Section 12.14.130. Review of an apprentice direct-entry midwife permit application.

	(a)  A person may not practice as an apprentice direct-entry midwife in this state unless that person has been issued a permit under this section.  
	(b)  An applicant who meets the requirements on the checklist set out in (c) of this section has demonstrated the necessary qualifications for an apprentice direct-entry midwife permit. An applicant who does not meet the requirements on the checklist or whose application documents do not clearly show that the applicant is qualified to receive an apprentice direct-entry midwife permit will not be issued a permit unless the board further reviews the application and determines that the applicant meets the qualifications in AS 08.65  and this chapter for that permit.  
	(c)  The following checklist is established by the board for review by staff of an application for an apprentice direct-entry midwife permit. An apprentice direct-entry midwife permit will be issued to an applicant who  
		(1) submits a completed application on a form provided by the department, that includes the applicant's  
			(A) name, mailing address and telephone number;  
			(B) date of birth that shows the applicant is at least 18 years of age; and  
			(C) signed authorization for release of records;  
		(2) pays the application fee and the apprentice direct-entry midwife permit fee established in 12 AAC 02.145;  
		(3) certifies that the applicant has earned a high school diploma or its equivalent and provides the name of the issuing institution and the date the diploma or its equivalent was issued;  
		(4) submits an affidavit signed by the applicant that verifies compliance with AS 08.65.050(3);  
		(5) submits verification of acceptance into an apprenticeship program that the board has approved under 12 AAC 14.220; and  
		(6) submits verification of current certification in Basic Life Support for Health Care Providers (BLS).  
	(d)  As part of the verification of acceptance into an approved apprenticeship program, the applicant must provide written documentation of a relationship with an apprenticeship program preceptor.  
	(e)  An apprentice direct-entry midwife shall submit written notice to the department not later than 30 days after any change to the relationship with the apprenticeship program preceptor.  
	(f)  An apprentice direct-entry midwife permit may be renewed by meeting the requirements of 12 AAC 14.410.  
	(g)  In this section, "apprenticeship program preceptor" means an individual who meets the supervisory requirements of AS 08.65.090(b).  

Authorities

08.65.030;08.65.090

Notes

Reference

12 AAC 14.410
7 AAC 12.449
7 AAC 12.990

Authority

AS 08.65.030 AS 08.65.090

History

Eff. 5/11/94, Register 130; am 12/26/2003, Register 168; am 8/19/2004, Register 171; am 8/19/2009, Register 191; am 9/9/2016, Register 219