below, must be supplied by international student applicants: $ TOEFL scores (minimum of 550 on the paper test or 213 on the computer based version) or a demonstrated

proficiency in the English language (if English is not the primary language of the applicant); $ Financial statement (guarantee of full financial support or of sufficient financial resources for the entire cost of

the program, including living expenses).

Advanced education programs (except where indicated) accept the UMKC Application Form. International applicants must use the UMKC International Application for Admission. These forms are available from the Office of Student Programs of the School of Dentistry or at the www.umkc.edu/dentistry/assets/forms/advancededucation.htm Web site. The application and required supporting documents should be sent to the chairman of the Advanced Education Committee, c/o Office of Student Programs, at the address at the beginning of this section.

In addition, the programs in advanced education in general dentistry, oral and maxillofacial surgery, and pediatric dentistry also accept the Postdoctoral Application Support Services (PASS) application. Information on the application support service and application form is available from the Office of Student Programs of the School of Dentistry at the address at the beginning of this section, at http://www.adea.org, and at the admissions phone numbers at the beginning of this section. All required PASS materials should be submitted with the completed PASS application to:

PASS1625 Massachusetts Ave. N.W. Suite 101Washington, D.C. 20036

The remainder of the information required by the advanced education programs should be sent to the Office of Student Programs. General questions concerning advanced education programs should be directed to the chairman of the Advanced Education Committee at the mailing address at the beginning of this section or at (816) 235-2749. However, specific questions regarding any advanced education program should be directed to the pertinent program director. Graduate program directors along with their telephone numbers are identified in a subsequent section.

Application Deadlines

Application deadline dates for graduate dental certificate programs are as follows: Advanced Education in General Dentistry - October 1 Orthodontics - September

5 Endodontics - August 15 Pediatric Dentistry -

October 15 Oral and Maxillofacial Radiology - Open Periodontics - September

1 Oral and Maxillofacial Surgery - August 15

This deadline date for receipt of applications at the school is one year before the anticipated enrollment in the program. Graduate dental certificate programs in endodontics, orthodontics and dentofacial orthopedics, oral and maxillofacial radiology and periodontics, require the UMKC application and the associated supplemental information that was previously indicated . This application material should be sent to:

Chairman, Advanced Education Committeec/o Office of Student ProgramsUMKC School of Dentistry650 E. 25th St.Kansas City, MO 64108-2795

The remaining graduate dental certificate programs (i.e., advanced education in general dentistry, oral and maxillofacial surgery, and pediatric dentistry) require either a UMKC application (and associated supplemental information) or application through the Postdoctoral Application Support Services (PASS). A completed PASS application and other materials required by the service should be sent to the address given on the application or as provided earlier. The PASS application should not be sent to UMKC. Be aware that approximately three weeks is required by the service to process PASS applications and deliver them to the designated programs. The length of this processing period should be considered by the candidate in order to meet relevant application deadlines. The graduate certificate programs in oral and maxillofacial surgery, orthodontics and dentofacial orthopedics and pediatric dentistry participate in the National Matching Services (MATCH) process. Candidates to these programs must also submit to MATCH completed Applicant Agreement and Rank Order List forms by the deadline dates established by MATCH. There are two phases of the MATCH process, each with its deadline date for receipt of Rank Order List forms from applicants. The Phase I deadline (typically toward the end of November each year) is for applicants to the orthodontics and dentofacial orthopedics program. The Phase II deadline (typically in the middle of January annually) is for those applying for admission to the oral and maxillofacial surgery and pediatric dentistry programs. Necessary forms to participate in the MATCH process may be obtained from:

National Matching Services595 Bay StreetSuite 300Toronto, Ontario M5G 2C2

Requirements and Procedures for Admission

Admission to a graduate dental certificate program is competitive. Primary focus is on the applicant's academic record while in dental school, including national board scores. Emphasis also is placed on information gathered from letters of evaluation and curriculum vitae (such as quality of professional practice experience, continuing education experience, research activities, leadership and involvement and participation in professional societies and community service). Another fundamental source of information is supplied from a personal on-site interview that is required of most programs and is by invitation.

Applicants to a graduate dental certificate program must hold a D.D.S. degree or equivalent from a program accredited either by the Commission on Dental Accreditation (CDA) or the Canadian Dental Accrediting Commission (CDAC). Graduates of foreign dental schools, however, are eligible to apply for admission only to the certificate programs in oral and maxillofacial radiology .

Admission

The Advanced Education Committee (AEC) serves as the admission review board for each of the graduate dental certificate programs. Each program has its own admission review board. At a minimum, the admission review board consists of the respective program director and at least two other full-time faculty members.

Each program's admission review board submits its recommendations for acceptance to the AEC for consideration. Recommendations for acceptance include those identified as prime candidates (equal in number to the number of available residencies in the program) and those who serve as "alternates." Acceptance or denial of each recommended candidate is made by the AEC.

Financial Assistance

Eligible advanced education students (i.e., those who have earned a D.D.S. or D.M.D. degree from a Commission on Dental Accreditation or Canadian Dental Accrediting Commission accredited program or who hold valid licenses to practice dentistry in one or more states of the United States) in the graduate certificate program of endodontics, general dentistry, oral and maxillofacial radiology, oral and maxillofacial surgery, orthodontics and dentofacial orthopedics, pediatric dentistry and periodontics receive an annual financial assistance based on patient treatment fees.

Eligible graduate students in general dentistry, orthodontics and dentofacial orthopedics, periodontics and endodontics, participate in an incentive-based clinical income sharing program; 33 percent of the net fees collected for clinical treatment provided by a resident in one of these programs will be paid to the student. Net collected clinical fees are defined as gross clinical fees collected less scheduled laboratory fees incurred as a part of the treatment procedures and less any waivers granted (except those authorized for payment to the resident by the assistant dean for clinical programs).

Financial aid for advanced education students is also available in the form of a limited number of Chancellor's Non-Resident Awards or graduate research assistantships. The Chancellor's Non-Resident Award provides for the non-resident tuition only (i.e., the difference between Missouri resident and nonresident fees), while the graduate research assistantship includes a stipend plus an award equivalent to the basic education fees (at regular graduate student fee rate and not at the graduate dental student fee rate) for 6 hours of graduate credit for both Fall and Winter semesters. Both categories of awards are made on a competitive basis, with quality of academic record as a major criterion. History of research experience or potential for research in the graduate program also serves to identify candidates for the graduate research assistantship.

Other forms of financial aid may be available from federal loan programs (depending on whether or not lending limits have been reached) or from other funding agencies.

Students= Right-to-Know StatementIn accordance with Public Law 101-542, UMKC reports 72 percent of its first time full-time degree-seeking freshmen return the second year. The UMKC Police Department publishes an annual campus report on personal safety and crime. The report is available on request from the UMKC Police Department, Room 213, 4825 Troost or via the Web site: www.umkc.edu/police.Statement of Human RightsThe Board of Curators and the University of Missouri-Kansas City are committed to the policy that there shall be no discrimination on the basis of race, color, creed, sex, age, national origin, disability or Vietnam-era veteran status. The Equal Opportunity and Affirmative Action Office, 223 Administrative Center, 5115 Oak St., is responsible for all relevant programs. Call 816-235-1323 for information or go to www.umkc.edu/adminfinance/eoaa. People with speech or hearing impairments may use Relay Missouri, 1-800-735-2966 (TT) or 1-800-735-2466 (Voice).



Application Check List

When applying for an advanced education program, you are required to submit the following:

_____ The UMKC application or the application for international students (international students may access this application by going to the following web page: http://www.umkc.edu/admit/umkc-app.pdf)

_____ The APPLICATION SUPPLEMENT_____ Official transcripts (from undergraduate, dental and/or graduate/professional schools attended)_____ A typed/word-processed curriculum vitae_____ A one-page typed/word-processed statement describing your interest in pursuing advanced education in the

program you have selected and your professional goals_____ Three APPLICANT APPRAISAL FORMS from faculty at your dental school (each form MUST be in a sealed

envelope); three letters of reference may be substituted for the APPLICANT APPRAISAL FORMS_____ The ACADEMIC PERFORMANCE EVALUATION FORM which is to be completed by the Dean of your dental

school with your class rank (if applicable)_____ A check for the non-refundable $35.00 application fee

For the Endodontics Program you are required to submit the following additional materials:_____ Applicants must also submit evidence of graduation from a school of dentistry accredited by the Commission

on Dental Accreditation or Canadian Dental Accreditation Commission, or verification from the dean of an accredited dental school that the applicant will graduate during the current academic year

_____ Proof of a valid state dental license_____ An applicant (for this program) must be a citizen of the United States or a foreign national having a visa per

residence in the United States; if a permanent resident, enclose a copy of the front and back of the Permanent Resident card

_____ Proof of having passed Part I and II of the National Board Examination_____ A photograph approximately two inches by two inches

For the Periodontics Program you are required to submit the following additional materials:_____ Applicants must also submit evidence of graduation from a school of dentistry accredited by the Commission

on Dental Accreditation or Canadian Dental Accreditation Commission, or verification from the dean of an accredited dental school that the applicant will graduate during the current academic year

_____ An applicant (for this program) must be a citizen of the United States or a foreign national having a visa per residence in the United States; if a permanent resident, enclose a copy of the front and back of the Permanent Resident card

_____ A photograph approximately two inches by two inches

ALL OF THESE MATERIALS MUST BE SENT TO US, AS A PACKET.

_____ An official copy of your National Board scores should be sent directly from the National Board office.

UMKC Application for Admission

(This application is to be used for the following programs offered at the UMKC School of Dentistry: Advanced Education in General Dentistry, Endodontics, Master of Science in Oral Biology, Oral and Maxillofacial Radiology, Oral and Maxillofacial Surgery, Orthodontics and Dentofacial Orthopedics, Pediatric Dentistry, and Periodontics). Note: If you are an international visa student (nonresident alien), do not use this form.)

Applicant Information

Social Security Number:

Last Name, First Name, Middle:

Current Legal Address:

Current Legal City, State and Zip:

Current Mailing Address:

Current City, State and Zip:

Current County:

Home Phone:

Work Phone:

Are you a Missouri resident; if so, how long have you been a Missouri resident?

Are you a legal resident of Johnson, Leavenworth, Miami or Wyandotte county In Kansas; if so for how long?

Previous Legal Address, if less than 1 year in Missouri (city county state):

Are you a U.S. citizen/if no, country of citizenship?

If resident alien, card number and date of issue (a copy of your card is required):

If resident alien, card number and date of issue (a copy of your card is required):

Date of Birth:

E-mail Address:

The following information is optional. Gender and ethnic origin are requested for purposes of federal compliance reporting. Gender:

Ethnic Origin (American Indian/Native American; Black, Non-Hispanic; Asian or Pacific Islander; Hispanic; White, Non-Hispanic):

Did one or both of your parents graduate from college?

Did one or both of your parents graduate from UMKC?

Enrollment Information

Have you ever applied to UMKC before; if yes, what semester and year?

Have you previously enrolled at UMKC; if yes, last semester enrolled?

When will you enter UMKC (semester and year)?

Do you plan to complete a degree at UMKC?

Educational Information

High School Attended (name, city and state):

Date of Graduation or GED Diploma:

Name and location of all colleges and universities attended prior to enrollment at UMKC, including dates of attendance and degrees earned or expected. Include all colleges or universities from which you have earned dual credit. Please request all colleges and universities send official transcripts of course work.

Name of School Location Dates of Attendance Degree Earned/Anticipated

Select a Program

In the space below, please indicate below the programs you are applying to be sure to include the program number: Advanced Education in General Dentistry 033000; Endodontics 204000; Master of Science in Oral Biology 458000; Oral and Maxillofacial Radiology 459300; Oral and Maxillofacial Surgery 461000; Orthodontics and Dentofacial Orthopedics 463000; Pediatric Dentistry 479500; Periodontics 483000.

Please read carefully: I certify the information on this application is accurate and complete and I understand that all required credentials must be submitted before an admission decision may be made. I authorize the University of Missouri-Kansas City to maintain all my records under my signed name and I understand these records and credentials in support of my application are the property of UMKC and may not be returned or reproduced.

Date: Signature:

Please return this completed form and your check for the $35.00 non-refundable application fee as a part of the application packet.



Application Supplement

(Please TYPE or PRINT your responses for the following items)

Name:

Street address:

City, State, Zip:

Application for advanced education study in:

National Board certificate (enclose copy): Part I (Date) ; Part II (Date)

State/Regional Licensing Board Examination(s) passed:

List positions held, professional or other:

Position or Practice Location Dates

Memberships held in professional or honorary societies:

Indicate other honors or awards:

List papers published or in press:

Please supply names and academic positions of three members of your School of Dentistry faculty who have knowledge of your character and training and have indicated a willingness to write in support of this application. Letters from other dentists not related to you by birth or marriage may also be offered in support of your application.

Name:

Position:

Name:

Position:

Name:

Position:

Please return this completed form as a part of the application packet.

Students= Right-to-Know StatementIn accordance with Public Law 101-542, UMKC reports 72 percent of its first time full-time degree-seeking freshmen return the second year. The UMKC Police Department publishes an annual campus report on personal safety and crime. The report is available on request from the UMKC Police Department, Room 213, 4825 Troost Building or via the Web site: www.umkc.edu/police.Statement of Human RightsThe Board of Curators and the University of Missouri-Kansas City are committed to the policy that there shall be no discrimination on the basis of race, color, creed, sex, age, national origin, disability or Vietnam-era veteran status. The Equal Opportunity and Affirmative Action Office, 223 Administrative Center, 5115 Oak St., is responsible for all relevant programs. Call 816-235-1323 for information or go to www.umkc.edu/adminfinance/eoaa. People with speech or hearing impairments may use Relay Missouri, 1-800-735-2966 (TT) or 1-800-735-2466 (Voice).



Academic Performance Evaluation FormTo be Completed by the Dean of the School of Dentistry


(This form is downloadable in Word and WordPerfect through the UMKC School of Dentistry=s web page http://dentistry.umkc.edu/bec_student/AdvEdPrograms.htm#info)

A strictly confidential evaluation of this applicant for use by the University of Missouri-Kansas City School of Dentistry will be appreciated.

Applicant's name:



Name of dental school attended:

Name of Dean (please type or print): Please attach your business card and return this completed form, in a SEALED envelope (please sign

the flap of the envelope) to the applicant to return as a part of the application packet.

Student has waived the right to access to this evaluation.

Student has not waived the right of access to this evaluation.

NATIONAL BOARD SCORES Part 1 Part 2

Exam Date

AnatSci

BiochemPhys

MicroPath

DentAnat

Average ReferenceNumber

ExamDate

Average

DENTAL CLASS RANKING

Class Size

Yearly GPA

YearlyStanding

1st

2nd

3rd

4th

OVERALL GPA/CLASS RANKING

Cum GPA:

Cum Ranking:

Class GPA Range:

School does not rank its= students

AttributeExceeds

ExpectationsMeets

ExpectationsDoes not MeetExpectations Not Observed

Professional Appearance/ Demeanor

Assumes Responsibility

Initiative

Reliability

Maturity

Ethical Behavior

Do Not Recommend Recommend Recommend with Reservations Highly Recommend

Comments:

Signature:

Name (printed):




Applicant Appraisal FormTo be Completed by a Member of the School of Dentistry Faculty




Applicant's name:




Name of Referee (please type or print): Please attach your business card and return this completed form, in a SEALED envelope (please sign




How long have you known this applicant?

In what capacity have you known this applicant?

Lecture/Seminar Clinic Research Environment Advisor

Please complete the evaluation on the next page based on the student=s performance compared to others who have attended your institution.

AttributeExceeds

ExpectationsMeets




Initiative

Reliability

Maturity

Ethical Behavior


Comments:

Signature:

Name (printed):

Title:








Applicant's name:












AttributeExceeds

ExpectationsMeets




Initiative

Reliability

Maturity

Ethical Behavior


Comments:

Signature:

Name (printed):

Title:








Applicant's name:












AttributeExceeds

ExpectationsMeets




Initiative

Reliability

Maturity

Ethical Behavior


Comments:

Signature:

Name (printed):

Title:


University of Missouri-Kansas City

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