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Dental Hygienist Form 4A Personal Affidavit of Professional Practice for Endorsement Applicants - New York
What Is Dental Hygienist Form 4A?
This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 4A?
A: Form 4A is the Personal Affidavit of Professional Practice for Endorsement Applicants.
Q: Who is required to fill out Form 4A?
A: Endorsement applicants in New York.
Q: What is the purpose of Form 4A?
A: The form is used to provide information about an applicant's professional practice as a dental hygienist.
Q: What kind of information is required in Form 4A?
A: The form requires details about the applicant's educational background, work experience, and any disciplinary actions.
Q: Is Form 4A specific to dental hygienists in New York?
A: Yes, Form 4A is specifically for endorsement applicants in New York.
Form Details:
- Released on February 1, 2004;
- The latest edition provided by the New York State Education Department;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Dental Hygienist Form 4A by clicking the link below or browse more documents and templates provided by the New York State Education Department.
