Section Frl 301.01 - Application for Embalmer's Apprentice License(a) Each applicant for a license to practice as an embalmer's apprentice in the state of New Hampshire shall supply the board with the following on the "Application for Embalmer's Apprentice License" form, revised 7/2021: (1) Full name, alias, any previously used names, or maiden names, physical address, mailing address, telephone number, and e-mail address, if any;(2) Date of birth, place of birth, and place of employment;(3) Name and location of high school, academy, or any educational institution attended;(4) Date of graduation, certificate or degree, with copy of diploma, certificate or degree attached;(5) Name, address, and date of current employment by apprentice sponsor;(6) Affidavit accepting apprentice embalmer for a 6 month or one year apprenticeship term by sponsoring licensed embalmer;(7) Affidavit indicating the applicant acknowledges the apprenticeship requirements and affirms the application is completed accurately;(8) Denial or affirmation, with explanation upon request, of the following:a. Whether the applicant has ever been the subject of any disciplinary action by any professional licensing authority;b. Whether the applicant has any past or current impairment by, or has been found to have diverted chemical substances;c. Whether the applicant has been found guilty of, or entered a plea of no contest to, any felony or crime involving moral turpitude; andd. Whether the applicant is mentally and physically competent to practice embalming or as a funeral director;(9) By the applicant's signature affirm the following pledge: "I, state the information provided is accurate to the best of my knowledge and belief. I understand knowingly providing false information may be grounds for denial, reprimand, suspension, revocation of a license (RSA 325:32), and may be grounds for conviction of a misdemeanor (RSA 641:3)"; and(10) Signature and date on the form.(b) Each applicant shall submit the apprentice embalmer licensing fee as cited in Frl 307.01.(c) Every applicant shall submit to the board an original, not a photocopy, of a criminal offender record report: (1) Issued by each state where the applicant has resided or been licensed within the preceding 10 years, provided that such states will:a. Send the report to the board; orb. To the applicant for forwarding to the board;(2) Covering the applicant under his or her legal name and under any aliases; and(3) Dated within 6 months of the application for licensure.(d) If the state where the applicant previously resided does not issue a criminal offender record reports as required, the board shall consider that applicant for licensure without having received the report.N.H. Admin. Code § Frl 301.01
#1689, eff 12-22-80; ss by #2344, eff 4-15-83; ss by #2986, eff 3-18-85; ss by #4357, eff 1-20-88, EXPIRED: 1-20-94
New. #8257, eff 1-15-05, EXPIRED: 1-15-13
Amended by byVolume XXXIV Number 16, Filed April 17, 2014, Proposed by #10567, Effective 5/1/2014, Expires5/1/2024 .Amended by Volume XLI Number 36, Filed September 9, 2021, Proposed by #13252, Effective 8/13/2021, Expires 8/13/2031.