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Dental Candidate Qualification Form

Dental Candidate Qualification Form 2025

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56 votes

The document is a Candidate Qualification Form for the ADEX Dental Licensure exam, outlining the responsibilities of candidates to meet application requirements. It details qualifying categories for candidates, including current dental students, graduates from accredited programs, and international dentists. Candidates must confirm their eligibility by signing the form and are informed of potential administrative fees and obligations regarding their testing status. The document also emphasizes the importance of providing verification of graduation and includes a notary section.

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Click ‘Get Form’ to open the Dental Candidate Qualification Form in the editor.
Begin by reviewing the qualifying categories. Initial only one that applies to your situation, whether you are a D3/D4 student or a graduate.
If you are a D3 or D4 student, provide your dental school name and anticipated graduation date. Ensure you obtain the designated school signature.
For graduates, confirm your graduation status by attaching necessary documentation such as your diploma or transcript if this is your initial qualifying category.
International candidates must indicate their status and ensure they have the required letter from a State Dental Licensing Board authorizing them to take the exam.
Complete the exam history section by checking the appropriate box regarding your previous ADEX exam attempts.
Finally, sign and date the form. If required, ensure it is notarized before submission.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (57 Votes)
2020	4.2 Satisfied (65 Votes)
2017	4.3 Satisfied (56 Votes)

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