11 N.C. Admin. Code 8.0604

Current through Register Vol. 39, No. 13, January 2, 2025
Section 08 .0604 - APPLICATION FORM: CONTENTS

The application form requires the applicant to furnish all of the following pertinent information necessary to determine the qualifications of the applicant for a probationary certificate:

(1) the date;
(2) name, address and telephone number where applicant can be reached;
(3) date of birth;
(4) education;
(5) work experience;
(6) certificates and other professional licenses, if any, held previously or currently;
(7) title of position to which appointed or promoted;
(8) date of appointment or promotion to position;
(9) governmental unit by which employed;
(10) duties in a new position, in sufficient detail to determine appropriate type and level of certification;
(11) name and title, certification, or other qualifications of persons to be responsible for supervision; and
(12) Social Security number.

11 N.C. Admin. Code 08 .0604

Authority G.S. 143-151.13;
Eff. June 28, 1979;
Amended Eff. July 18, 2002;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018.
Authority G.S. 143-151.13;
Eff. June 28, 1979;
Amended Eff. July 18, 2002.