Wake Forest Universitydental Shadowing Program

Wake Forest Universitydental Shadowing Program

WAKE FOREST UNIVERSITYDENTAL SHADOWING PROGRAM

To be competitive for programs in dentistry, it is critical to have clinical experience. This can be achieved through shadowing one or more dentists or by volunteer work or employment in a clinical dental setting. Clinical experience is important because it gives the student a clear picture of the realities of, and allows affirmation of a commitment to, the practice of dentistry.

The Wake Forest Health Professions Advising Program is offering the opportunity for highly qualified students to be matched with local dentists for a shadowing experience.The program is competitive; applications will be reviewed by a committee composed of the Director of Health Professions Advising , the Pre-dental Advisor, and one pre-dental student.

To be eligible for this program a student must have demonstrated academic excellence and a record of prior community service. Community service is an essential part of becoming a competitive applicant to dental school because it is a measure of commitment to service. Simply engaging in community service is not sufficient; a student must demonstrate that he or she has learned from and grown as a result of the experience. The community service does not have to be associated with dentistry.

You must be able to provide transportation to the site to which you are assigned.

Once you have been matched with a dentist, you are responsible for contacting the dentist and coordinating his or her and your schedules.

WAKE FOREST UNIVERSITYDENTAL SHADOWING PROGRAM

APPLICATION

Please submit this application online in pdf format to y Friday October 20th, 2017.(name the documentlast name, first name - internship application .pdf)

Name: ______Anticipated date of graduation: ______

Major(s): ______Minor (s) ______

Cumulative Wake Forest GPA: ______Wake Forest Science GPA ______

Year of application to dental school ______Number of credits completed ______

List any courses that have been repeated and the grades received in both semesters.

Optional:

Underrepresented minority Yes No

First generation studentYes No

Logistics:

Can you arrange your own transportation to the shadowing site? Yes No

Do you have at least twotwo-hour blocksof time free during eachwork week? Yes No

What are your specific areas of interest in dentistry? (We cannot guarantee that you will be matched with someone in an area corresponding to your specific interests.)

1.______

2.______

3.______

Contact information:

Phone: ______Email: ______

Please provide the names and contact information for two references that we may contact about this application:

NAME / E-MAIL

Please provide the following:

  1. A description of your community service experiences, including duration/frequency and total hours volunteered.
  2. A description of any prior clinical or shadowing experience.
  3. An explanation of what you hope to gain from this opportunity
  4. Any additional information that you believe is relevant to your application.

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Expectations of students participating in shadowing programs:

  1. I understand that my actions in this program will reflect both on me personally and that I am representing Wake Forest University when I am with the health care practitioner. I will take this shadowing opportunity seriously.
  1. I understand that I will need to have some flexibility in my weekly schedule in order to match my mentor’s schedule. I understand that I must be available to shadow the dentist for at least once a week from November through the spring semester.
  1. I understand that I will need to arrange my own transportation to the shadowing site.
  1. I will go to my shadowing experience at all scheduled times, and be punctual. If I cannot make a meeting, I will be courteous and call the office in advance.
  1. I understand that my personal appearance makes an impression on both the office staff and the patients. I will dress professionally and conservatively.
  1. I understand that I have been granted an opportunity to learn from a healthcare professional working in the field. I will be respectful and accept their direction during the shadowing experience. I will listen carefully to both the office staff and patients.

I hereby certify that any information submitted for this application is correct.

I am aware of the expectations for this program, and will meet these expectations if I am matched with a dentist. I would hereby like to apply for a shadowing position.

NAME ______

SIGNATURE______DATE______

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