21 N.C. Admin. Code 37E.0102

Current through Register Vol. 39, No. 11, December 2, 2024

Section 37E .0102 - APPLICATION CONTENTS

An applicant for reciprocity endorsement shall submit the following items that shall be received by the Board three weeks prior to the next scheduled Board Meeting posted on the Board's website:

(1) a completed application;

(2) a resume;

(3) certified college transcript(s);

(4) three reference forms (one employer and two character) located on the Board's website as set forth in Rule 21 NCAC 37D .0203:

(a) the Employer Reference Form shall include the address of employment and duties assigned; and

(b) the Character Reference Form shall include how the individual knows the applicant and whether the applicant is capable of supervising the care of residents of a skilled facility. No character reference shall be from a relative of the applicant.

(5) a licensing questionnaire(s) from every state where the applicant held a license. The questionnaire is available on the Board's website;

(6) a non-refundable processing fee of three hundred dollars ($300.00); and

(7) a fingerprint card, necessary forms, and required fee for criminal background check. The forms and fees for the criminal background check is available in the Board office and on the Board's website.

21 N.C. Admin. Code 37E .0102

Authority G.S. 90-280; 90-285; 90-287; 90-288.01;
Eff. February 1, 1976;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted Eff. October 1, 1981;
Amended Eff. August 1, 1995; August 2, 1993; February 1, 1991; May 1, 1989;
Transferred and Recodified from 21 NCAC 37A .0912(b) Eff. April 1, 1996;
Amended Eff. April 1, 1996;
Temporary Amendment Eff. August 15, 1999;
Amended Eff. July 1, 2014; July 1, 2004; July 1, 2000;
Readopted Eff. October 1, 2015;
Amended Eff. January 1, 2021.

Authority G.S. 90-280; 90-285; 90-287;
Eff. February 1, 1976;
Readopted Eff. December 15, 1977;
Amended Eff. February 1, 1980;
Readopted Eff. October 1, 1981;
Amended Eff. May 1, 1989; February 1, 1991; August 2, 1993; August 1, 1995;
Transferred and Recodified from 21 NCAC 37A .0912(b) Eff. April 1, 1996;
Amended Eff. April 1, 1996;
Temporary Amendment Eff. August 15, 1999;
Amended Eff.July 1, 2000; July 1, 2004;

Amended by North Carolina Register Volume 29, Issue 3, August 1, 2014 effective 7/1/2014.

Readopted by North Carolina Register Volume 30, Issue 09, November 2, 2015 effective 10/1/2015.

Amended by North Carolina Register Volume 35, Issue 15, February 1, 2021 effective 1/1/2021.