NDAEB Dental Assisting Course Work Report

National Dental Assisting Examining Board NDAEB Dental Assisting Course Work Report – Revised April 2025 - 2 - _ Personal Information (continued) Contact Information* Email Address Alternate Email Address Cellular Telephone Alternate Telephone Mailing / Home Address* Canadian addresses must be entered accurately and verifiable by Canada Post https://www.canadapost-postescanada.ca/ac/ Suite / Apt. Street No. Street Name PO Box (If applicable) City State / Province / Region Postal Code / ZIP Code Country Note, if you are applying with an out-of-country address, please format your mailing address according to your home country's standards, including all essential components such as street address, city, postal code, and country name. International Credential Agency Used: ICES () IQAS () WES () OR (NDEB) () Applications will remain as “pending” until an agency report has been received. Refer to the ‘Applicant Credentials Assessment Submission Checklist’ above for credential assessment details.

RkJQdWJsaXNoZXIy MzA1NjE=