N.D. Admin. Code 33-36-02-03

Current through Supplement No. 394, October, 2024
Section 33-36-02-03 - Application for license

An application for licensure as an emergency medical services training institution may be submitted on a form provided by the department or an alternate format which includes the following information:

1. Applicant information:
a. Name of the training institution;
b. Mailing address;
c. Telephone number;
d. Name of program coordinator;
e. Name of training institution medical director; and
f. E-mail address of contact person;
2. A copy of the written agreement with the physician medical director;
3. A copy of the written agreement with the hospitals, clinics, ambulance services, and physicians' offices that will provide field internship training;
4. A listing of the names of the persons or organizations that have financial interest in the institution;
5. A copy of the student handbook for the institution; and
6. A signed statement attesting to the accuracy of the application and all of its attachments.

N.D. Admin Code 33-36-02-03

Effective January 1, 2006.

General Authority: NDCC 23-27-04.3

Law Implemented: NDCC 23-27-04.3