Written Exam Application Form

NDAEB Written Exam Application (March to December 2025)

"*" indicates required fields

1Instructions

2Consent for Personal Information

3Personal Information and Identification

4Eligibility Self-Assessment

5Dental Health Program and Proof of Completion

6Proof of Completion

7Examination Session Details

8Special Accommodations

9Voluntary Consent

10Summary

You must read and acknowledge the following instructions before completing the application form.

Online Form Usage and Navigation Instructions*

Technical Check - Handbook and Instructional Video*

Please review the Written Examination Candidate Handbook before completing your Written Exam application form.
Read Candidate Handbook If you have questions after reviewing this resource contact the NDAEB office by email at office@ndaeb.ca or by telephone at (613) 526-3424.

I have reviewed the resource provided by the NDAEB to assist me in completing the Written Exam application and I will contact the NDAEB office if I have any questions.

Technical Check - Browser Buttons*

Only use the "Next" or "Previous" buttons displayed at the bottom of this application form as they are made available to you to navigate between the application pages. Using the navigation buttons on your browser may result in the loss of completed data and/or uploaded documents/digital photos.

I will use only the "Next" or "Previous" buttons on the application form to navigate between the application pages.

Technical Check - Required Fields*

You will not be able to proceed to the next page of the Written Exam application form using the "Next" button until all required fields on the current page are completed.

I will complete all required fields marked by a red asterisk (*) and sign in all applicable areas.

Technical Check - Summary Page*

Selecting the "Proceed to Payment" button completes the information gathering portion of your Written Exam application and you are re-directed to a third-party payment service. You will not be able to return to correct any details on your Written Exam application after selecting the "Proceed to Payment" button. Please pay close attention to the summary page including the documents you have successfully uploaded to the form. You are responsible for reviewing all the information you have provided on the application form to ensure that the information is correct.

I will review the "Summary" page carefully before selecting the "Proceed to Payment" button.

Technical Check - Successful Payment*

Your Written Exam application is not submitted to the NDAEB office until your payment is successful.

I understand a successful credit card payment is required to complete my application submission.

Consent for Personal Information

Please read and complete the following form regarding the processing of personal information by the NDAEB for purposes related to the assessment of your application and administration of examinations.

I understand that for the purpose of assessing my application to register for and participate in the Written Examination and/or Clinical Practice Evaluation (CPE), the NDAEB collects personal information including: my name, photograph (for identification purposes at the examination facility), mailing address, educational transcripts/diplomas or letter(s) from my school confirming my enrollment in or graduation from an eligible dental assisting educational program.

I understand that if I received my dental assisting (or allied) education outside Canada, the required documents will also include, but may not be limited to, report(s) from third parties such as translators and international credentials evaluation agencies confirming my academic records.

I understand that if I request special exam accommodations for medical or other reasons, I may be required to provide the NDAEB with reports or other documents from third parties such as, educational counselors, psychologists or physicians to support my request.

I understand that if I request a special exam sitting date for religious reasons, I may be required to provide written confirmation from a religious leader before the NDAEB considers my request.

I have read the NDAEB Privacy Policy regarding the collection, use, disclosure and protection of my personal information and I have been provided with contact information and a telephone number should I have questions or concerns. The NDAEB Privacy Policy, which governs the NDAEB’s practices with respect to the collection, use and disclosure of personal information, is readily available at https://ndaeb.ca/privacy-policy/.

As indicated in the NDAEB Privacy Policy, I understand that I may request access to my personal information and request that corrections be made. I may also refuse to provide some personal information or request to withdraw my consent; however, some personal information is necessary to fulfill the NDAEB’s mandate. As such, the NDAEB may be unable to provide its services if necessary personal information is not provided.

I understand that, as part of the mandate and in the interest of public safety, the NDAEB may disclose personal information, which may include my name, my pass/fail result(s) of the NDAEB Written Examination and/or Clinical Practice Evaluation (CPE), my NDAEB Certificate Number, the date of my examination sitting, the date of my taking the CPE, and the date of the completion of my Transfer of Credentials (ToC)to the Canadian Dental Assisting Regulatory Authority (CDARA) in the province in which my address is listed, the province in which I wrote the exam and/or took the CPE, to any other CDARA requesting information about me, and to any other CDARA to which the NDAEB considers, in its sole discretion, that such disclosure is appropriate.

I understand that the NDAEB may retain my personal information as long as is necessary to meet the requirements of the NDAEB mandate. I hereby give my consent to the NDAEB to collect, use, disclose and protect my personal information as set out above.

Consent:*

I consent

I do not consent

You have selected that you do not consent to the processing of your personal information by the NDAEB.

As a result, the NDAEB is unable to continue with your registration. You may wish to review the Privacy Policy and/or the above Consent for Personal Information again. If you do not wish to proceed, you may close your application.

Please contact the NDAEB office at 613-526-3424 should you have any questions.

Signature:*

I hereby give my consent to the NDAEB to contact me by email as necessary to provide me with information regarding the NDAEB examination and/or Clinical Practice Evaluation (CPE).

Printed Name:*

Date:*

Information Officer (Responsible for privacy compliance):

NDAEB
Stephen Grundy, CAO/Registrar
204 - 2283 St. Laurent Blvd.
Ottawa, ON K1G 5A2
Phone: 613-526-3424
Fax: 613-526-5560
E-mail: office@ndaeb.ca

Personal Information

The NDAEB certificate is an official document used in the registration/licensure of dental assistants in Canada. Your name will appear on your NDAEB certificate EXACTLY as typed below. Use only your official given name(s) and surname as they appear on your valid photo identification that you will present on the day of the exam. Do not use nicknames. If the name appearing on your academic records is different from your name as stated below, you will be asked to provide proof of name change (ex. marriage certificate).

Written Exam Attempt Number*

First Attempt

Second Attempt

Third Attempt

Rewrite Required by CDARA

Withdrawal Status*

Have you ever applied for the NDAEB examination and withdrawn/cancelled your registration?

Yes

NDAEB ID*

Please enter your assigned 8-digit NDAEB Applicant ID number.

YOUR NDAEB ID MAY BE INVALID. Please contact the NDAEB by e-mail at office@ndaeb.ca or by phone at 613-526-3424 to confirm your NDAEB ID and your eligibility status is current.

NDAEB Certificate Number

If you know your NDAEB Certificate number, please enter it here.

Regulatory Authority Document*

Upload a high-quality scan in PDF format of the letter/document from your Regulatory Authority that requires you to attempt the NDAEB Examination.

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB.

Name*

First Middle Last

Note: If you do not have a legal last name/surname, please enter a period (.) as a placeholder in the "Last" name field. If you do not have a legal middle name, you may leave the "Middle" name field blank.

Name Change*

My name entered above MATCHES the name on my proof of completion from my dental health program.

My name entered above DOES NOT MATCH the name on my proof of completion from my dental health program.

Proof of Name Change*

Upload a high-quality scan in PDF format of your proof of name change (ex. marriage certificate, legal name change affidavit).

Drop files here or

Accepted file types: pdf, Max. file size: 512 MB.

Profile Photo*

Upload a photo of your face in JPG, JPEG or PNG format. This image will be used for security and identification purposes. You can take the photo of your face with your phone. Please ensure your face is aligned and centered in the photo and you have a plain white or light-coloured background. Do NOT scan/photograph and upload any personal identification documents as these will NOT be accepted (ex. driver's license, passport, bus pass, student identification card) .

Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 512 MB, Max. files: 1.

Home Address*

Street Address/PO Box Suite/Apartment City State / Province / Region ZIP / Postal Code Country

Date of Birth*

Provide your date of birth to assist with identification.

Email Address*

Enter Email Confirm Email

Alternate Email Address

Enter Email Confirm Email

Primary Phone*

Alternate Phone Number

Eligibility Self-Assessment

If your dental assisting program or dental health program is not listed on the Dental Assisting Schools page of the NDAEB's website OR you are not a recent graduate from a dental assisting program, you MAY NOT be eligible for the written examination at this time without a program assessment and/or completion of a recognized dental assisting upgrade program. Please complete the following fields to self-assess potential eligibility for the NDAEB's written examination. If you have completed formal dental assisting or dental health training through more than one program, please complete the following fields based on the program where you received the MAJORITY of your formal dental assisting or dental health training.

Dental Health Program Eligibility*

Select the current status of your dental assisting or dental health program. You are considered a "Registered Program Graduate" only if your dental assisting program is currently listed on the Dental Assisting Schools page of the NDAEB's website.

Registered Program Graduate

Non-Registered Program Graduate

Registered Dental Assisting Program*

Non-Registered Dental Assisting Program*

Non-Registered Dental Assisting Program Disclaimer*

I understand that my dental assisting program may require assessment to determine my eligibility for the written examination.

Non-Registered CEAC Assessment Status*

Has your education already been assessed and approved by the NDAEB Candidate Eligibility Assessment Committee (CEAC)?

Yes, I have an official letter of approval from the NDAEB.

No, I do not have an official letter of approval from the NDAEB.

NDAEB ID*

Please enter your assigned 8-digit NDAEB Applicant ID number form your official letter of approval from the NDAEB Candidate Eligibility Assessment Committee (CEAC).

YOUR NDAEB ID MAY BE INVALID. Please contact the NDAEB by e-mail at office@ndaeb.ca or by phone at 613-526-3424 to confirm your NDAEB ID and your eligibility status is current.

NDAEB CEAC Approval Letter*

Upload your official letter of approval in PDF format from the NDAEB Candidate Eligibility Assessment Committee (CEAC) indicating you are eligible to write the NDAEB written exam.

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB.

YOU MAY PROCEED WITH YOUR ONLINE APPLICATION. Your dental assisting program may require assessment to determine your eligibility for the written examination if you are not a recent graduate of a registered program.

YOU MAY PROCEED WITH YOUR ONLINE APPLICATION. Your dental assisting program may require assessment to determine your eligibility for the written examination.

YOU MAY PROCEED WITH YOUR ONLINE APPLICATION. If the NDAEB ID and approval letter that you have provided are not valid, your application will be withdrawn and applicable fees will be applied.

YOU ARE UNABLE TO PROCEED WITH YOUR ONLINE APPLICATION. You must submit your required documents with credential assessment fee and receive a formal letter of eligibility from the NDAEB Candidate Eligibility Assessment Committee (CEAC) before applying for the written examination.

Please review the Application Procedure for Graduates of a Non-Registered Program for more information.

YOU MAY PROCEED WITH YOUR ONLINE APPLICATION. If the NDAEB ID and approval letter that you have provided are not valid, your application will be withdrawn and applicable fees will be applied.

YOU ARE UNABLE TO PROCEED WITH YOUR ONLINE APPLICATION. You must submit your required required documents and receive a formal letter of eligibility from the NDAEB before applying for the written examination.

Please review the Graduates of Other Allied Dental Healthcare Registered Programs for more information.

Please review the Application Procedure for Graduates of a Non-Registered Program for more information.

YOU MAY PROCEED WITH YOUR ONLINE APPLICATION. If the NDAEB ID and approval letter that you have provided are not valid, your application will be withdrawn and applicable fees will be applied.

Please review the Graduates of Other Allied Dental Healthcare Registered Programs for more information.

Please review the Application Procedure for Graduates of a Non-Registered Program for more information.

Dental Assisting or Dental Health Program Proof of Completion

In this section, you will be required to upload your dental health program proof of completion document(s).

Dental Assisting/Dental Health Program Proof of Completion Type(s)*

Please select the proof of completion type(s) you will be uploading. You may select more than one.

Diploma

Final Official Transcript

Official Letter of Completion

Secure Link

If you applied for your previous exam attempt using a "Letter of Enrolment" from your school, do NOT resubmit the same document again, as it will not be accepted. Instead, please upload your diploma or a signed final official transcript.

If your final diploma or final official transcript is not yet available, you may submit a "Letter of Completion" from your school. The Letter of Completion must:

Be on official school letterhead and signed by a designated faculty member
Include your full name as it appears on your application
Confirm your program start and completion date

Dental Assisting/Dental Health Diploma(s)*

Upload high-quality scan(s) of your diploma(s) in PDF format. Digital diplomas are not accepted.

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB, Max. files: 3.

Dental Assisting/Dental Health Program Final Official Transcript(s)*

Upload high-quality scan(s) of your final official transcript(s) in PDF format. Final transcript(s) must show your date of completion, a signature from the registrar and an official seal.

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB, Max. files: 3.

Official Letter(s) of Completion from Dental Assisting/Dental Health Program(s)*

Upload high quality scan(s) of your official Letter(s) of Completion from your dental assisting or dental health program(s) in PDF format. The letter(s) must be on official program letterhead, confirm your program start and completion date(s) and include a signature from the program administrator.

Drop files here or

Accepted file types: pdf, Max. file size: 64 MB, Max. files: 3.

Secure Link(s)*

Enter the secure link(s) to your proof of completion of additional training in the mandatory skills. If you are entering more than one secure link, please separate each secure link with a comma (,).

Exam Session Details

You may apply for the March, June, September or December 2025 examination session. Please refer to the Written Exam Schedule on the NDAEB website for applicable deadlines for each exam session. Please select your preferred examination session, language, and location below.

Examination Session*

Select the examination session for which you wish to apply. You must have completed all dental assisting mandatory skills before the examination session for which you are applying.

Examination Language*

English

French

Preferred Examination Location*

Note: Testing centre availability is limited. The NDAEB is unable to guarantee the availability of any particular testing location. Candidates may be scheduled at the next closest testing centre or may be required to participate via online remote proctoring if there are no available testing centres in your area.

Alternate Examination Location

I live more than 250km from the nearest testing facility and will require a special location. I understand that if a facility is not available near my location, I may be required to take the exam by online remote proctoring.

Note: Requesting an alternate examination location does not guarantee a site will be established.

Preferred Alternate Examination Location

Please specify your preferred alternate examination location.

Voluntary Disclosure of Personal Information to DA Association or Other Third Party (Other than a CDARA)

With your voluntary consent, the NDAEB will release your name, NDAEB certificate number and date of exam or CPE sitting to a dental assisting association or other third party (one only).

Should you wish to have the NDAEB voluntarily release your name, NDAEB certificate number and date of examination or CPE to a provincial DA association, or third party other than a CDARA, you must read and voluntarily sign the consent form below. Releasing your name and NDAEB certificate number does not mean that you are automatically licensed/registered/certified in a province. You must contact the CDARA or DA association for details regarding provincial licensure/registration requirements.

Please note, in the event you are unsuccessful on your exam or CPE, the NDAEB will not release your information to a third party, EXCEPT FOR A CDARA, even if you have signed this consent form.

You may voluntarily disclose your NDAEB information, directly to a third party without the knowledge of the NDAEB. Please retain your exam and CPE results and NDAEB certificate in a safe place for future use.

You are not required to sign this form when registering for the exam or CPE. Should you wish to have the NDAEB disclose information on your behalf at a later date, you may request a form at some time in future.

Note: in the interest of public safety, the NDAEB will automatically release your exam or CPE results, pass or fail, to the Canadian Dental Assisting Regulatory Authority in the province in which you wrote the exam or took the Clinical Practice Evaluation (CPE) or to another provincial CDARA upon request of the CDARA. Please refer to the written exam or CPE application form and NDAEB privacy policy for details.

Voluntary Informed Consent

I request that the NDAEB disclose my name, certificate number and date of exam or CPE to one of the following:

Ontario Dental Assistants Association

Other

DA Association or Other Third Party*

Enter the name of the DA association or other third party that you would like to request that the NDAEB disclose your name, certificate number and date of exam or CPE.

Signature

Note: You are not required to sign this form when registering for the exam or CPE. Should you wish to have the NDAEB disclose information on your behalf at a later date, you may request a form at some time in future.

Below is a summary of your application selections. Please review carefully and make any necessary changes and/or correct missing information using the "Previous" button at the bottom of this page. Do NOT use the back button on your browser to correct selections on your application.

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Below is a summary of your application fees. Please review carefully before selecting the "Proceed to Payment" button.

Examination Fee*

Price:

Application Fee (non-refundable)*

Price:

Credit Card Processing Fee*

Price: $ 0.00 CAD

Total

Credit Card Payment Process*

Before proceeding to the next page, please be prepared to have your credit card information on hand. The payment page is time sensitive and must be fully completed and submitted within a reasonable time. Payments pages not completed in a reasonable amount of time risk the application not successfully being submitted.

I understand and I am prepared to proceed with my payment.

Credit Cardholder Permission and Dispute Policy*

Before proceeding to the next page, the credit cardholder must be fully aware of the fees to be charged for the registration of this exam. Disputed charges are not permitted by the NDAEB and in the event the exam fee and associated charges are disputed by the cardholder, you risk having your exam registration automatically withdrawn.

I confirm that the cardholder is fully aware of the fees to be charged and that disputes are not permitted.

Please ensure that you have included all application components in your registration and that your application is complete before proceeding to payment. Processing fees will not be refunded.

National Dental Assisting Examining Board
Bureau national d'examen d'assistance dentaire

NDAEB Written Exam Application (March to December 2025)

You must read and acknowledge the following instructions before completing the application form.

Online Form Usage and Navigation Instructions*

Consent for Personal Information

Information Officer (Responsible for privacy compliance):

Personal Information

Eligibility Self-Assessment

Dental Assisting or Dental Health Program Details

Dental Assisting or Dental Health Program Proof of Completion

Exam Session Details

Request for Special Testing Accommodations

Accommodations Based on Religious Reasons

Accommodations Based on Medical and/or Pregnancy/Maternity Related Needs

Voluntary Disclosure of Personal Information to DA Association or Other Third Party (Other than a CDARA)

Below is a summary of your application selections. Please review carefully and make any necessary changes and/or correct missing information using the "Previous" button at the bottom of this page. Do NOT use the back button on your browser to correct selections on your application.

Below is a summary of your application fees. Please review carefully before selecting the "Proceed to Payment" button.

Please ensure that you have included all application components in your registration and that your application is complete before proceeding to payment. Processing fees will not be refunded.

Please do NOT submit more than one application! If you apply multiple times for the same exam, your application fees will not be refunded.

ADDRESS

CONTACT

OFFICE HOURS

ADDITIONAL INFO

National Dental Assisting Examining Board Bureau national d'examen d'assistance dentaire

NDAEB Written Exam Application (March to December 2025)

You must read and acknowledge the following instructions before completing the application form.

Online Form Usage and Navigation Instructions*

Consent for Personal Information

Information Officer (Responsible for privacy compliance):

Personal Information

Eligibility Self-Assessment

Dental Assisting or Dental Health Program Details

Dental Assisting or Dental Health Program Proof of Completion

Exam Session Details

Request for Special Testing Accommodations

Accommodations Based on Religious Reasons

Accommodations Based on Medical and/or Pregnancy/Maternity Related Needs

Voluntary Disclosure of Personal Information to DA Association or Other Third Party (Other than a CDARA)

Below is a summary of your application selections. Please review carefully and make any necessary changes and/or correct missing information using the "Previous" button at the bottom of this page. Do NOT use the back button on your browser to correct selections on your application.

Below is a summary of your application fees. Please review carefully before selecting the "Proceed to Payment" button.

Please ensure that you have included all application components in your registration and that your application is complete before proceeding to payment. Processing fees will not be refunded.

Please do NOT submit more than one application! If you apply multiple times for the same exam, your application fees will not be refunded.

ADDRESS

CONTACT

OFFICE HOURS

ADDITIONAL INFO

National Dental Assisting Examining Board
Bureau national d'examen d'assistance dentaire