2018 NBC Course Approval Request Form
Please complete and submit this form at least 30 business days before the program date.

This information will be used for those who search for available courses on the NBC and Foundation for Dental Laboratory Technology’s websites.
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  • I. General Information

    Please provide speaker/sponsor information.
  • NOTE: if group or panel course, will be documented under first name listed
  • (please attach bio.CV for first time approval)
  • (if applicable, ex. 000000-00)
  • - -
  • (if applicable)
  • (if applicable)
  • (if applicable)
  • II. Course Information

    If the program will be presented by the same speaker multiple times in a given year, multi-date approval will be granted.
  • (limited to 75 characters)
  • (hour per hour basis)
  • / /
    (only enter date for single-date course)
  • (only enter for multi-date course)
  • (attach outline or syllabus if preferred)
    NOTE: Annual CDT Renewals must obtain a total of 12 hours containing at least 1 Regulatory Standards Hour and 6 Scientific Hours. A maximum of 5 Professional Development credit is awarded for non-dental-specific courses, such as marketing, business, employment issues, etc. Professional Development is also awarded to courses that are Scientific or Regulatory Standards in nature, if the speaker does not have the appropriate credentials.
  • (if applicable)
  • (select one)

  • (required to be searchable online)
  • (for CDT/RGs only)
  • / /
    (if within 30 days of course, rush fee will apply)
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