Please answer the follwoing questions and return this interview form with your program application.
Name
Social Security Number
1. Why are you interested in this health care field?

2. What do you expect to learn in this program?

3. What are the important ways that you have changed in the last five years?

4. What do you see yourself doing in the next ten years?
5. Describe two things that you have done in your lifetime of which you are most
proud.
6. What is there in your overall background that you believe will enable you to succeed in this program?
7. Have you been employed in the dental health field? If yes, how long and explain experiences you have had in the field.
8. Why do you feel you are a strong candidate for a position in this program at Lamar State College-Orange?
9. Is there anything else you would like to tell the Admission/Standards Committee?