ADEA AADSAS Personal Information
This section is used to gather your biographic and contact information, as well as citizenship, race/ethnicity, and other information.
- ADEA AADSAS Agreement Statements
- Review and confirm your agreement with ADEA AADSAS's release statement(s).
- Biographic Information
- Provide information about your name(s), sex, and date and place of birth.
- Contact Information
- Provide the address, phone number, and email you want ADEA AADSAS and your program(s) to use to contact you.
- Citizenship Information
- Provide information about your US citizenship status, including country of citizenship, legal state of residence, and visa details and status.
- Environmental Factors
- Provide information about environmental factors that you'd like ADEA AADSAS to consider, such as your childhood residency, disadvantaged consideration, family situation, high school information, as well as any relatives in the oral health profession.
- Parent/Guardian
- Provide your parent(s) or guardian(s) demographic information.
- Race & Ethnicity
- Provide optional information about your race and ethnicity (to be used for statistical purposes only).
- Other Information
- Provide additional information, such as your DENTPIN, program plans, language(s) spoken, military status, infractions, health profession specific details, etc.