The Dental Assistant Academy of WNY Forms
If you have made a deposit for your seat or have made payment in full for the Buffalo, New York campus, these forms apply to you only. Please print one of each of these, fill them in completely and fax to:
888-968-4734
or mail to:
The Dental Assistant Academy of WNY
4927 Main Street
Amherst, New York 14226
Forms For You To Keep:
The Dental Assistant Academy of WNY Information Letter
The Dental Assistant Academy of WNY Handbook 2012
NY Complaint Form
NY Disclosure Pamphlet
SAMPLE The Dental Assistant Academy of WNY "Pay as You Learn" Disclosure Statement
Forms To Fill Out and Return By Fax Or Mail:
The Dental Assistant Academy of WNY Handbook Acknowledgement
Student Checklist
Student Emergency Information
The Dental Assistant Academy of WNY Enrollment Agreement
Hold Harmless Agreement
Pre-Registration Interview
The Dental Assistant Academy of WNY "Pay as You Learn" Disclosure Statement
(If you are making regular weekly/bi-weekly payments, please fill out this form as well)
You will need to download and install Adobe Reader to open the above PDF files.
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