Get Request For Licensure Application Packet - Mississippi State Board ...

Completing the Request For Licensure Application Packet for the Mississippi State Board is a crucial step in your professional journey. This guide will provide you with clear instructions on how to accurately fill out the form online and ensure you have all the necessary components before submission.

Follow the steps to successfully complete your application packet.

1. Press the ‘Get Form’ button to obtain the application packet and open it in your editor.
2. Begin filling out your personal information in the designated fields, including your name, address, telephone number, and email.
3. Indicate the name of the school you graduated from and the date of graduation in the appropriate fields provided.
4. Select the type of packet you are requesting by checking the corresponding box. Options include dental and hygiene credentials, examination requests, provisional requests, and fellowship or teaching requests.
5. Once all sections are completed, carefully review your form for any errors or omissions to ensure all information is accurate.
6. After completing the form, make sure to print it out. Prepare a personal check, money order, or certified check for the processing fee of $10.00, payable to the Mississippi State Board of Dental Examiners.
7. Finally, submit the completed form along with your payment to the Mississippi State Board of Dental Examiners at the provided address, and keep a copy for your records.

Complete your application packet online today and take the next step in your professional licensing journey.