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UNIVERSITY OF MISSOURI KANSAS CITY

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					ADVANCED EDUCATION PROGRAMS

APPLICATION MATERIALS
Chairman, Advanced Education Committee UMKC School of Dentistry c/o Office of Student Programs 650 E. 25th Street Kansas City, MO 64108-2795

UPDATED JUNE 2009
The following information is available at http://dentistry.umkc.edu/bec_student/AdvEdPrograms.htm .

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Thank you for your interest in the Advanced Education Programs of the University of Missouri-Kansas City School of Dentistry.
Advanced Education Programs
Chair, Advanced Education Committee: Mary P. Walker, D.D.S., Ph.D. The School of Dentistry offers advanced education curricula leading to graduate certificates in each of five clinical dental specialty areas (endodontics, oral and maxillofacial surgery, orthodontics and dentofacial orthopedics, pediatric dentistry, and periodontics), certificates in general dentistry, and master of science degrees in either oral biology or dental hygiene education. The School participates in the Interdisciplinary Ph.D. program through the Department of Oral Biology. Oral Biology's research focus areas are: Biomaterials/Bioengineering of Biological Tissues & Replacements, Mineralized Tissue Biology and Translational and Clinical Research.

Dental Graduate Certificate Programs
A graduate certificate program is offered in each of the following areas:      Advanced Education in General Dentistry Endodontics Oral and Maxillofacial Surgery Orthodontics and Dentofacial Orthopedics Periodontics

Applicants applying to the graduate certificate program in Pediatric Dentistry or graduate programs within Oral Biology or Dental Hygiene should not use this application and should contact those programs directly regarding their separate online application.

General Nature of Programs
Each certificate program curriculum is designed to prepare the student for specialty practice and to help the student meet the educational training requirements for examination by the appropriate American dental specialty board. All programs begin with the summer term (the first week of July) except for graduate Dental Hygiene education, which begins with the fall semester. Programs vary in length from 12 to 72 months.

For specific program descriptions regarding the graduate dental certificate programs, please refer to http://dentistry.umkc.edu/bec_student/AdvEdPrograms.htm.

Application Information
Applicants to any advanced education program of the School of Dentistry must submit all of the following information: 1. Curriculum vitae. 2. Original essay of one page describing their professional goals.

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3. Reference (by a minimum of three individuals capable of evaluating the academic potential of the candidates for advanced education program study). 4. Dean‟s letter 5. Official Transcripts (from undergraduate, dental, graduate and professional schools attended). 6. National board scores. 7. Class rank in dental school (if applicable). 8. UMKC Application and UMKC Application fee. Domestic student fee of $35 when applying online; $45 when submitting a paper application. International student fee of $50. Additional information, as identified below, must be supplied by international student applicants: 1. 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). 2. 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. 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 document. In addition, the programs in advanced education in general dentistry and oral and maxillofacial surgery also accept the Postdoctoral Application Support Services (PASS) application. Contact Information on the application support service and application form is available from the Office of Student Programs of the School of Dentistry or through the American Dental Education Association. All required PASS materials should be submitted with the completed PASS application to: PASS 1625 Massachusetts Ave. N.W. Suite 101 Washington, 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 an Admissions Representative within the Office of Student Programs at the mailing address at the beginning of this section or at (816) 235-2080. 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 online within the program descriptions. International applicants must have a U.S. or Canadian D.D.S. or D.M.D. from an accredited CDA or CDAC program to be considered for advanced education programs.

Application Deadlines
Application deadline dates for graduate dental certificate programs are as follows: Advanced Education in General Dentistry Endodontics Oral and Maxillofacial Surgery Orthodontics Periodontics October 1 August 15 August 15 September 5 August 15

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The deadline dates are for receipt of applications at the school. The deadlines are one year before the anticipated enrollment in the program. Graduate dental certificate programs in endodontics, orthodontics and dentofacial orthopedics, 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 Committee c/o Office of Student Programs UMKC School of Dentistry 650 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, 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 directly 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 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. Necessary forms to participate in the MATCH process may be obtained from: National Matching Services 595 Bay Street Suite 300 Toronto, Ontario M5G 2C2

Requirements and Procedure 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 is also 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 by a personal on-site interview that is required of most programs and is by invitation. Students enrolling in 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).

Admission
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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 surgery, orthodontics and dentofacial orthopedics, 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 NonResident Awards or graduate research assistantships. The Chancellor's Non-Resident Award provides for the nonresident 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 spring 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.
Statement of Human Rights: The Board of Curators and UMKC are committed to the policy of equal opportunity, regardless of race, color, creed, sex, age, national origin, disability, or Vietnam-era Veteran status. The Affirmative Action Office, 360 Administrative Center, 5115 Oak St., is responsible for all relevant programs. Call 816-235-1323 for information or go to ww.umkc.edu/adminfinance/eoaa. People with speech or hearing impairments may contact the University by using Relay Missouri, 1 800 735-2966 (TT) or 1 800 735-2466 (Voice). Students’ Right to Know: In accordance with Public Law 101-542, UMKC reports 73.1 percent of its first-time freshmen return the second year. The UMKC Police Department publishes an annual campus report on personal safety and crime statistics. The report includes statistics for the previous three years concerning reported crimes that occurred on campus; in certain off-campus buildings owned or controlled by UMKC; and on public property within, or immediately adjacent to and accessible from the campus. The report also includes institutional policies concerning campus security, such as policies concerning alcohol and drug use, crime prevention, the reporting of crimes, sexual assault and other matters. The report is available at the UMKC Police Department, Room 213, 4825 Troost Building, or online at www.umkc.edu/safetyreport.

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ADVANCED EDUCATION PROGRAMS – APPLICATION CHECK LIST FOR APPLICANTS
APPLYING DIRECTLY TO THE UMKC SCHOOL OF DENTISTRY
Applicants applying to graduate programs within Oral Biology or Dental Hygiene should not use this application and should contact those programs directly regarding their separate online application. Students enrolling in 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). Students must also be a citizen or permanent resident of the United States or a foreign national having a visa permitting residence in the United States. If a student is a permanent resident, a copy of the front and back of the Permanent Resident card is required. The programs in advanced education in general dentistry and oral and maxillofacial surgery also accept the Postdoctoral Application Support Services (PASS) application. Programs in oral and maxillofacial surgery and orthodontics and dentofacial orthopedics conjointly participate in the National Matching Services (MATCH) process. When applying to the University of Missouri Kansas City, you are required to submit the following: _____ The UMKC APPLICATION. Students may submit the included hard copy UMKC Application or the online UMKC Application available at www.umkc.edu/admissions. International applicants must complete the UMKC Application for international students available at www.umkc.edu/isao; be sure to submit additional required credentials as specified by ISAO (ex: TOEFL.) Supplemental materials are not to be submitted online and must be mailed to the Chairman, Advanced Education Committee c/o Office of Student Programs. _____ A UMKC APPLICATION FEE. $35 nonrefundable application fee when applying online (www.umkc.edu/admissions); $45 when you submit a paper application (enclosed, send check or money order payable to „UMKC‟). International applicants must submit a non-refundable $50 application fee. (Applicants who have enrolled and completed coursework as a degree-seeking student at UMKC are exempt from paying the application fee a second time.) When applying to all UMKC School of Dentistry Advanced Education Programs, you are required to submit the following: _____ OFFICIAL TRANSCRIPTS from all undergraduate, dental and/or graduate/professional schools attended. Final transcripts are required following graduation and/or completion of degree for accepted students. _____ The APPLICATION SUPPLEMENT. _____ A CURRICULUM VITAE (typed/word-processed). _____ A STATEMENT OF INTEREST describing your desire to pursue the advanced education program you have selected and your professional goals (one-page typed/word-processed). _____ The ACADEMIC PERFORMANCE EVALUATION FORM which is to be completed by the Dean of your dental school with your class rank (if applicable). _____ 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. _____ An official copy of Part I and II of your NATIONAL BOARD SCORES should be sent directly from the ADA Commission on Dental Examinations. If Part II has not been completed, official scores will be required shortly following the exam. Passing scores on both sections are required. _____ A PHOTOGRAPH approximately two inches by two inches. For the Endodontics Program you are required to submit the following additional materials: _____ Proof of a valid state dental license. For the Orthodontic Program you are required to submit the following additional materials: _____ An official copy of the GRADUATE RECORD EXAMINATION (GRE) scores should be sent directly from the Education Testing Service (ETS). The UMKC school code is 6872. ALL OF THESE MATERIALS SHOULD BE SENT TO US AS ONE PACKET. Chairman, Advanced Education Committee c/o Office of Student Programs UMKC School of Dentistry 650 E. 25th St. Kansas City, MO 64108-2795

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UMKC APPLICATION FOR ADMISSION
(This paper application is to be used for the following programs offered at the UMKC School of Dentistry: Advanced Education in General Dentistry, Endodontics, Oral and Maxillofacial Surgery, Orthodontics and Dentofacial Orthopedics, and Periodontics). Note: If you are an international visa student (nonresident alien), do not use this form. Complete the application through ISAO at www.umkc.edu/isao 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: Date of Birth: E-mail Address: Are you a Missouri resident? No Yes, how long have you been a Missouri resident: Cell Phone:

Previous Legal Address, if less than 1 year in Missouri (city county state): Are you a legal resident of Johnson, Leavenworth, Miami or Wyandotte County in Kansas? Are you a U.S. citizen? Yes No, country of citizenship: No Yes, how long:

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

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The following information is optional. Gender and ethnic origin are requested for purposes of federal compliance reporting: Gender: In effort to better serve our student population, design programming that is more inclusive and remain compliant with federal, state, local and several granting organizations, please indicate your ethnic or racial background: I. Are you Hispanic/Latino? Yes No II. Which of the following do you consider to be your racial background? Please place an “X” next to all races that apply and a “P” on the line next to your primary ethnicity type. _____American Indian or Alaska Native _____White _____Black/African American _____Asian (underrepresented) _____Native Hawaiian or other Pacific Islander _____Asian (includes Chinese, Filipino, Japanese, Korean, Asian Indian or Thai)

Did one or both of your parents graduate from college? Did one or both of your parents graduate from 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 (city, state) Dates of Attendance Degree Earned/Anticipated

Select a Program In the space below, please indicate the programs you are applying to and be sure to include the program number: Advanced Education in General Dentistry 033000; Endodontics 204000; Oral and Maxillofacial Surgery 461000; Orthodontics and Dentofacial Orthopedics 463000; 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 $45.00 non-refundable application fee as a part of the application packet. (Applicants who have enrolled and completed coursework as a degree-seeking

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student at UMKC are exempt from paying the application fee a second time.)

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UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY ADVANCED EDUCATION PROGRAMS
APPLICATION SUPPLEMENT
(Please TYPE or PRINT your responses for the following items)

Name: Street address: City, State, Zip: Application for advanced education study in: Have you previously applied to an advanced education program at UMKC School of Dentistry? If yes, please list programs and application date: National Board certificate (enclose copy): Part I (Date) State/Regional Licensing Board Examination(s) passed: List positions held, professional or other: Position or Practice Location Dates Part II (Date)

Memberships held in professional or honorary societies:

Indicate other honors or awards:

List papers published or in press:

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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:

Applicant Signature:

Date:

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

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UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY ADVANCED EDUCATION PROGRAMS
ACADEMIC PERFORMANCE EVALUATION FORM TO BE COMPLETED BY THE DEAN OF THE SCHOOL OF DENTISTRY
(Please TYPE or PRINT your responses for the following items)

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: Social Security Number: Application for advanced education study in: Name of dental school attended: Date of Graduation / Anticipated Date of Graduation: Name of Dean (please type or print):

 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 Exam Date Anat Sci Biochem Phys Micro Path Dent Anat Average Reference Number Part 2 Exam Date Average

DENTAL CLASS RANKING Class Size 1st 2nd 3rd 4th Yearly GPA Yearly Standing

OVERALL GPA/CLASS RANKING

Cum GPA: Cum Ranking: Class GPA Range:

 School does not rank its students

Attribute

Exceeds Expectations

Meets Expectations

Does not Meet Expectations

Not Observed

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Professional Appearance/ Demeanor Assumes Responsibility Initiative Reliability Maturity Ethical Behavior

Please check one:

 Do Not Recommend  Recommend  Highly Recommend  Highest Recommendation

Comments may be included in the space below or by attaching a separate letter:

Signature:

Date:

Please attach your business card and return this completed form, in a SEALED envelope to the applicant to return as a part of the application packet (please sign the flap of the envelope).

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UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY ADVANCED EDUCATION PROGRAMS - APPLICANT APPRAISAL FORM
TO BE COMPLETED BY A MEMBER OF THE SCHOOL OF DENTISTRY FACULTY
(Please TYPE or PRINT your responses for the following items)

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: Application for advanced education study in: Name of dental school attended: Name of Referee:

Social Security Number:

Title:

 Student has waived the right to access to this evaluation.  Student has not waived the right of access to this evaluation.
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 below regarding the student=s performance compared to others who have attended your institution. Exceeds Expectations Meets Expectations Does not Meet Expectations

Attribute Professional Appearance/ Demeanor Assumes Responsibility Initiative Reliability Maturity Ethical Behavior

Not Observed

Please check one:

 Do Not Recommend  Recommend  Highly Recommend  Highest Recommendation

Comments may be included in the space below or by attaching a separate letter:

Signature:

Date:

Please attach your business card and return this completed form, in a SEALED envelope to the applicant to return as a part of the application packet (please sign the flap of the envelope).

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UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY ADVANCED EDUCATION PROGRAMS - APPLICANT APPRAISAL FORM
TO BE COMPLETED BY A MEMBER OF THE SCHOOL OF DENTISTRY FACULTY
(Please TYPE or PRINT your responses for the following items)

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: Application for advanced education study in: Name of dental school attended: Name of Referee:

Social Security Number:

Title:

 Student has waived the right to access to this evaluation.  Student has not waived the right of access to this evaluation.
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 below regarding the student=s performance compared to others who have attended your institution. Exceeds Expectations Meets Expectations Does not Meet Expectations

Attribute Professional Appearance/ Demeanor Assumes Responsibility Initiative Reliability Maturity Ethical Behavior

Not Observed

Please check one:

 Do Not Recommend  Recommend  Highly Recommend  Highest Recommendation

Comments may be included in the space below or by attaching a separate letter:

Signature:

Date:

Please attach your business card and return this completed form, in a SEALED envelope to the applicant to return as a part of the application packet (please sign the flap of the envelope).

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UNIVERSITY OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY ADVANCED EDUCATION PROGRAMS - APPLICANT APPRAISAL FORM
TO BE COMPLETED BY A MEMBER OF THE SCHOOL OF DENTISTRY FACULTY
(Please TYPE or PRINT your responses for the following items)

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: Application for advanced education study in: Name of dental school attended: Name of Referee:

Social Security Number:

Title:

 Student has waived the right to access to this evaluation.  Student has not waived the right of access to this evaluation.
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 below regarding the student=s performance compared to others who have attended your institution. Exceeds Expectations Meets Expectations Does not Meet Expectations

Attribute Professional Appearance/ Demeanor Assumes Responsibility Initiative Reliability Maturity Ethical Behavior

Not Observed

Please check one:

 Do Not Recommend  Recommend  Highly Recommend  Highest Recommendation

Comments may be included in the space below or by attaching a separate letter:

Signature:

Date:

Please attach your business card and return this completed form, in a SEALED envelope to the applicant to return as a part of the application packet (please sign the flap of the envelope).

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