APPLICATION

DISCIPLESHIP | COMMUNITY | DENTAL EXCELLENCE

We are excited for you to apply to the CMDA Dental Residency [+] Program. Please remember that applying for this program is an additional component to applying through the PASS Program and selecting the appropriate AEGD location.

Please take the time to answer these questions completely and sincerely.

Name(Required)

Email(Required)

Phone(Required)

Address(Required)

Untitled(Required)

Have you already applied for the AEGD Match through PASS?(Required)

Have you completed a student rotation with Christ Community?(Required)

Tell us a little about yourself.(Required)

Describe your relationship with Jesus in 2 to 3 paragraphs(Required)

What do you hope to gain from the [+] Program?(Required)

Tell us about one of the following: a time when you displayed integrity or honesty in a difficult situation OR about a time when you solved a difficult problem well.(Required)

What do you hope to do with your dental career after you complete the [+] Program?(Required)

If you are interested in Dental Missions, please include that in your response.

A significant aspect of the [+] Program experience is living in under-resourced neighborhoods in community with other believers. Are you willing to live in an under-resourced community and if so, explain how you see this aspect of the [+] Program training you for your long-term goals.(Required)

T-Shirt Size(Required)

CHRISTIAN MEDICAL & DENTAL ASSOCIATIONS [+] CHRIST COMMUNITY HEALTH SERVICES [+] COVENANT COMMUNITY CARE