|(a) Unless otherwise indicated, applicants for a license
must submit all required information on department-approved forms
or in a manner specified by the department.
(b) Applicants must submit the following:
(1) a complete application;
(2) the applicant's certification number by a behavior
analyst certifying entity or other documentation of current certification
by a behavior analyst certifying entity, as approved by the department;
(3) the fee required under §121.80.
(c) The department may require an applicant to submit
additional information or documentation of an applicant's qualifications,
including the following:
(1) official transcripts of all relevant college work
or educational programs demonstrating successful completion and degrees
earned as applicable to the requirements under the Act and §121.21
(2) experience in behavior analysis;
(3) applicable training;
(4) qualifications to provide supervision in behavior
analysis to unlicensed persons or to behavior analysis license holders;
(5) behavior analysis supervision experience provided
(6) certifications of individuals providing or receiving
(7) supervision contracts or supervision agreements,
or terms of employment;
(8) successful completion of applicable examination
requirements, including a pass/fail report;
(9) information regarding other state licenses, certifications;
or registrations that an applicant holds or held in behavior analysis
or a related field;
(10) information about pending or concluded disciplinary
actions against the applicant by the certifying entity; or
(11) any other documents or information including documents
or information related to the applicant's certification, continuing
education, employment, or criminal history.
(d) The applicant must successfully pass a criminal
history background check.
(e) An applicant shall not submit to the department
any examination-related materials or information, including examination
questions, specifications, forms, or scoring sheets, except as provided
in subsection (c)(8).
(f) Materials submitted in the licensing process become
the property of the department and are not returnable.
(g) Licenses are valid for two years from the date