Last four of SSN and Date of Birth will be kept confidential and will only be released to state regulatory bodies and as required by law.
  • To better serve and understand our dental assisting community, we are hoping to learn more about our test takers, certificants, and learners through the collection of voluntarily disclosed demographic information. The next 3 questions are optional, but your responses will help to improve our ability to better serve our stakeholders.
  • Race/Ethnicity: (select all that apply)
  • If you work in a dental office, indicate the type(s) of radiography used: