ADEA DHCAS® Application Instructions

Personal Information

This section includes biographic information, personal contact information, and background information.


Release Statements

Pre-submission Release: By agreeing to this, the designated programs will receive the applicant’s name and email address prior to submission. This enables designated programs to communicate with applicants directly prior to submitting the application.

Code of Conduct: All applicants are required to agree to the ADEA Code of Conduct in order to submit an application. It is important to understand and abide by these principals during the application process.  To view the full text, click here.

Biographic, Contact, and Citizenship Information

Collected information includes alternate name, gender, birth information, current and permanent addresses, email most often checked by the applicant, phone number, citizenship status, residency information, and visa information, if applicable.


Race and Ethnicity (Optional)

Collected information includes ethnicity and race, gender and other identifying information (answers about ethnicity and race are optional).


Other Information

Collected information includes disclosure of legal and academic or professional disciplinary actions, DENTPIN®, previous enrollment in a dental hygiene program, information about previous ADEA DHCAS applications, and relatives in the dental profession.



A DENTPIN is a unique identification number that is used instead of the social security number. DENTPINs are assigned by the American Dental Association. For more information or to obtain a DENTPIN, please visit: