N.H. Code Admin. R. 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.

Notes

N.H. Code Admin. R. Rep 301.02

#9153, eff 5-2-08

Amended by Volume XXXV Number 45, Filed November 12, 2015, Proposed by #10967, Effective 10/31/2015, Expires 10/31/2025.