Haw. Code R. § 17-893-3 - Application

(a) The organization shall submit an application for license to the department, which shall include the following information:

(1) Statement of organization's purpose and function;

(2) Statement of the organization's program and the services to be provided, including an explanation of how the proposed services relate to existing community services so as to complement, expand, or stimulate overall child-placing activities in the State;

(3) Statement of criteria for selection of children to be served;

(4) Statement of geographical area to be served;

(5) Statement of the organizational plan, including statement of legal authority and a copy of the by-laws;

(6) List of officers, directors, trustees, or advisory board members;

(7) Copy of the personnel policies outlining the organization's personnel practices;

(8) Statement of the requirements for the training and experience of the professional staff to be employed;

(9) Copy of the organization's classification and salary schedule;

(10) Copy of the estimated annual budget, including a statement of the plan for the continued funding of the organization; and

(11) Other statements as may be required by the department.

(b) Applicants shall provide an initial criminal history, background, employment information, and consent to conduct such checks as mav be required by state or federal law. The information and consent shall be given upon forms supplied by the department and shall be repeated for applicants defined as rehires.

(c) The department shall conduct employment history and background checks on all applicants, applicants shall conduct employment history and background checks on prospective employees.

(d) The department shall review the applicant's qualifications to determine that the proposed services or program meet the requirements of this chapter.

Notes

Haw. Code R. § 17-893-3

[Eff 7/19/82; am 9/30/85; am 3/20/87; 7/30/92] (Auth: HRS § 346-17) (Imp HRS § 346-17; Public Law 98-473, 42 U.S.C. §5751)