R9-23-201. Application Process

A. For a school to participate in the Arizona Dental Sealant Program for a school year and receive dental sealant services, a contact person shall submit to the Department a completed application form provided by the Department that contains: 1. The contact person’s name, title, telephone number, fax number, and if applicable, e-mail address; 2. The school’s name, street address, and telephone number; 3. The school’s mailing address if different than the school’s street address; 4. The name of the school district and county where the school is located; 5. The percentage of children attending the school that participated in the National School Lunch Program during the current school year; and 6. The number of children attending second and sixth grades. B. The Department accepts applications beginning on April 1 for the next school year.