D.C. Mun. Regs. tit. 17, r. 17-9208

Current through Register 71, No. 45, November 7, 2024

Rule 17-9208 - APPLICATION FOR A TEACHER'S LICENSE IN DENTAL HYGIENE

9208.1

To apply for a teacher's license in dental hygiene, an applicant shall:

(a) Submit a completed application to the Board on the required forms and include:

(1) The applicant's social security number on the application. If the applicant does not have a social security number, the applicant shall:

(i) Submit with the application a sworn affidavit, under penalty of perjury, stating that he or she does not have a social security number; and

(ii) Submit proof acceptable to the Board that he or she is legally authorized to be in the United States, such as a Resident Alien Card, a valid foreign passport with a visa, or a work permit card from the Department of Homeland Security (I-766 or I-688B);

(2) Two (2) recent passport-type photographs of the applicant's face measuring two inches by two inches (2" x 2"), which clearly expose the area from the top of the forehead to the bottom of the chin; and

(3) One (1) clear photocopy of a U.S. government-issued photo ID, such as a driver's license, as proof of identity; and

(b) Submit a formal request for licensure and promise of appointment or confirmation of appointment from the Dean of the dental school or dental hygiene school where the applicant will be appointed. The request shall be submitted in a sealed envelope bearing the seal of the institution;

(c) Submit an official transcript mailed directly from the educational institution(s) in a sealed envelope, which shall verify that the applicant has successfully met the education requirements set forth in § 9207.1 of this chapter;

(d) Submit the applicant's examination results, which have been certified or validated by the National Board of Dental Hygiene Examination;

(e) Submit proof acceptable to the Board that the applicant has not failed the ADEX clinical examination, or its successor, or proof that the applicant subsequently passed the examination which shall be certified or validated by the ADEX or its successor;

(f) Submit proof acceptable to the Board that the applicant has been actively engaged in the practice of dental hygiene for the three (3) years immediately preceding the application, and has at least one hundred fifty (150) hours of active dental hygiene practice;

(g) Obtain verification from each state in which the applicant holds or has ever held a professional health occupation license, if applicable, that the license is current and in good standing, or if the license is no longer active, that it was in good standing immediately prior to its expiration. The licensure verification form shall be sent directly to the Board by the verifying board;

(h) Pass the District of Columbia Dental Law Examination;

(i) Submit two (2) letters of recommendation from the applicant's clinical colleagues, which shall certify to the board the good moral character of the applicant, and the applicant's qualifications, background, and experience.

(j) Undergo a criminal background check; and

(k) Pay all required fees.

D.C. Mun. Regs. tit. 17, r. 17-9208

Final Rulemaking published at 63 DCR 13701 (11/4/2016)