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  • Amchi Application

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    purityplus
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    Wisdomtooth PO Box WA 98401, euston, WA 98401. Send completed APPLICATION materials Mail hard copy OF letter OF recommendation to the address below by the APPLICATION deadline and mail scanned copy to the above mentioned email address. Due to the remoteness OF the please tell us If you have any medical conditions.

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    Wisdomtooth PO Box WA 98401, euston, WA 98401. Send completed APPLICATION materials Mail hard copy OF letter OF recommendation to the address below by the APPLICATION deadline and mail scanned copy to the above mentioned email address. Due to the remoteness OF the please tell us If you have any medical conditions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    38 views2 pages

    Amchi Application

    Uploaded by

    purityplus
    Wisdomtooth PO Box WA 98401, euston, WA 98401. Send completed APPLICATION materials Mail hard copy OF letter OF recommendation to the address below by the APPLICATION deadline and mail scanned copy to the above mentioned email address. Due to the remoteness OF the please tell us If you have any medical conditions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    AMCHI2012APPLICATIONFORM

    Nameofapplicant:______________________________________Dateofbirth:__________________
    Emailaddress:__________________________________________Nationality:___________________
    Mailingaddress:_______________________________________________________________________
    YearsofcompletedstudyasofJune2012:_____Numberofyearsinfullcourse:_______
    Nameofinstitution:_______________________________
    Areyoualicenseddentist?_____Ifso,howlonghaveyoubeenalicenseddentist?_____
    Ifyouareapracticingdentist,whattypeofpracticeareyouin(private,group,hospital,publichealth)?
    ____________________________________________
    Whichlanguagescanyouspeak?__________________________________________________
    Duetotheremotenessoftheproject,pleasetellusifyouhaveanymedicalconditions.
    ______________________________________________________________

    ONASEPARATESHEETOFPAPER:
    1. Briefly(500wordsorless)explainwhyyouwishtobeapartofthisproject.
    2. Inlessthan300words,pleaseexplainyourleveloftrainingandpreviousworkexperience.
    3. Inlessthan200words,haveyouhadanypreviousinternationalexperience(eitherworkor
    pleasure).
    4. Fordentalstudents,provideoneletterofrecommendationfromadentalschoolinstructor.
    GeneralInformation:
    Applicationdeadline:January31st,2012
    Sendcompletedapplicationmaterialsto:amchi2012@gmail.com
    Mailhardcopyofletterofrecommendationtotheaddressbelowbytheapplicationdeadlineandmail
    scannedcopytotheabovementionedemailaddress.
    Wisdomtooth
    POBox5217
    Wenatchee,WA98807
    USA

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