30 Miss. Code. R. 3201-4.1

Current through December 10, 2024
Rule 30-3201-4.1 - FORM OF APPLICATION

All applications for licensure shall be made on a printed form provided by the Board. If space on the form does not permit an applicant to present his record of experience or practice, the applicant may provide supplementary sheets of white paper 8 1/2 x 11 inches in size. Such additional sheets shall be typed on one side only and shall be signed and dated. Applications must be clearly typewritten in black suitable for copy machines. All questions must be answered, except as otherwise specified.

A recognizable photograph shall be attached to the application. The photograph shall be not more than six (6) months old, 2 by 2 inches overall (passport size), with the face not less than 3/4 inches wide, with name of applicant and date the photograph was taken entered on the back of the photograph.

All applicants shall undergo criminal history background check and shall provide his/her fingerprints for this purpose.

Applications shall be subscribed and sworn to before a Notary Public or other persons qualified to administer oath.

At the time the Board begins to utilize electronic or online application, the process will be in a form and manner prescribed by the Board.

30 Miss. Code. R. 3201-4.1

Miss. Code Ann. § 73-31-7