Final deadline for all applications is August 15, 2022.Please enable JavaScript in your browser to complete this form.First Name *Last Name *Organization *Country *Email *Phone *Do you have U.S. Visa? *YesNoPlease describe an oral health issue that you see today within your own community, or in another location globally and how you feel it should be addressed? In addition, please include how admission to our course will be important to your future goals. Your essay should NOT be longer than 350 words and in English. *Please use the below fields to upload 3 letters of reference.Academic Letter Click or drag a file to this area to upload. The Academic letter is a letter of reference from an instructor who knows you and your work.Personal Letter Click or drag a file to this area to upload. The Personal letter is written by you, the applicant, about yourself (experiences, motivation, career..)Dean or Registrar Letter Click or drag a file to this area to upload. The Dean/ Registrar letter is an official proof of your enrollment The letter must be on your institution’s stationary.SubmitIf you encounter any issues submitting your application, please send it to info.aohab@gmail.com.