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Health Literacy Intensive Application

Before applying, please review the description and requirements of the TUSDM Health Literacy Intensive.

Name

First

Last

Class Year

Email

Enter Email

Confirm Email

Statement of Interest: Why have you chosen to pursue the TUSDM Health Literacy Intensive?

Statement of Participation Goal(s): How do you think the TUSDM Health Literacy Intensive will benefit you as a future dentist?

I acknowledge that, if selected, this is an academic year-long (Oct. 2022-June 2023) commitment, and I am able to commit to 7 out of 9 monthly seminar sessions.

Fall Dates: 10/26/22, 11/30/22, 12/7/22
Spring Dates: 1/18/23, 2/15/23, 3/29/23, 4/26/23, 5/17/23, June (TBD)

Yes
No

I understand that, if selected, I am expected to complete all Intensive activities/assignments throughout the course of the academic year.

Yes, I understand.

I understand that, if selected, my participation is voluntary for my professional benefit and will not take the place of/interfere with my regularly scheduled academic duties.

Yes, I understand.