Name * First Name Last Name Email * Name of School * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Age of Students * Do you want us talk about Oral Health or a Career in Dental Hygiene * Thank you! School Outreach Program NDHA is interested in the next generation of Dental Hygienist! If you would like someone to come speak to your school aged students (ages 6-18), please fill out the form! Dental Hygiene Programs Want to learn how to become a Dental Hygienist? Click below and learn more! Learn More