W. Va. Code R. § 16-1-3

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 16-1-3 - Applications

3.1. The applicant must complete the application form provided by the Board and supply the following:

3.1.1. Personal information;

3.1.2. Educational information;

3.1.3. History of previous work experience, if applicable;

3.1.4. License verification(s) from other jurisdictions that regulate the practice of physical therapy in their jurisdictions.

3.1.5. Written responses to questions regarding criminal offenses;

3.1.6. Written responses to questions regarding child support obligations;

3.1.7. Name and address of prospective employer in West Virginia if known;

3.1.8. Photo identification; and

3.1.9. Applicable fee(s).

W. Va. Code R. § 16-1-3