Section Rep 301.02 - Application for Licensure(a) Each applicant for licensure shall provide, or cause to be provided, the following on an application for licensure form: (1) The applicant's name, including any names previously used;(2) The applicant's residence and business name and addresses, and telephone numbers and e-mail address;(3) The applicant's date of birth, andplace of birth;(4) The applicant's dates of employment, titles of positions, and present address of employer;(5) Character of employment including types of work performed and degree of responsibility;(6) Name and present address of someone familiar with each position;(7) Highest grade attended including name of institution, years attended, location, graduation date and copies of high school diploma or the equivalent;(8) A listing of every state in which the applicant holds or has ever held registration/certification/licensure as a court reporter with corresponding number, whether the license is active or lapsed, reciprocity or grandfathered and date of initial registration/certification/licensure;(9) Whether the applicant has ever lost or been denied registration/ certification/licensure as a court reporter or disciplined by this board or another court reporter licensing board in any other state and if so, an explanation of the circumstances;(10) Whether the registration/certification/licensure as a court reporter was issued by examination, if so the location, date and grade awarded;(11) Whether the applicant has ever been convicted of any felony, any misdemeanor, or a violation and if so, the name of the court, the details of the offense and the date of conviction and the sentence imposed;(12) The names, complete addresses, occupation and business relationship with the applicant of 3 references as specified in Rep 302.02;(13) The applicant's social security number required pursuant to RSA 161- B:11, VI-a;(14) Date of certification from the National Court Reporters Association or the National Verbatim Reporters Association;(15) Whether the applicant has ever applied for a court reporter's license in New Hampshire and, if so, the status;(16) Whether the applicant is applying for facilitated licensure as a military spouse;(17) An affidavit acknowledging that the applicant has provided correct and true statements in the application;(18) The applicant's signature and the date; and(19) The application fee as specified in Rep 301.04.N.H. Admin. Code § Rep 301.02
Amended by Volume XXXV Number 45, Filed November 12, 2015, Proposed by #10967, Effective 10/31/2015, Expires 10/31/2025.