Nevada State Board of Dental Examiners

DENTAL EXAMINERS INDEX

LANGUAGE
CONVERSION

To Schedule Jurisprudence Exam

***Must have an application filed with the board to schedule exam***

Please fill out the following information to schedule for the Jurisprudence Exam. Please note that due to the volume of requests received, not all requests will be granted. You will be contacted by email regarding your request within 1-2 weeks from the date your request was submitted.

Your Contact Information:
First Name:
Middle Name:
Last Name:
Title:
Phone:
E-mail Address:

Exam:
Exam Date Requesting:
Exam Time Requesting:	10:00 a.m. 2:00 p.m.
If Exam Time requested is full, would you like to be scheduled for another time that is available on the same day?	Yes No

Fingerprint Information & Demographics:
Birth Date:
Birth Place:
Height:
Eye Color:
Hair Color:
Weight:
Gender:	Male Female
Race:	White Black Asian Hispanic Other

Note: Due to the volume of requests, please be aware the NSBDE is unable to accommodate every request.

[includes/RightSide.htm]