We will match you with the financial option you qualify for. Everyone qualifies for some sort of financial assistance option or affordable payment plan. Next keyboard_arrow_left Married Status Single Married Next keyboard_arrow_left Children Yes No Next keyboard_arrow_left Living Situation Live on your own Live with parents or guardian Next keyboard_arrow_left Do you have a co-signer? Yes No Next keyboard_arrow_left Are you a veteran or do you have a certificate of eligibility (COE)? Yes No Next keyboard_arrow_left Do you have a car payment? Yes No Next keyboard_arrow_left Current Employment Type Full Time check_circle Part Time check_circle Not Currently Employed check_circle Next keyboard_arrow_left Employment details (not required) Place Of Employment Wages You need to fill all required fields in this step. Next keyboard_arrow_left Have you ever worked with the Department of Jobs and Family Services? Yes No Next keyboard_arrow_left Do you have a checking account? Yes No Next keyboard_arrow_left Do you have a credit card? Yes No Next keyboard_arrow_left Which session are you requesting more information about? Location Please select an option Norwalk Year Please select an option array(2) { ["value"]=> string(4) "2022" ["label"]=> string(4) "2022" } 2022 array(2) { ["value"]=> string(4) "2023" ["label"]=> string(4) "2023" } 2023 Class Please select an option Fall (Sep - Nov) Winter (Jan - Feb) Spring (Mar - Apr) Summer I (May - Jul) Summer II (Jul - Sep) Fall (Sep - Nov) You need to fill all required fields in this step. Next keyboard_arrow_left Our class size is limited, do you want to request a spot? No Yes Next keyboard_arrow_left How did you hear about us? Google check_circle Facebook check_circle School check_circle Newspaper check_circle Friends / Family Member check_circle Mailer check_circle Other check_circle Next keyboard_arrow_left Select all options that are important to you. I want an exciting new career I want a better life for my family I enjoy helping others I won't have to work weekends or holidays I like how quickly I can become a dental assistant I will be able to keep my job during the program I like how affordable the program is I like that there are a lot of dental assisting jobs available I like that this program has job placement assistance I like that dental assisting has a lot of potential for advancement I like the earning potential of dental assisting Next keyboard_arrow_left What phone number should we text your results to? Phone Number You need to fill all required fields in this step. Next keyboard_arrow_left Contact Information First Name Last Name Email Questions or Comments You need to fill all required fields in this step. Next Submit