Application For Dental Hygienist Licensure - Delaware Board Of Dentistry And Dental Hygiene Page 2
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9Arrange for the Board office to receive an official transcript from your high school showing that you graduated, sent
directly from the school to the Board office.
•
If you did not graduate from high school, submit a copy of your GED.
•
The Board office must receive this transcript or GED by the exam deadline.
Arrange for the Board office to receive an official transcript from Board-approved dental hygiene program, sent directly
from the school to the Board office. The transcript must show your degree and date of graduation.
•
If you have not completed your dental hygiene education when you apply, submit a letter from school officials,
sent directly from the school to the Board office. It must state that you are in good academic standing and the
expected date of your graduation. After you graduate, you must also arrange for the Board office to receive the
official transcript, sent directly from the school to the Board office.
•
The Board office must receive one of these documents by the exam deadline.
When the deadline for the exam date passes, the Board office will mail examination packets to all candidates who applied
on time and whose documentation it has received. Candidates who apply late will receive their examination packets only
after the Board office confirms availability of a seat and receives all required documentation.
Applying by Examination: Requirements After the Practical Examination
You must submit the additional documentation listed below in order to be considered for licensure when you’ve passed
the practical exam. However, you may submit the documents at any time, before or after taking the exam.
Arrange for the Board office to receive your National Dental Hygiene Board Examination score report, sent directly
from the Joint Commission on National Dental Examinations to the Board office. See
Score Report
Request.
Arrange for the Board office to receive a letter of reference attesting to your good moral character and reputation.
Arrange for the Board office to receive license verification letters from each jurisdiction (state, U.S. territory or District
of Columbia) where you are now, or have ever been, licensed, sent directly from the jurisdiction to the Board office.
Submit your completed, signed and notarized
Jurisprudence Examination for Dental Hygienist
Candidates.
Complete the Criminal History Record Check Authorization form to request State of Delaware and Federal Bureau of
Investigation criminal background checks. Follow the instructions on the authorization form to arrange to be
fingerprinted.
If you have never been issued a U.S. Social Security Number (SSN), submit a
Request for Exemption from Social
Security Number
Requirement.
The Privacy Act of 1974, Section 7, requires the following information to be given to all applicants: Applicants for any Delaware
professional or occupational license, permit, registration or certificate (other than Gaming permits) are required to provide a U.S.
SSN (29 Del. C. §8735(m)). The Division of Professional Regulation uses the SSN primarily to verify identity and safeguard
personal information. It may also be used to enforce child support obligation (13 Del. C. §2216) and for other lawful purposes.
Applying by Reciprocity
Apply for licensure by reciprocity only if you hold a current license in another jurisdiction and have worked as a dental
hygienist three of the past five years. If you do not meet both of these conditions, you must apply for licensure by
examination and sit for the Delaware Practical Examination in Dental Hygiene.
Submit completed, signed and notarized
Application for Dental Hygienist
Licensure.
Enclose the non-refundable
processing fee
by check or money order made payable to the "State of Delaware."
Arrange for the Board office to receive an official transcript from Board-approved dental hygiene program, sent
directly from the school to the Board office. The transcript must show your degree and date of graduation.
Enclose a copy of your current cardiopulmonary resuscitation (CPR) certification card.
Arrange for the Board office to receive your National Dental Hygiene Board Examination score report, sent directly
from the Joint Commission on National Dental Examinations to the Board office. See
Score Report
Request.
Revised 9/2017
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