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.