W. Va. Code R. § 16-5-3

Current through Register Vol. XLI, No. 42, October 18, 2024

Section 16-5-3 - Applications

3.1. The applicant must complete the application form provided by the Board and supply the following:

3.1.1. Personal information;

3.1.2. Proof of current certification by a National Certifying Board approved by the West Virginia Board of Physical Therapy;

3.1.3. Verification of Licensure, Certification, or Registration from other jurisdictions that regulate the practice of athletic training in their jurisdictions;

3.1.4. Written responses to questions regarding criminal offenses;

3.1.5. Written responses to questions regarding child support obligations;

3.1.6. Name and address of prospective employer in West Virginia if known;

3.1.7. Photo Identification;

3.1.8. Applicable fee(s);

3.1.9. Educational information;

3.1.10. History of previous work experience, if applicable; and

3.1.11. Complete a criminal background check as required by W. Va. Code § 30-1D-1.

W. Va. Code R. § 16-5-3