DENT - DDS - School of Dental Medicine Prospective Student Inquiry Form

DDS Program Inquiry Form

* Indicates a required field

Demographic Information

* First Name

Middle Name

* Last Name

* Birthdate
UB requires this information for record keeping purposes only

* Email Address

Program of Interest

* What program are you interested in?

* When are you planning to begin the program?

How Did You Discover Our Program

* What was the primary way you learned about our program?

Please indicate the person's name:

Please specify below

What information can our admissions office provide you with?