DMD PROGRAM

2020-2021 SUPPLEMENTAL APPLICATION


Please complete the supplemental form as required by selecting the information from below form.

All correspondence will be sent to your current address listed on your AADSAS application. It is highly recommended that you update the ADEA AADSAS web portal with changes to your contact information as soon as they occur.

CONTACT MAILING ADDRESS

CONTACT INFORMATION

EDUCATIONAL FUNDING SOURCES

How did you pay for your post-secondary education? For each of the applicable options, indicate the average percentage contribution towards your post-secondary education?

%
%
%
%
%
%
%
%

HOW DID YOU HEAR/LEARN ABOUT PENN DENTAL MEDICINE (PDM)? Please select all that apply.

ESSAY QUESTIONS

Please type your responses to each of the following questions listed below. One-thousand word limit per response, single line space. Please convey your thoughts adequately and concisely.

    * 1. Please list any additional predental experience not included in your AADSAS application. This experience can include but not limited to observation in a private practice, dental clinic, or hospital setting; dental assisting; dental laboratory work; dental research, etc. Please include time allotted to each activity, dates of attendance, location, and description of your experience. If you do not have any predental experience, please indicate what you plan to do in order to explore dentistry as a career prior to matriculation. Do not include, expand, or repeat information submitted on your AADSAS application in the Dentistry/Shadowing experience section. You may leave this question unanswered if applicable.

    * 2. What ethical dilemma(s) have you encountered during your education? Please describe.

    * 3. What activities you held that demonstrated effective, significant face-to-face communication? Please describe.

    * 4. What qualities of Penn Dental Medicine do you feel will help you achieve your professional goals and how? Please describe.


Five hundred word limit, single line space. Please convey your thoughts adequately and concisely.

    * Please use this space to add additional information regarding your application if needed.

APPLICATION MATERIALS

All application materials and documents become the property of Penn Dental Medicine and will not be returned to the applicant. It is highly advised that application materials are submitted well in advance of the December 1st deadline. Although the majority of the PDM applicant pool (80%) submits applications by September 1, all applications completed by the deadline will be reviewed for interview consideration.


Please submit the $60 non-refundable application fee by December 1, 2020. Electronic payment is available by completing the Penn Dental Medicine payment form.

CAPTCHA/CERTIFICATION –– PLEASE READ AND SIGN CERTIFICATION BELOW

I hereby certify that I have provided accurate information in this application. I understand and agree that any misrepresentation or omission of facts in my application will justify the denial of admission, the cancellation of admission or expulsion.

If you have any questions regarding the admissions process, contact (215) 898-8943 Monday – Friday from 9:00 a.m. through 4:30 p.m. or dental-admissions@dental.upenn.edu. Mailing Address: Office of Student Admissions, Penn Dental Medicine, 240 South 40th Street Room 122, Philadelphia, PA 19104-6030.


The University of Pennsylvania values diversity and seeks talented students, faculty and staff from diverse backgrounds. The University of Pennsylvania does not discriminate on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic origin, citizenship status, age, disability, veteran status or any other legally protected class status in the administration of its admissions, financial aid, educational or athletic programs, or other University-administered programs or in its employment practices. Questions or complaints regarding this policy should be directed to the Executive Director of the Office of Affirmative Action and Equal Opportunity Programs, Sansom Place East, 3600 Chestnut Street, Suite 228, Philadelphia, PA 19104-6106; or (215) 898-6993 (Voice). The Federal Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act and the Uniform Crime Reporting Acts required colleges and universities to provide information related to fire safety and security policies, procedures and programs, as well as specific statistics for criminal incidents, arrests, and disciplinary referrals to student and employees as well as perspective students and employees. You may request a paper copy of the report by calling 215-898-7515 or you may view the report by going to: http://www.publicsafety.upenn.edu/clery/annual-security-fire-safety-report/

* Required | * Not Required