shall obtain an examination or an A.l.T. program application from the Board
Administrative Office or from the Board's lnternet website (tennessee.gov
), and respond truthfully and
completely to every question. The applicant is responsible for obtaining and
submitting the required documentation, or causing it to be submitted, to the
Board Administrative Office.
applicant must submit the application along with the non-refundable
application, jurisprudence examination and state regulatory fees as provided in
(3) Unless the
applicant is applying for licensure as provided in paragraphs (2), (5) or (6)
of Rule 1020-01-.07, an applicant must submit proof of graduation from high
school or its equivalent.
applicant shall submit with his application a "passport" style photograph taken
within the preceding twelve (12) months and attach it to the appropriate page
of the application. Photocopies are not accepted.
(5) An applicant must submit two (2) original
reference letters attesting to the applicant's good moral character on the
signator's professional letterhead. Photocopies are not accepted.
(6) An applicant shall submit proof of United
States citizenship or evidence of being legally entitled to live in the United
States. Such evidence may include a notarized copy of a birth certificate, or
naturalization papers, or current visa status.
(7) If the applicant is applying for
licensure as provided in paragraphs (2), (5) or (6) of Rule 1020-01-.07, the
applicant shall cause a transcript to be sent directly to the Board
Administrative Office from the educational institution that awarded the degree.
Transcripts that state "issued to student" will not be accepted.
(8) If the applicant is applying for
licensure as provided in paragraphs (3), (4), or (6) of Rule 1020-01-.07, a
resume must be submitted with the application. The resume must state the dates
of employment, the name of the facility, the job title, and the job
(9) If the applicant is
applying for licensure by reciprocity, as provided in paragraph (7) of Rule
1020-01-.07, he/she must submit directly to the Board Administrative Office
from each state licensing board from which licensure has ever been issued
documentation which indicates the applicant either holds a current active
license and whether it is in good standing, or held a license which is
currently inactive and whether it was in good standing at the time it became
inactive. An active license as a nursing home administrator in another state is
required for licensure by reciprocity.
An applicant shall disclose the
circumstances surrounding any of the following:
(a) Conviction of any criminal law violation
of any country, state, or municipality, except minor traffic
(b) The denial of
licensure application by any other state or the discipline of licensure in any
(c) Failure of any
(11) An applicant shall cause to be submitted
to the Board's administrative office directly from the vendor identified in the
Board's licensure application materials, the result of a criminal background
Tenn. Comp. R. & Regs.
Original rule certified
June 7, 1974. Amendment filed May 22, 1979; effective July 6, 1979. Amendment
filed November 12, 1982; effective December 13, 1982. Amendment filed February
21, 1986; effective May 13, 1986. Amendment filed January 4, 1989; effective
February 18, 1989. Repeal and new rule filed December 17, 1991; effective
January 31, 1992. Repeal and new rule filed December 14, 1999; effective
February 27, 2000. Repeal and new rule filed September 4, 2003; effective
November 18, 2003. Amendment filed March 17, 2006; effective May 31, 2006.
Amendment filed July 27, 2006; effective October 10, 2006. Amendments filed
December 13, 2012; effective March 13, 2013.
Authority: T.C.A. §§
4-5-204, 63-16-103, 63-16-104,
63-16-106 and 63-16-109.