W. Va. Code R. § 15-16-7

Current through Register Vol. XLI, No. 25, June 21, 2024
Section 15-16-7 - Application
7.1. The applicant shall complete a preliminary application form obtained from the National Association of Boards of Pharmacy and return it to that organization. After the preliminary application data has been verified by the National Association of Boards of Pharmacy and the Board receives notification to that effect, the Board shall supply the applicant who possesses the necessary qualifications with application forms. An applicant must complete the forms and submit a fee of $250.00.
7.2. The application shall include the following provided by the applicant:
7.2.1. A certified copy of proof of experience, or the original pharmacist preceptor's affidavit proving experience, that was filed by the applicant when he or she took the examination in the state or country in which he or she is licensed or registered;
7.2.2. A recent head shot photograph with a statement signed by the applicant that it is a photograph of the applicant and has been made within the previous twelve (12) months; and
7.2.3. A signed waiver from the applicant allowing the Board to obtain a certified criminal records check on the applicant.
7.3 Appearance before the Board - Applicants for licensure by reciprocity shall appear before the Board or its designated agent at the time specified, for checking of credentials, an interview and examination as may be necessary to determine the fitness of the applicant to practice in West Virginia. The Board may revoke any applicant who misrepresents himself or herself to the Board.

W. Va. Code R. § 15-16-7