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Liaison

Environmental Factors

Disadvantaged Consideration

Indicate whether you wish to be considered a disadvantaged applicant by any of your programs that may consider such factors (social, economic, or educational). You can also enter brief information about your background that helps clarify your determination.

Family Situation (US Applicants Only)

Select your responses to questions related to your family situation.

Childhood Residency

Select your responses to questions related to the area in which you lived as a child.

High School Situation

Select your responses to questions related to your high school.

Relatives in Oral Health

In this section, you can enter information about your relative(s) in oral health, including their role within your household, school attended, and degree(s). This information is only used for data and recruitment purposes.

Add a Relative

  1. Select the relationship between you and the relative.
  2. Enter their first and last names.
  3. Enter their school attended. Note that this list only contains US-based schools. If your relative attended a foreign school, leave this field blank.
  4. Select the type of degree or certification they earned or anticipate earning. If multiple degrees were earned, select the primary one. 
  5. Select their graduation date, if applicable.
  6. Add additional relatives, as needed.
  7. Click Save and Continue.

 

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