Ariz. Admin. Code § R4-26-403 - Application for Initial License; Application for License by Reciprocity
A. An individual
who wishes to practice as a behavior analyst and is qualified under A.R.S.
§
32-2091.02 for an initial license
or under A.R.S. §
32-2091.04 for a license by
reciprocity shall complete and submit an application form, which is available
from the Board office and on its website.
B. Additionally, an applicant shall submit:
3.4. A written request
that Board staff verify with the BACB that the applicant passed the examination
referenced in
R4-26-404;
4.5. As
required under A.R.S. §
41-1080(A), the
specified documentation of citizenship or alien status indicating the
applicant's presence in the U.S. is authorized under federal law; and
5.6. The
Board's Mandatory Confidential Information form.
1. An original, un-retouched, photograph that
is no larger than 1.5 X 2 inches in size and taken no more than 60 days before
the date of application;
2. The
application fee required under R4-26-402;
3. A copy of a valid fingerprint clearance
card issued by the Department of Public Safety under A.R.S. Title 41, Chapter
12, Article 3.1 or evidence of application for a valid fingerprint clearance
card;
C. Application for initial license.
Additionally, an applicant for an initial license under A.R.S. §
32-2091.02 shall ensure the
following is submitted directly to the Board:
1. Verification of supervised experience that
meets the standards specified in
R4-26-404.2. For the purpose of
licensure, the Board shall accept the following as verification of supervised
experience:
a. From the supervisor of the
experience:
i. A copy of the BACB final
experience verification form, signed by the supervisor, submitted by the
applicant to the BACB when the applicant applied to the BACB for certification;
or
ii. A completed Board
verification form; or
b.
From the applicant. If the applicant demonstrates to the Board that a
supervisor cannot be located, or at the request of the Board, the applicant may
submit a copy of each BACB final experience verification form the applicant
submitted to the BACB when the applicant applied to the BACB for certification;
and
c. If the Board requires
additional information, the Board shall accept from the applicant or supervisor
of the experience:
i. A copy of the plan
required under
R4-26-404.2(C)(6),
and
ii. Letters or other
documentation from third parties who observed the supervisory
relationship;
2. Official transcript for the graduate
degree required under
R4-26-404.1 submitted by the
accredited institution of higher education that awarded the degree;
and
3. Official transcript or other
official document demonstrating the applicant completed the coursework required
under R4-26-405 submitted by the accredited institution of higher education or
BACB-approved program in which the coursework was completed.
4. Verification of licensure,
certification, or registration by another regulatory jurisdiction submitted by
the regulatory jurisdiction.
D. Application for license by reciprocity.
Additionally, an applicant for license by reciprocity under A.R.S. §
32-2091.04 shall ensure the
following is submitted directly to the Board:
1. Verification of supervised experience that
meets the requirements specified by the BACB at the time the applicant was
initially certified. For the purpose of licensure, the Board shall accept the
verification of supervised experience specified in subsection (C)(1);
2. Official transcript for the graduate
degree submitted by the accredited institution of higher education that awarded
the degree;
3. Official transcript
or other official document demonstrating the applicant completed coursework
that meets the Verified Course Sequence requirements specified by the
Association for Behavior Analysis, International, at the time the applicant was
initially certified and submitted by the accredited institution of higher
education providing the coursework; and
4. Official verification of licensure from
every jurisdiction that issued a license to the applicant and a statement of
whether the license is in good standing.
Notes
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