Financial Qualifications - California Dental Certifications

Reserve a Spot

Step 1 of 17

We will match you with the financial option you qualify for.

Everyone qualifies for some sort of financial assistance option or affordable payment plan.

Married Status

Marital Status(Required)

Married

Single

Is your spouse in the US Military?

Spouse military(Required)

Yes

Children

Children(Required)

Yes

Living Situation

Living Situation(Required)

Live with parents or guardian

Live on your own

Do you have a co-signer?

Do you have a co-signer?(Required)

Yes

Are you a veteran or do you have a certiﬁcate of eligibility (COE)?

Are you a veteran or do you have a certiﬁcate of eligibility (COE)?(Required)

Yes

Current Employment Type

Current Employment Type(Required)

Full Time

Part Time

Not Currently Employed

Do you have a credit card?

Do you have a credit card?(Required)

Yes

When would you like to attend the course?

As soon as possible

In a month or two

Still deciding

Our class size is limited, do you want to request a spot?

Our class size is limited, do you want to request a spot?(Required)

Yes

A text message will be sent to you with a link to the information you have requested

What number do you want your requested info link to be sent to

Cell Number(Required)

Contact Information

First Name(Required)

Last Name(Required)

Email(Required)

Questions or Comments

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Would you like a CDC representative contact you?

Would you like a CDC representative contact you?(Required)

Yes

Would you like to take a tour of our school?

Would you like to take a tour of our school?(Required)

Yes

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First Choice

Comments

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