Get Dental Candidate Qualification Form

Completing the Dental Candidate Qualification Form is essential for ensuring your eligibility to take the ADEX Dental Licensure exam. This guide provides clear, step-by-step instructions on how to complete the form online, enabling you to navigate the process smoothly.

Follow the steps to fill out the form accurately

1. Press the ‘Get Form’ button to obtain the Dental Candidate Qualification Form. This action allows you to access the form online and open it in your preferred editor.
2. Begin with the Qualifying Category section. You must initial only one of the qualifying category statements that apply to your situation as a candidate. Ensure that you understand each category before selecting.
3. If you are a D3 or D4 student, provide the name of your dental school and the anticipated graduation date. Additionally, a designated school official must sign to confirm your eligibility to begin the exam.
4. For candidates who have graduated, verify your graduation from a CODA or CDAC accredited dental program. Attach relevant documentation, such as your diploma or an unofficial transcript, if this is your initial qualifying category.
5. If you are an international dentist, obtain a letter from a State Dental Licensing Board indicating that you qualify for a dental license in that state. This letter must be mailed to the CITA office.
6. Acknowledge your qualification by filling in your name where indicated and signing the form. This signature confirms your understanding of the requirements and your exam history.
7. Indicate your exam history by selecting the appropriate statements regarding any previous attempts at the ADEX Dental Licensure exam.
8. Complete the Notary section by signing and dating the form in the presence of a Notary Public. Ensure that the notary's stamp is included to validate your application.
9. Save the completed form after filling out all necessary fields. You can choose to download, print, or share the form according to your needs.

Complete your Dental Candidate Qualification Form online today to ensure your eligibility for the ADEX Dental Licensure exam.