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Thank you for your interest in the University of Michigan Dental Hygiene Programs. Please complete this form to receive more information about our programs.
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First Name
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Last Name
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Phone Number
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Permanent Email
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Mailing address-STREET
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Mailing address-CITY AND STATE
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Mailing address-ZIP CODE
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How would you like us to contact you? (You can select more than one)
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Phone number provided
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Which program would you like information on? (You can select more than one)
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Undergraduate Dental Hygiene Program (BSDH). You would like to get your DH degree and license
Accelerated Online AS-MS in DH Program (MSDH). You have/or will soon have your license and associate degree in DH and would like to get your Master of Science in Dental Hygiene
Graduate DH Program (MSDH). You have/or will soon have your license in DH and a bachelor degree in any area and would like to get your Master of Science in Dental Hygiene
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How did you hear about our programs? (You can select more than one)
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Mailer from U-M DH
Someone from U-M DH visited my school
U-M DH was at a conference I attended
Social Media
U-M DH website
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