Dossier Request Dent

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Health Professions Committee

DOSSIER REQUEST FORM – DENTAL SCHOOL

Please first review our website to ensure you have everything you need handed in to our office in order to begin the letter writing process.

Please list all the schools to which you are applying, along with city/state if there could possibly be any confusion, and return to the Health Professions office at hprofess@middlebury.edu. Keep a copy for your

reference. You may revise this list at any time in the future by written or email notice. Send us this form as soon as you submit your AADSAS application.

Courses that are included in our computation of the “Science GPA” are included in the Calculating Your BCPM

GPA handout on our website.

Date AADSAS application submitted:

Reported AADSAS Overall GPA: Reported AADSAS Science GPA:

I hereby authorize the Office of Health Professions & STEM Advising at Middlebury College to release my dossier, including all letters of recommendation, to the following institution(s):

Electronic Signature Date:

MC Class:

Contact Information*: E-mail address

AADSAS # [required]:

Postal address

Phone Cell Phone:

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