Section 12.77.110. Application for license by credentials.  


Latest version.
  • An applicant for a behavior analyst or an assistant behavior analyst license by credentials must submit  
    		(1) a completed application on a form provided by the department; the completed application must include  
    			(A) the personal identification information requested on the form;  
    			(B) information on the applicant's physical and mental health related to the grounds for license refusal, suspension, or revocation in AS 08.15.050;  
    			(C) information on any criminal convictions related to the grounds for license refusal, suspension, or revocation in AS 08.15.050; and  
    			(D) the applicant's fingerprint information described in 12 AAC 77.120(a);  
    		(2) the application fee, the fingerprint processing fee, and the license fee specified in 12 AAC 02.390;  
    		(3) verification of a current license in another state on a form provided by the department; and  
    		(4) proof of current certification as required in AS 08.15.020(a)(4) or (b)(4) as applicable.  
    

Authorities

08.15.020;08.15.080

Notes


Authority
AS 08.15.020 AS 08.15.080
History
Eff. 12/26/2014, Register 212