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Section .0300 - Application


Published: 2015

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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

Board office.

(b)  The nonrefundable application fee shall accompany the

application.

(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

application.

(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;

90-229(a)(4);

Eff. September 3, 1976;

Readopted Eff. September 26, 1977;

Amended Eff. September 1, 2014; September 1, 2013; June

1, 2006; May 1, 1989.