This application is no longer available for completion online.
Submission Deadline

Jun 23, 2026

Please complete Dental Radiologic Technology Application in order to enroll in Course 012-015-01 - Dental Radiography Technology.  Registrations cannot be processed until this completed form is reviewed and approved by our staff. This process may take up to 48 hours once your application is submitted. You will receive an email once your application is approved or if our staff have any questions regarding your information.
 
If you have any issues with uploading files, creating your CastleBranch account, submitting a voluntary pregnancy declaration, or any other questions or concerns regarding the application please reach out to our office for assistance. You can contact our main office at 732-906-2556 or wdll@middlesexcollege.edu, or the Dental Hygiene Chairperson, Michelle Roman, at MRoman@middlesexcollege.edu.
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