Form preview

Get the free Application for Licensure by Exam to Practice Dental Assisting

Get Form
This document serves as an application for licensure as a dental assistant in the state of Minnesota, including instructions for required fees, documentation, and examinations.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign application for licensure by

Edit
Edit your application for licensure by form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your application for licensure by form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing application for licensure by online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Check your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit application for licensure by. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, dealing with documents is always straightforward.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out application for licensure by

Illustration

How to fill out Application for Licensure by Exam to Practice Dental Assisting

01
Obtain the Application for Licensure by Exam from your state dental board's website or office.
02
Carefully read the application instructions and requirements to ensure you are eligible.
03
Fill out personal information such as your name, address, and contact details.
04
Provide educational background, including the name of the program and the date of graduation.
05
Include any relevant work experience in dental assisting, if applicable.
06
Attach required documents such as transcripts, proof of graduation, and any additional certifications.
07
Complete and sign the declaration section of the application.
08
Pay the application fee as specified by the dental board.
09
Review the application for completeness and accuracy before submission.
10
Submit the application by the deadline, following the instructions provided by the dental board.

Who needs Application for Licensure by Exam to Practice Dental Assisting?

01
Individuals who have completed a dental assisting program and wish to become licensed dental assistants.
02
Graduates seeking to practice dental assisting within their state and meet licensure requirements.
03
Dental assistants looking to take the licensing exam to be recognized as professionals in their field.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
26 Votes

People Also Ask about

Each state has different requirements for their dental assistants. Some states, like Utah, have no requirements while others, like California, require training, certification, and registration with the state Board of Dentistry.
Applicant shall be a graduate of, or scheduled to graduate from, an accredited dental assisting program*. All training programs must have been structured to include at least the following content areas: Applicants must be certified in cardiopulmonary resuscitation (CPR)
To qualify as a dental assistant II (DA II) by education, one must: Hold current certification as a DANB Certified Dental Assistant (CDA), AND. Successfully complete board-approved expanded functions requirements from a CODA-accredited program, AND. Apply to the Virginia Board of Dentistry for registration.
There are currently 15 states that require some form of training for dental assistants, while just a few states, including Minnesota, California, and Michigan, have set specific educational standards and examinations in order to become a registered dental assistant.
0:15 1:10 So be sure to research the job market in your new. State. To learn more check out these links whichMoreSo be sure to research the job market in your new. State. To learn more check out these links which you can click in the description.
Anyone who wants to work as a dentist in any state must first receive the legal authority to do so by getting a state dental license. State license requirements differ slightly, but all states make it a crime to practice dentistry without a license.
Dental assistants are members of the dental team. They support a dental operator (such as a dentist or other treating dental auxiliary) in providing more efficient dental treatment.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Application for Licensure by Exam to Practice Dental Assisting is a formal request submitted by individuals seeking to obtain a license to work as dental assistants, contingent upon passing a required examination.
Individuals wishing to practice as dental assistants who have completed the necessary education and training, and wish to be licensed through examination, are required to file this application.
To fill out the application, candidates must provide accurate personal information, education details, work experience, and any relevant certifications, followed by submitting the application along with required fees to the appropriate licensing board.
The purpose of the application is to assess the eligibility of candidates to practice dental assisting and ensure that they meet the necessary educational and professional standards.
Applicants must report their personal details, educational background, any clinical or work experience in dental assisting, and proof of passing the required licensure examination.
Fill out your application for licensure by online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.