N.H. Admin. Code § Spe 403.07

Current through Register No. 50, December 12, 2024

Section Spe 403.07 - Supporting Materials

The materials supporting the reinstatement application shall be as described below:

(a) A recent passport size, 2" x 2", original 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) On a separate sheet, a statement that the reinstatement applicant has not practiced speech-language pathology in New Hampshire since the date the license lapsed;

(e) A photocopy of both sides of a currently valid certificate of clinical competence;

(f) A resume including a chronologically organized account of all the applicant's paid or volunteer activities in another jurisdiction since the date the New Hampshire license lapsed:

(1) Delivering speech-language pathology services directly to clients;

(2) As an educator in speech-language;

(3) As an administrator in speech-language, speech-language pathology, occupational therapy, physical therapy, rehabilitation services, or special education;

(4) Contributing expertise in speech-language to a speech-language pathology board or committee; and

(5) As a speech-language pathology consultant;

(g) Unless the information is available only on a website, an official letter of verification sent directly to the board from every jurisdiction which has issued a license or other authorization to practice speech language pathology since the date that the license lapsed:

(1) Stating that such license or other authorization is or was, during its period of validity, in good standing; and

(2) Stating whether any disciplinary action was taken against the license or other authorization to practice;

(h) An original, not a photocopy, of a criminal offender record report:

(1) Issued by each state where the applicant has resided and/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 predating the application for licensure; and

(i) Any documentation required in Spe 303.04 which was not previously provided to the Board.

N.H. Admin. Code § Spe 403.07

#9406, eff 3-7-09; ss by 9883-B, eff 3-5-11 (from Spe 403.06 ); ss by #10327, eff 5-4-13

Amended byVolume XXXIV Number 46, Filed November 13, 2014, Proposed by #10683, Effective 10/4/2014, Expires10/4/2024.

Amended by Volume XXXV Number 32, Filed August 13, 2015 , Proposed by #10907, Effective 8/7/2015, Expires8/7/2025.

Amended by Volume XXXVI Number 41, Filed October 13, 2016, Proposed by #11178, Effective 9/17/2016, Expires 9/17/2026.