Jurisprudence Examination Registration Form The following is a

New Jersey Office of the Attorney General
Division of Consumer Affairs
New Jersey State Board of Dentistry
124 Halsey Street, 6th Floor, P.O. Box 45005
Newark, New Jersey 07101
(973) 504-6405
Jurisprudence Examination Registration Form
If you are a New Jersey resident (or an out-of-state resident wishing to take the Jurisprudence Exam at the Board’s
administrative offices), please check off which date and time you would like to take the test. On each of the dates listed below,
the test is given at 10:00 a.m. and 1:00 p.m. Please send this form via fax or mail it to the address below. You will have one hour
to complete this closed book examination. If the session is full, you will be contacted to reschedule. Please include your daytime
telephone number.
The following is a schedule of the Exam dates for 2015
January 87h
January 21nt
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
February 4th
February 18th
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
March 4th
March 18th
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
April 1st
April 15th
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
May 6th
May 20th
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
June 3rd
June 17th
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
July 8th
July 22nd
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
August 5th
10:00 a.m.
1:00 p.m.
September 2rd
September 16th
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
October 7th
October 21st
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
November 4th
November 18th
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
December 2rd
December 16 th
10:00 a.m.
10:00 a.m.
1:00 p.m.
1:00 p.m.
Applicant’s name (please print)_ _________________________________________________
Daytime telephone number (include area code)_ _____________________________________
Please put a check in one box:
Return this form to:
Dental
R.D.H.
R.D.A.
New Jersey State Board of Dentistry
124 Halsey Street, 6th Floor
P.O. Box 45005
Newark, NJ 07101
Fax number: (973) 273-8075