SECTION .0300 - APPLICATION
21 NCAC 16C .0301 APPLICATION FOR LICENSURE
(a) All applications for licensure shall be made on the
forms furnished by the Board at www.ncdentalboard.org and no application shall
be deemed complete that does set forth all the information required relative to
the applicant. Incomplete applications shall be returned to the applicant. Any
applicant who changes his or her address shall notify the Board office within
10 business days. Applicants shall ensure that proof of graduation from high
school or its equivalent is sent to the Board office in a sealed envelope.
Applicants shall also ensure that an official final transcript from a dental
hygiene program as set forth in G.S. 90-224 is sent in a sealed envelope to the
(b) The nonrefundable application fee shall accompany the
(c) Applicants who are licensed in other states shall
ensure that the Board receives verification of licensure from the board of each
state in which they are licensed. A photograph of the applicant, taken within
six months prior to the date of the application, shall be affixed to the
(d) All applicants shall submit to the Board a signed
release form and completed Fingerprint Record Card and other form(s) required
to perform a criminal history check at the time of the application. The form
and card are available from the Board office.
(e) All applicants shall arrange for and ensure the
submission to the Board office the examination scores required by Rule .0303 of
this Subchapter. The examination requirement does not apply to individuals who
do not hold a North Carolina dental hygiene license who are seeking volunteer
licenses pursuant to G.S. 90-21.107 or licensure by endorsement pursuant to
Rules 16G .0107 or 16G .0108 of this Chapter.
(f) All applicants must include a statement disclosing and
explaining periods within the last 10 years of any voluntary or involuntary
commitment to any hospital or treatment facility, observation, assessment, or
treatment for substance abuse, with verification demonstrating that the
applicant has complied with all provisions and terms of any drug treatment
program, or impaired dental hygienists or other impaired professionals program.
(g) All applicants for dental hygiene licensure shall
achieve a passing score on the Dental Hygiene National Board examination
administered by the Joint Commission on National Dental Examinations.
History Note: Authority G.S. 90-223; 90-224;
Eff. September 3, 1976;
Readopted Eff. September 26, 1977;
Amended Eff. September 1, 2014; September 1, 2013; June
1, 2006; May 1, 1989.