
York County Community College
Department of Continuing Education
Expanded Function Dental Assistant Program
The mission of the Expanded Function Dental Assistant program is to prepare motivated individuals to become competent and knowledgeable expanded function dental assistants. The program will teach the EFDA student all the skills necessary to make the transition from chairside assistant to expanded function dental assistant. The student will learn the materials needed to develop proficiency in the expanded function laboratory. After laboratory competence is reached, this program will give the student practical experience in the clinical field of dentistry until clinical competency is achieved.

EFDA Student Guidelines
Class Attendance
Attendance at ALL scheduled classes and clinical laboratories are mandatory. Unexcused absences are not permitted. An absence may be excused in case of serious illness, personal emergency, or an unbreakable commitment. If you cannot attend or make prior arrangements, you must call Rachel Levasseur at 207-646-9282 Ext. 203.
Classes are scheduled for Fridays and Saturdays from 8:00 AM – 4:00 PM
Course Requirements
Dress Code
There is necessity for a dress code for your own comfort and protection. Those who will fail to comply will be dismissed from the classroom for the day.

2010 EFDA Class Schedule
February 19 & 20
March 19 & 20
April 9 & 10
April 23 & 24
May 7 & 8
May 21 & 22
June 4 & 5
August 20 & 21
September 17 & 18
October 1 & 2
October 15 & 16
November 5 & 6

2010 Expanded Function Dental Assisting
Financial Information and Important Dates
These materials will be purchased through the college; Lab fee $200
by TBA
PLEASE RETURN COMPLETED APPLICATION PACKET TO:
Paulette Millette, Director
Continuing Education & Business Services
York County Community College
112 College Drive
Wells, Maine 04090

Expanded Function (EFDA) Dental Assisting Program
Application Packet
Applications must be received by January 30, 2010
Eligibility
or
Proof of two consecutive years as a full-time Registered Dental Hygienist.
Health Insurance Policy # __________________________
Application Process
(Please type or print legibly the following information)
__________________________________________ __________________________
Name Social Security Number
_____________________________________________________________________
Address
_____________________________________________ ______________ _______________
Town/City State Zip Code
____________________ _________________________________ __________________________
Home Phone Number Employer Phone Number e-mail address
Professional Credentials: Please check the appropriate space below
________ Certified Dental Assistant DANB Certification Number ____________ Number of years as a CDA ______
(attach a copy of current DANB card and current registration which includes expiration date)
_________ Registered Dental Hygienist Number of years as a RDH _____________
(attach a copy of current registration which includes expiration date)
_________ Licensed Dental Radiographer
(attach a copy of current registration which includes expiration date)
Employer / Sponsoring Dentist:
__________________________________________________________________________
Name
___________________________________________________ _______________________
Address
________________________________ ________ ____________ ____________________________
City State Zip Code Tel #
Professional Training: (Check all that apply)
_________ In-Office Training Only Years Experience & Employer – including dates:
______________________________________________________
Name of School _______________________________________________________
City and State ________________________________________________________
_________ Post Secondary Dental Assisting Education – Graduation Date: __________
Number of Years: ______
Name of School _______________________________________________________
City and State ________________________________________________________
_________ College or University - Graduation Date: _________________
Number of Years: _______
Name of School _______________________________________________________
City and State _________________________________________________________
Personal Statement:
Please respond to the following and attach an additional page if needed.
Your reasons for seeking admission to this program.
Your knowledge of EFDA duties and responsibilities in the State of Maine
Explain your willingness and ability to spend the necessary time outside class to complete required reading and homework assignments:
How do you plan to use your EFDA training?
Explain your most recent personal professional development. This could include community service, continuing education courses, and/or classes taken at the college or university. (Please include your most current 12 hours of continuing education)
Please describe your restorative experience (include average number of hours per week)

Expanded Function Dental Assisting Program
Externship Contract
Student Agreement:
I _________________________________________ hereby agree to fulfill my EFDA responsibilities
in a professional manner in the practice of ________________________________________________.
I know my clinical schedule and will be prompt and regular in my attendance. In addition to my externship
responsibilities, I will complete my journal as directed.
_______________________________________ ___________________________
Student Signature Date
Dentist Agreement:
I ___________________________________ understand my obligation to supervise, direct and evaluate
_____________________________________________ in his/her responsibilities as an EFDA in my
practice. I agree to provide her with the opportunity to utilize her duties in a technical and professional
capacity.
_______________________________________ _____________________________
Supervising Dentist Signature Date