Dental Careers Exploration Camp

Program Sponsors
Registration Form
August 2–4, 2015
Name
Address
Phone number
Email
Sex:
M
F
Parental consent and signature:
I have read the brochure and agree
to allow my child to participate.
Mail registration to:
Collyn Baeder
University of New England
School of Community and Population Health
716 Stevens Avenue
Portland, Maine 04103
Signature
Date
Would you like to be a chaperone?
Name
Dental Careers
Exploration Camp
Y
N
For more information about the
Dental Careers Exploration Camp:
(207) 221-4467 | [email protected]
Address
www.une.edu
Registration Form
Please provide a one-page personal statement
describing your interest in a dental health career,
and explaining why you wish to attend this camp.
Please include your name.
The University of New England Portland Campus will
host a fun educational opportunity for students who
have an interest in the field of dental medicine.
Dental Medicine encompasses
several careers, some of which are:
•General dentistry
• Dental hygiene
• Laboratory technician
Please provide a written reference from a teacher,
guidance counselor, or other professional
acquaintance who can attest to your interest in
a health career.
Some of the activities that will
be offered include:
• Job shadowing at a dental office
• Hands on dental simulation
• Practice drilling a tooth on a
dentistry mannequin
• CPR certification
Grade level you will be entering in the Fall of 2015?
9th
10th
11th
12th
• Mouth guard fabrication
• Suturing
• X-ray diagnosis
What are your plans after graduation?