Registration Package for Student

Only applicants enrolled in a dental specialty training programme or a recognized hospital based dental internship programme at the University of Manitoba, Dr. Gerald Niznick College of Dentistry, are eligible for licensure in the Student category. The complete requirements for successful registration in this category are available in the  Bylaw for Registration and Licensure of Dentists and this package.

Relevant Forms and Documents

1. Checklist for Registration in the Student Category
2. Instructional Guide for Completing Dentist Registration Application Form
3. Dentist Initial Registration Application Form
4. Certificate of Standing for other Health Professions and Jurisdictions
5. Consent to Release Regulatory Information Form
6. Consent to Release Third Party Assessment Information Form (NDEB)
7. Agreement for Hospital Dental Internship or Graduate Dental Residency
8. Consent to Release Health Information Form
9. Declaration of Commitment to Ethical Practice and the Public Interest
10. MB Health Dentist Registration Form (do not fill in highlighted areas)