32-1524

32-1524. Application; deficiencies in
application; interview; withdrawal; release of information;
temporary certificate

A. Each applicant for licensure or certification shall file a verified completed
application in the form and style required and supplied by the board accompanied by the
appropriate application fee prescribed in section 32-1527. The filing of an application
grants the board the authority to obtain information from any licensing board or agency
in any state, district, territory or county of the United States or another country, from
the Arizona criminal justice information system in the department of public safety and
from the federal bureau of investigation. The fingerprints submitted shall be used to
obtain a state and federal criminal records check pursuant to section 41-1750 and P.L.
92-544. The department of public safety is authorized to exchange this fingerprint data
with the federal bureau of investigation.

B. The application shall require the applicant to submit evidence, credentials and
other proof necessary to satisfy the board that the applicant meets the requirements of a
completed application.

C. The application shall contain the oath of the applicant that:

1. All information contained in the application and evidence submitted with it are
true and correct.

2. The credentials submitted were not procured by fraud or misrepresentation or any
mistake of which the applicant is aware.

3. The applicant is the lawful holder of the credentials.

D. All applications submitted to the board and any attendant evidence, credentials
or other proof submitted with an application are the property of the board and part of
the permanent record of the board and shall not be returned to a withdrawing applicant.

E. The board shall promptly inform an applicant, in writing, of the deficiencies,
if any, in the application which prevent it from being considered by the board as a
completed application.

F. The board may interview the applicant to determine whether the application is
sufficient or whether the applicant otherwise qualifies for licensure or for a
certificate.

G. Applications are considered withdrawn on any of the following conditions:

1. Request of the applicant.

2. Failure of the applicant to appear for an interview with the board except for
good cause being shown.

3. Failure to submit a completed application within one year from the date of the
mailing by the board of a statement to the applicant of the deficiencies in the
application under subsection E of this section.

4. Failure to show, within one year from the interview provided for in subsection F
of this section, that the completed application is true and correct.

H. Applicants for a license or for a certificate to engage in a clinical training
program, a preceptorship training program or an internship training program shall submit
a fingerprint card in the manner required by the board.

I. The executive director may issue a temporary certificate to engage in a clinical
training program to an applicant whose application is complete except for the completion
of a fingerprint check and criminal background analysis. If the criminal background
analysis shows the applicant has not been convicted of any felony or any misdemeanor
involving a crime of moral turpitude, the executive director shall convert the temporary
certificate into a certificate to engage in a clinical training program without any
further action by the applicant. The board shall not charge a fee for a temporary
certificate.