Application Status Query

Instructions: 

Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.

Please verify the checklist information below, including your address. If your address has changed, please e-mail your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.

As of  :  01/05/2016
Application#  :  556179
Name  :  WAL, ALESHA K.
Profession  :  Dental Hygiene
Address  :  MILWAUKEE, WI
Application Status  :  (Permanent license issued)


Requirements Not Met:
Description Status Comments (Please note, not all requirements will include comments)

Requirements Met:
Description Status Comments (Please note, not all requirements will include comments)
Application Complete Met
12/4/2015: received--------------11/27/2015: The application has been updated to include a ‘Continuing Duty of Disclosure’ section on page 4 of the application. Due to submission of an outdated application, we need you to acknowledge you have read and agree to this statement. Please download Page 4 of the current application form #511 (available at http://dsps.wi.gov). Please read the Continuing Duty of Disclosure section, resign and date the affidavit of applicant and return the page to our department. Be sure to put your name, profession and ID number at the top of the page prior to sending. Information can be faxed to 608-261-7083 or emailed to DSPSCredDentistry@wi.gov
Application Fee Met
$150
Wisconsin Statutes & Rules Examination Met
11/27/2015:
You may take this exam at any time. Before you start the exam review the instructions at: http://dsps.wi.gov/Default.aspx?Page=2528f9e9-f4d9-4a77-bb11-49086f6d542d. Open book exam is on our website at: http://eptol.drl.wi.gov/.
Passing score is 85%.
When you're at the ParTest Online you will need the following info:
Instructor: gsp
Test Name: DHY11a (case sensitive)
Test Password: DHY11a (case sensitive)
Student ID: Your DSPS Application ID Number

Copy and paste this URL into your web browser to view the Related Code and Statutes: http://dsps.wi.gov/Boards-Councils/Administrative-Rules-and-Statutes/Dentistry-and-Dental-Hygiene-Administrative-Rules-and-Statutes/
All activities and practice accounted for from the date of graduation to the present. Provide employers name, location (city&state), dates (month&year), # of hours worked per week, job title & duties Met
Certificate of Professional Education (Form #1463) (including signature and school seal) Met
Regional Dental Testing Service Score Card(s) (Original(s) pass & fail) Met
1/5/2016: RECEIVED CRDTS-----12/4/2015: Applicant indicates will take exam on 12/12/15. For CRDTS, we should receive your score in our dept 3-4 weeks after completion of exam via the Master Grade Sheet. We will update this requirement once score is received and processed. You do not need to request a score report to come to DSPS if we receive via the Master Grade Sheet. If you take the CDCA, can retrieve your score report from the NERB/CDCA website. You will not need to request a score report from NERB or CRDTS. However, any other exam, your score report will need to be requested from the testing agency to come to DSPS.
National Board Score Card(s) (Original(s) pass & fail) Met
AED/CPR Certification Met
Other General Met
You will be assigned two (2) different application IDs. One is for your regular dental hygiene license and the other one is for your local anesthesia license. You will use your regular dental hygiene license app ID # to access the online statutes exam. Specialty license will be issued with regular license.