Florence Darlington Technical College
Dental Hygiene Program
Application and Selection Criteria
Rev. 2/15
MINIMUM APPLICATION CRITERIA for the Dental Hygiene Program.
 Applicants must have a high school diploma or GED, admission to Florence Darlington
Technical College and at a minimum have completed the following courses to be eligible
for consideration for admission to the program.
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BIO 210 Anatomy and Physiology I
MAT 165 Statistics or comparable college transfer course
PSY 201 General Psychology
ENG 101 English Composition I
Attendance at Career Talk within one year of the application date of the program
Applicants with previously completed college credit or degree must have official
transcript sent to Registrar’s office.
2.5 GPA must be maintained in all prerequisite and co-requisite courses prior to
applying to Dental Hygiene (DHG) program.
MINIMUM SELECTION CRITERIA for the Dental Hygiene Program.
Students are advised that should there be a greater number of applicants than positions
available:
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Florence, Darlington and Marion County residents and/or students completing
the majority of the required Dental Hygiene Program credit hours
(prerequisites and corequisites) at FDTC are given preference in the selection
process when all other requirements have been met.
2.5 GPA earned will be used in selecting applicants for admission. This
includes core program prerequisites and/or co-requisites.
The number of program courses completed at FDTC
In the event of a tie, the curriculum, related courses will be ranked in the
following order: BIO 210
MAT 165
PSY 201
ENG 101
PROOF OF RESIDENCE
Residents of South Carolina, as defined by state law, are independent or
dependent persons who have domiciled in South Carolina for a period of no less
than 12 months. Further proof of residency is required for the Allied Health
Program Students, who do not reside in the Florence, Darlington or Marion
Counties and have not taken the majority of the programs course work at
FDTC. A driver’s license will be accepted for proof of residency if it is at least 12
months old.
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STATUS NOTIFICATION
The applicant will be notified electronically, by the Dental Hygiene program, to their official
Florence Darlington Technical College student email address. The applicants will be
informed of their status regarding acceptance or rejection into the Fall Dental Hygiene
class. Information regarding the status of the applicant’s application will not be available
from the Allied Health Programs nor from the Registrar’s Office during the review of the
applicants’ files.
The applicant is asked to please make inquiries regarding the application only if the
applicant becomes aware that an error or omission has occurred. The Administrative
Assistant for Health Science Division will be the contact for the Allied Health Programs
(843-661-8140). We wish each applicant the best in the application and selection
process.
Please note that it is the applicant’s responsibility to ensure that all documents are
provided to the school by the last business day of March at 4:00 p.m.
.
 Print the Application and Selection Criteria and Application Checklist to the Dental
Hygiene Program and complete, after all of the instructions have been read.
 The Application and Application Checklist may be mailed or submitted to Florence
Darlington Technical College to:
Attention:
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Ms. Kathy Dickson
Dental Hygiene Program Director
P.O. Box 100548
Florence, SC 29502
If an applicant would like proof of receipt, he/she may submit their application by
certified mail or Federal Express.
An applicant should maintain a copy of the application for their records.
Applications are accepted postmarked or submitted the first day of March until the
last business day of March no later than 4:00 pm.
Applications and Application Checklist may be submitted in person to, Ms. Kathy
Dickson, Room F118 on the Health Science Campus, 320 West Cheves Street,
Florence.
Health Occupations Basic Entrance Test (HOBET)
All Allied Health students that are accepted into the August class will be participating in the
Health and Sciences Educational Effectiveness initiative. Students will be tested during the
third week of May using the HOBET test. More information will be provided in the Program
Acceptance notification. Review books will be available to the applicant’s accepted into DHG
Program, at the Health Science Campus beginning April 21st, 2014.
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Florence-Darlington Technical College
Dental Hygiene Entrance Requirement Map
College
Admission
Program Entrance
Requirements
Apply to
•Admission to the College
•Submit transcipts from colleges previously attended
•Complete college admission placement testing for enrollment in the appropriate Math and
English courses
•Completed BIO 210, MAT 165, PSY 201 & ENG 101
•Attend a DHG Career Talk information session within one year of application (Career Talk dates
are posted on www.fdtc.edu under Allied Health)
•Must maintain a 2.5 GPA
•Complete Dental Hygiene Application Packet
(http://www.fdtc.edu/academics/programs/catalog/forms/default.asp)
•Submit by last business day in March 9:00 am to 4:00 pm
Program
Admission to
•Students will be notified by email by June 1st.
•After acceptance to the DHG program, please complete the forms found on the program
website
Program
•Health Occupations Basic Entrance Test (HOBET)
•Medical Physical including Hep B series or titer
•Background check with Certifiedbackground.com
Complete the
following forms found •Urine Drug Screen
on Program
•CPR for Health Care Provider
Website
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Florence-Darlington Technical College
Dental Hygiene Program
Memo to Students
February 9, 2016
TO:
Dental Hygiene Program Applicants
FROM:
Kathy Dickson, Dental Program Director
Florence-Darlington Technical College
RE:
Application Process and Other Information
Applicants are to be advised that due to specific requirements for National Board examination
and state licensing, background checks and drug screenings are part of the admission and
retention process. The background check will be completed once the applicant has been
accepted to the program.
Applicants with specific conviction histories or positive drug screenings may ultimately not be
accepted into the Dental Hygiene Program. Positive background checks will be sent to the LLR
state licensing agency without identifying information, for their decision to allow the applicant
to participate in the clinical examination. The applicant cannot be admitted to the program due
to the inability to participate in the State Board exams. Specific convictions or positive drug
screens occurring after full admission and matriculation in the program will be addressed per
department policy, including dismissal.
Students are advised that should there be a greater number of applicants than positions
available:

Florence, Darlington and Marion County residents and/or students completing the
majority of the required Dental Hygiene Program credit hours (prerequisites and corequisites) at FDTC are given preference in selection process when all other
requirements have been met.
I would like to thank you for your interest in the Dental Hygiene Program and for choosing
Florence-Darlington Technical College to meet your professional educational requirements.
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Florence-Darlington Technical College
Dental Hygiene Program
Application Checklist
Name:
_____________________________________________
Student ID#:
__________________________________________
The following are minimum requirements or necessary steps for consideration for admission to the Dental Hygiene
Program. Complete each step/requirement and certify by initialing on this form that the step/requirement has
been met. Submit this form with your completed application to Ms. Kathy Dickson, Dental Program Director,
Room F118 at the HSC by last business day of March.
Each item must be initialed by the applicant indicating the requirement has been met:
Admission as a credit degree- seeking student to Florence-Darlington Technical College.
High School diploma or GED is on file with the Registrar.
College transcripts of all transfer credits are on file with the Registrar.
Overall cumulative credit grade point average of 2.5 or higher has been earned. A minimum GPA of 2.5
must be maintained in all prerequisite and co-requisite courses prior to applying to the DHG Program, as
a “C” or better is required in all Dental Hygiene courses and in all General Education courses.
Attendance at a Career Talk information session within one year of application to the program
Prerequisite and General Education Program Support Courses
Please write in an “E” if you are enrolled, the grade earned if the course has been completed, and an
“NE” if you are not enrolled nor has the course been previously completed.
Completion of a
prerequisite course in progress at the time of application must be completed with a grade of “C” or
better for final acceptance and enrollment.
ENG 101
MAT 165
PSY 201
BIO 210
BIO 211
SPC 205
CHM 105
BIO 115
SOC 101
Elective
College Composition I (prerequisite)
Statistics (prerequisite)
General Psychology (prerequisite)
Anatomy & Physiology I (prerequisite)
Anatomy & Physiology II
Introduction to Speech
General, Organic & Biochemistry
Basic Microbiology
Introduction to Sociology
Humanities/Fine Arts (Music, Art, Foreign Language, Philosophy)
I have completed all of the above requirements.
Student’s
Signature:
Date:
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Florence-Darlington Technical College
Dental Hygiene Program
Application
PLEASE PRINT CLEARLY AND PROVIDE THE INFORMATION REQUESTED IN ALL SECTIONS. INCOMPLETE
APPLICATIONS CANNOT BE CONSIDERED IN THE SELECTION PROCESS.
Name: _______________________________________________________________________________________
(Last)
(First)
(Middle)
Any Former Names:_____________________________________________________________________________
Student ID Number: ___________________
Home Mailing Address:**
______________
**Note:
If mailing address is PO Box, you must also provide a physical address. ___________________________________
City:
County:
Home Telephone Number: (
) _____________
State:
Work or Cell (specify): (
ZIP Code: _______
)
______
FDTC E-mail Address: __________________________________________________________________________
The applicant can expect the application for licensure as a Registered Dental Hygienist in the State of South
Carolina to include the questions below. If any of the questions below can be answered “yes” by the applicant,
the applicant is advised to contact Kathy Dickson at 843-676-8514 for an appointment with the Dental Program
Director to review state rules and regulations regarding licensure. This appointment must be made prior to the
March deadline for application to the Dental Hygiene Program.
1.
2.
3.
4.
Have you ever been convicted, pled guilty, or nolo contendere for violation of any federal, state, or local
law, or do you have charges pending (other than a minor traffic violation)?
Have you ever had any investigation, formal complaint, disciplinary action, or consent order filed against
you by any person, hospital, or dental board committee in any jurisdiction?
Have you ever received disciplinary action by an employer for your job performance?
Have you developed any disease or condition, physical, mental, or emotional that might interfere with
your ability to competently and safely perform the essential functions of practice as a dental hygienist?
DO NOT WRITE IN THIS SPACE.
TO BE COMPLETED (IF NECESSARY) BY THE DENTAL PROGRAM DIRECTOR.
I have counseled the above identified applicant regarding the licensing process in the State of South Carolina in
relation to previous criminal convictions.
_____________________________________________________________________________________________
Dental Program Director Florence-Darlington Technical College
Date
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State Board of Dental Examiners (http://llr.state.sc.us)
Dentist, Dental Hygienist Practice Act:
§ 40-15-190. Grounds for disciple of dentist, dental hygienist, or dental technician
(A) Misconduct which constitutes grounds for revocation, suspension, probation, reprimand, or other restriction of a
license or certificate or a limitation or other discipline of a dentist, dental hygienist, or dental technician occurs when
the holder of a license or certificate:
(1) has made a false, fraudulent, or gorged statement or document or committed a fraudulent, deceitful, or dishonest
act in connection with a licensure or registration requirement.
(2)has been convicted of a felony or other crime involving moral turpitude or controlled substances; forfeiture of
bond or a plea of nolo contendrer is equivalent to a conviction;
(3) is unable to practice dentistry or dental hygiene or to perform dental technological work with reasonable skill
and safety to patients by reason of physical illness or disability, mental illness, or the illness of alcoholism or
substance abuse;
(4) has employed or permitted and unlicensed or unregistered person to practice dentist or dental hygiene or to
perform dental technological work except as permitted under this chapter;
(5) has published, circulated, or made public in any manner, directly or indirectly, a false, fraudulent, deceptive, or
misleading statement as to the skill or methods or practice of a dentist, dental hygienist, or dental technician;
(6) has instructed, advised, or required a patient to deal directly with an organization or individual performing dental
technological work;
(7) has failed to provide and maintain reasonable sanitary facilities or conditions;
(8) has failed to provide adequate radiation safeguards;
(9)has violated the principles of ethics in the practice of dentistry as promulgated in the regulations of the State
Board of Dentistry;
(10) has practiced fraud or deceit in the practice of dentistry or dental hygiene or in the performance of any dental
technological work;
(11) has represented the care being rendered to a patient or the performance of dental technological work or the
fees being charged for providing the care or work in a false or misleading manner;
(12) has used a false, fraudulent, deceptive, or misleading statement in a document including, but not limited to,
claims for reimbursement from third parties connected with the practice of dentistry, dental hygiene, or dental
technological work;
(13) has obtained a fee which is charged or a reimbursement from third parties or assisted in obtaining the fees or
reimbursement through dishonesty or under false or fraudulent circumstances;
(14) has failed to meet the standards of care in the practice of dentistry or dental hygiene or the performance of
dental technological work;
(15) has violated any provision of this chapter regulating the practice of dentistry, dental hygiene or the
performance of dental technological work;
(16) has committed and act which would constitute battery upon a patient;
(17) has solicited or accepted dental technological work directly from the general public
(18) has engaged in fraud, deceit, or misrepresentation in dealings with licensed dentists;
(19) has dispensed, prescribed, administered, or obtained drugs for any use in any regimen other than one
appropriate for the practice of dentistry.
I certify that I have read and understand the above standards regarding licensure as a dental hygienist in the
State of South Carolina.
Applicant Signature
Date
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***NOTE: Admissions will be based on the information included on this application, and on transcripts
available. Information received after admission decisions are made cannot be considered for the current
application period.
Florence-Darlington Technical College is an equal opportunity institution and Florence-Darlington Technical College
does not discriminate on the basis of race, color, religion, national or ethnic origin, creed, marital status, veteran
status, disability, sex, or age in its admission policies, programs, activities or employment practices.
Florence-Darlington Technical College
Dental Hygiene Program
Certification and Authorization to Investigate
CERTIFICATION AND AUTHORIZATION TO INVESTIGATE
I hereby certify that the facts set forth in the above application are true and complete to the best of my
knowledge, and I understand that discovery of the falsification of this information will result in my being denied
admission and/or my prompt dismissal from the Dental Hygiene Program. The Florence-Darlington Technical
College Dental Hygiene Department is hereby authorized to make any investigation concerning information that
is deemed necessary by the Department to determine my suitability to practice as a dental hygienist during the
selection process, and/or during my tenure as a student, if admitted to the Dental Hygiene Program.
________________________________________________________
Applicant Signature
Date
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Florence-Darlington Technical College
Dental Hygiene Technical Standards
In compliance with the 1990 Americans with Disabilities Act, the following standards have been established. Due to the
work required in dental hygiene practice and the educational requirements of the dental hygiene curriculum, the student
must be able to meet the following.
Standard
Physical Requirements
Standard work day requires various abilities including standing,
walking, sitting, lifting, twisting, stooping, kneeling, reaching and
stretching to gather and stock supplies, operate equipment (office
and dental). Occasionally must assist with transferring a patient from
a wheel chair to dental chair and back.
Gross and fine motor abilities necessary to perform required
functions of patient oral care; hand-wrist movement, hand-eye
coordination, and simple firm grasping required for fine motor-skill
and manipulation; fine and gross finger dexterity required
Comprehend and process written and oral directives related to
patient care, focusing and remembering information given by faculty
to assimilate and apply to patient care; comprehend and process
instructions readily; perform mathematical functions regarding
anesthesia administration.
Ability to problem solve. Integrate information through critical
thinking based on information gathered on patients during clinical
assessments, and during class meetings that are applied during the
clinical process
Use of touch. Perform palpation techniques, functions of a dental
hygiene assessment and related interventions such as scaling.
Ability to hear and interpret many people and correctly interpret
what is heard; ie patient complaints, monitor vitals
Visual skills necessary to detect signs and symptoms, body language
of patients, and assess discolorations of lesions in the oral cavity
Ability to communicate with a wide variety of people and
personalities, ability to be easily understood. Reading, writing, and
documenting critical patient information required
Emotional and mental stability; Functions effectively under stress;
has concern for others
Physical Ability
Motor Skills/Dexterity
Comprehension
Critical Thinking
Tactile
Hearing
Visual
Communication
Behavioral
I have read and understand the technical standards required for Dental Hygiene. I hereby declare that I am able to meet the
above listed essential technical standards. BE SURE TO SUBMIT WITH APPLICATION.
Name of Applicant (Print)
Signature of Witness
_________________________________________
Signature of Applicant
Date
__________________________________
Date
_________________________________________
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