I acknowledge the University of Tennessee Health Science Center (UTHSC) Department of Pediatric Dentistry is offering virtual externships for residency in the Pediatric Dentistry program for the 2022-2023 academic year. I understand that the video/audio will only be available to the faculty and residents of the program during the actual live externship. The externship will not be recorded by UTHSC. Further, I acknowledge UTHSC prohibits all recording of virtual externships. Thus, I agree that I will not record any of the session(s). I understand that participating in the virtual externship does not guarantee an invitation for interview with the program. Please type your full name below: