Dental Assisting Application Form

Please choose the campus or program that you’d like to apply to:

Dental Assisting Program (Alberta Campus)

Name (First & Last)(Required)

Middle Name

Former Surname (if applicable)

Also Known As (if applicable)

Date of Birth(Required)

Gender(Required)

Phone (no - or brackets please)(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code (A1A 1A1)

ASN - Alberta Student Number (if applicable)

Aboriginal Status (if applicable)

Legal Status(Required)

Requested Intake Date(Required)

Intakes start on the last Monday of each month

Employer Name (Dentist) and Dental Office Name(Required)

It is a requirement to have been working in a dental office for a minimum of 3 months prior to enrollment.

Is your Sponsoring Dental Office part of a DSO (dental service organization)?(Required)

Sponsoring Dentist Email?(Required)

Dental Office Mailing Address(Required)

Are you applying with your transcripts or as a mature student?(Required)

Upload Transcripts (if available).

Max. file size: 128 MB.

Have you attended a Dental Assisting program in the past?(Required)

Which Dental Assisting Program did you attend?(Required)

Did you complete the program?(Required)

Will you be applying for student accessibility services?(Required)

Please upload any supporting documentation (if available).

Max. file size: 128 MB.

How did you hear about Risio Institute?(Required)

Are you a permanent resident of Canada?(Required)

Are you a permanent resident of Canada?

I agree to receive communication from Risio Institute for Digital Dental Education.(Required)

I agree to receive communication from Risio Institute for Digital Dental Education.

Dental Assisting Program (Ontario Campus)

Name (First & Last)(Required)

Middle Name

Former Surname (if applicable)

Also Known As (if applicable)

Date of Birth(Required)

Gender(Required)

Phone (no - or brackets please)(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City Province Postal Code (A1A 1A1)

Legal Status(Required)

Requested Intake Date(Required)

Intakes start on the last Monday of each month

Employer Name (Dentist) and Dental Office Name(Required)

It is a requirement to have been working in a dental office for a minimum of 3 months prior to enrollment.

Is your Sponsoring Dental Office part of a DSO (dental service organization)?(Required)

Sponsoring Dentist Email?(Required)

Dental Office Mailing Address(Required)

Are you applying with your transcripts or as a mature student?(Required)

Upload Transcripts (if available).

Max. file size: 128 MB.

Have you attended a Dental Assisting program in the past?(Required)

Which Dental Assisting Program did you attend?(Required)

Did you complete the program?(Required)

Will you be applying for student accessibility services?(Required)

Please upload any supporting documentation (if available).

Max. file size: 128 MB.

How did you hear about Risio Institute?(Required)

Are you a permanent resident of Canada?(Required)

Are you a permanent resident of Canada?

I agree to receive communication from Risio Institute for Digital Dental Education.(Required)

I agree to receive communication from Risio Institute for Digital Dental Education.

Ortho Program Applications

Are you interested in the Orthodontic Module?

Ortho Program Application

587-391-7843

Dental Assisting Application Form

Please choose the campus or program that you’d like to apply to:

Dental Assisting Program (Alberta Campus)

Dental Assisting Program (Ontario Campus)

Ortho Program Applications

Reach Out

587-391-7843

Risio Institute for Digital Dental Education

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