Section Plc 1305.03 - Information and Documentation Required for Initial License Application In addition to the information and documentation required by Plc 304.04, the applicant shall provide the following with an application for initial licensure, as applicable:
(a) A chronologically-organized list of the applicant's paid and voluntary work experience in the applicant's regulated MIRT profession for the prior 5 years that includes, for each separate experience, the organization for which the applicant worked or volunteered, the position held, the beginning and end dates, and the city and state in which the position was located, provided that the list may be a résumé;(b) If the applicant is applying for licensure as other than a radiologist assistant, the following: (1) Proof of being at least 18 years of age, such as a copy of an official government identification card or driver's license showing a date of birth or a copy of the applicant's birth certificate; and(2) A copy of the applicant's high school diploma or equivalency certificate;(c) For applicants applying for a limited x-ray machine operator license:(1) A copy of a certificate of course completion from the educational institution identified pursuant to Plc 1305.02(b)(2); and(2) Evidence that the applicant passed the examination required by RSA 328-J:11, I(d), in the form of: a. A notification sent to the applicant by mail or electronically by the credentialing organization; orb. The URL of a web site that confirms the applicant passed the examination; and(d) For other than applicants for a limited x-ray machine operator license, proof of the applicant's current certification required by the applicable provision of RSA 328-J:11, as reflected in the applicable section in Plc 1304.02 through Plc 1304.10, in the form of a photocopy of the certification card or certificate or a link to the certifying organization's website that shows the applicant is certified.N.H. Admin. Code § Plc 1305.03
Derived from Number 6, Filed February 9, 2023, Proposed by #13548, Effective 2/1/2023, Expires 7/31/2023.Amended by Number 32, Filed August 10, 2023, Proposed by #13701, Effective 8/1/2023, Expires 8/1/2033 (See Revision Note at chapter heading for Plc 1300).