Dental School Enrollment Application

Apply to the River Cities School of Dental Assisting 10-week course

We offer several ways to apply:

Download Form

Download and fill out form and please bring it to the dental school or mail it to:

• 1945 E 70th St Ste F, Shreveport, Louisiana 71105

or

Call Us

Give us a call to register over the phone.

or

Register Online

Give us a call to register over the phone.

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In consideration in my acceptance as a student for the dental assisting course through RiverCities School of Dental Assisting Inc., by submitting the enrollment form, I hereby enroll and obligate myself to pay to the order of RiverCities School of Dental Assisting Inc., Three thousand and two hundred dollars($3,200.00) to be paid by one of the following options:

Payment may be made by cash, personal check, or credit card. Payments made by credit card will be an additional $300.

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*Three Business Day Cancellation

All monies paid by a student shall be refunded if requested within three business days after completing enrollment and making an initial payment.

Cancellation after the three business day cancellation period, but before commencement of classes by the student: Tuition or fees collected in advance of entrance and if the student does not begin classes no more than $100 shall be retained by the institution. Refunds for a student who does begin classes shall be made within thirty(30) days of the start of the quarter, term or semester.

I understand that the WITHDRAWAL AFTER COMMENCEMENT OF CLASSES REFUND POLICY SHOULD BE:

  1. If a student has completed less than 12 hours of the course, the institution shall refund 80% of the tuition, less the registration fee, thereafter.

  2. If a student has completed 12 hours, but less than 20 hours of the course, the institution shall refund 70% of the tuition, less the registration fee, thereafter.

  3. After a student has completed 20 hours, but less than 40 hours of the course, the institution shall refund 45% of the tuition, less the registration fee, thereafter.

  4. After a student has completed 40 hours of the course, the institution shall retain 100% of the tuition.

A full refund of all Tuition and Fees is due and refundable in each of the following cases:

  1. If a class is postponed from its starting date.

  2. If the program of instruction is discontinued by the school and this prevents the student from completing the program.

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