Notice of Intent to Apply as a First-time Dental Assistant Trained on the Job (OJT)

(1) A person who is 18 years of age or older, who has never been licensed or registered as a dentist, dental hygienist or dental assistant and who is not in violation of any rule or regulation adopted by the Board may practice as a dental assistant under the supervision of a licensed dentist without being registered by the Board for a one-time period of up to six consecutive months to commence from the beginning of the initial period of on-the-job training. (2) Notice of Intent. Before starting non-licensed on-the-job training, an individual shall notify the Board in writing of the intent to train on a form prescribed by the Board and submit the following documentation: (a) A complete, accurate, signed, and notarized notice of intent as specified by the Board for that purpose; (b) An attestation the applicant has never practiced or been licensed as a dentist, dental hygienist, or dental assistant; (c) Certification by the supervising licensed dentist on a form prescribed by the Board that such dentist, is responsible for supervising the person named in the notice of intent to apply, has verified the person has completed education in CDC Guidelines, and is not in violation of any rule or regulation adopted by the Board; and (d) Date when the six-month non-licensed, on-the-job training period will start. (3) Extension of On-the-job Training. Upon receipt of a written request, the Board may extend the on-the-job training period for up to an additional six months for a dental assistant who is enrolled in a program of professional educational training for dental assistants offered by a college, university, or dental school authorized to confer degrees or by another dental institution or association recognized by the Board. The written request must be submitted on a form provided by the Board and include the following: (a) Name and signature of the supervising dentist responsible for the on-the-job training of the dental assistant; and (b) Proof satisfactory to the Board of the OJT's enrollment in a dental assisting program that meets the requirements for licensure pursuant to 234 CMR 4.11(3).