A graduate of a United States or Canadian dental school who is not licensed to practice dentistry in another state and who wishes to obtain a teacher's license to teach dentistry at the University of Maryland Dental School, shall meet the requirements set forth in Health Occupations Article, §4-303(c), Annotated Code of Maryland. A graduate of a United States or Canadian dental school who is not licensed to practice dentistry in another state and who wishes to apply for a teacher's license to teach dentistry at the University of Maryland Dental School shall submit the following to the Board: A completed application on a form provided by the Board; A photograph of the applicant not to exceed 3 inches by 3 inches accompanied by a notarized statement that “the photograph is a true photograph of me” ; Certified proof of dental education with the raised embossed school seal certifying its authenticity, except that letters from educational institutions on original letterhead and bearing an original signature do not require a raised embossed seal; A certified letter with a raised embossed seal from the dental licensing authority of each state in which the applicant ever held an active dental license indicating that the license is or was in good standing and that the applicant: Is not being investigated; Does not have charges pending against the applicant's license; Has not been disciplined; and Has not been convicted or disciplined by a court of any state or country for an act that would be grounds for disciplinary action under Health Occupations Article, §4-315, Annotated Code of Maryland; Proof satisfactory to the Board that the applicant has at least 5 years of clinical dental experience; A copy of the applicant's National Practitioner Data Bank file; A letter from the Dean of the University of Maryland Dental School: Providing the reasons why the Board should waive the requirement that the applicant be licensed in another state; and Indicating that the applicant is to be a full-time faculty member; Documentation of a change of name if the name on any of the documents submitted to the Board differs from the applicant's name; and Any other documents or information pertinent to licensure required by the Board.