Financial Qualifications | Central California Dental Academy

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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*

Married

Single

Children

Children*

No

Yes

Living Situation

Living Situation*

Living with parents or guardian

Living on your own

Do you have a co-signer?

Do you have a co-signer?*

No

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)?*

No

Yes

Current Employment Type

Current Employment Type*

Full Time

Part Time

Not Currently Employed

Do you have a credit card?

Do you have a credit card?*

No

Yes

Choose Program

Program

Choose Start Date

RDAERF2 Start Date

Choose Start Date

Dental Assisting Start Date

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

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

No

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?

Your privacy is important to us
Your information will not be shared.

Cell Number*

Contact Information

First Name*

Last Name*

Email*

Questions or Comments

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We respect and protect your privacy.

Would you like our admissions advisor to contact you?

Would you like our admissions advisor to contact you?*

No

Yes

Would you like to take a tour of our school?

Would you like to take a tour of our school?*

No

Yes

Comments

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