20:85:01:02.  Information required. Any person seeking licensure shall submit a notarized application and the following information:

          (1)  Name, address, social security number, telephone number, and date of birth of the applicant;

          (2)  Documentation of certification as required in SDCL subdivision 36-38-7(2);

          (3)  Official transcripts showing compliance with educational requirements required in SDCL 36-38-7. Applicants are responsible for having an official college transcript sent from the college to the board;

          (4)  A statement of any criminal record;

          (5)  A statement regarding any disciplinary proceedings or pending complaints as required in SDCL 36-38-7; and

          (6)  Any applicable fees.

          Source: 44 SDR 42, effective September 11, 2017.

          General Authority: SDCL 36-38-27.

          Law Implemented: SDCL 36-38-7, 36-38-8, 36-38-9, 36-38-10.