AARH

US

APPLICATION FOR PRE-RESIDENCY:

AARHUS INTERNATIONAL SHORT-TERM COURSE IN ORTHODONTICS
2022 / 2023

POSTGRADUATE EDUCATION IN ORTHODONTICS

SECTION FOR ORTHODONTICS
DEPARTMENT OF DENTISTRY AND ORAL HEALTH
AARHUS UNIVERSITY
DENMARK

Fill in the form electronically – no handwriting, will be accepted

Your photo:
Family name:
First name:

Address:

Telephone number:
Email address:

Citizenship:

Date and place of birth:

Gender: Female ☐ Male ☐

Dental Education:

Postgraduate and Continuing Education:

Professional Appointments:

Teaching Experience:

Publications:

Research Experience:
Please provide a short statement describing your interest in orthodontics, your major reasons for se-
lecting this specialty, and your long-term professional goal:

Please provide a brief summary about yourself highlighting items you feel are important for our con-
siderations:

Persons of Reference:

Miscellaneous:
Proficiency in English (score of TOEFL or IELTS):

Date Signature

Before June 15th, please send application form and all relevant documents by email to:
ortho-shortterm@dent.au.dk

Kind Regards

Susanna Botticelli & Morten Godtfredsen Laursen

Directors of the Aarhus International Short-Term Course in Orthodontics

Enette Berndt Knudsen

Course Secretary to the Aarhus International Short-Term Course in Orthodontics:

Department of Dentistry and Oral Health

Aarhus University
Vennelyst Boulevard 9,
DK-8000 Aarhus C
Denmark