N.H. Admin. Code § Rec 403.06 - Supporting Materials
The supporting materials shall be:
(a) A recent passport size, 2" x 2",
head-shot photograph;
(b) On a
separate sheet, a detailed report of the relevant circumstances if any of the
answers to the "yes-no" questions on the confidential part of the application
form is in the affirmative;
(c) On
a separate sheet, a detailed report of the relevant circumstances if any of the
answers to the "yes-no" questions on the non-confidential part of the
application form is in the affirmative;
(d) Proof in accordance with Rec 406 of
having completed any requirement for maintenance of continuing competence left
uncompleted at the time the license lapsed;
(e) A photocopy of the applicant's currently
valid NCTRC certificate or wallet card;
(f) A written statement that the
reinstatement applicant has not engaged in recreational therapy in New
Hampshire on a volunteer or paid basis since the date that his or her license
ceased to be valid;
(g) A resume
presenting a chronologically organized account of the applicant's experience in
recreation therapy since the lapse of the license, including:
(1) Each separate experience in paid or
volunteer work as:
a. A direct care-giver in
recreation therapy;
b. A recreation
therapy educator;
c. A recreation
therapy administrator;
d. A member
of a recreation therapy board or committee; and
e. A recreation therapy consultant;
(2) The time period of each
separate experience described by its beginning and ending dates; and
(3) The physical address of each
experience;
(h) Any
documentation required in
Rec
302.04 which was not previously provided to the board;
and
(i) An original, not a
photocopy, of a criminal offender record report:
(1) Issued by each state where the applicant
has resided or been licensed within the past 6 years, providing that such state
has sent the report:
a. To the board and the
board has received the report; or
b. To the applicant for forwarding to the
board, and the board has received the report;
(2) Covering the applicant under his or her
name and any aliases; and
(3) Dated
within the 6 months preceding the application for licensure.
Notes
#9447, eff 4-7-09; ss by #10223, eff 11-6-12; ss by #10546, eff 3-19-14
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