Current through Register No. 12, March 21, 2024
Applicants for full or provisional licensure shall provide,
or arrange for the board to receive, the following documents supporting their
applications:
(a) On a separate sheet,
a detailed report of the relevant circumstances if any of the answers to
questions from the application form specified in Ahp 601.01 required by Gen
303.01(a)(1) are in the affirmative;
(b) Official transcripts showing all relevant
education:
(1) Mailed directly to the board by
the issuing institution; or
(2)
Submitted by the applicant in an envelope sealed by the institution in such a
manner that it would be evident to the board if the envelope had been
opened;
(c) A resume
containing a chronologically organized account of the applicant's paid or
volunteer work experience in genetic counseling for the past 10 years or
completion of the academic program, including:
(1) Each separate experience in paid or
volunteer work:
a. Serving as an educator in
genetic counseling;
b. Serving as
an administrator in genetic counseling; or
c. Contributing expertise in genetic
counseling to a board or committee;
(2) The period of each separate experience
described by the month and year it began and month and year it ended;
and
(3) The physical address of
each experience;
(d)
Unless the information is available only on a website, an official letter of
verification sent directly to the board from every jurisdiction which has
issued a license or other authorization to practice stating whether:
(1) The license or other authorization is or
was, during its period of validity, in good standing; and
(2) Whether any disciplinary action was taken
against the license or other authorization to practice;
(e) Either:
(1) A criminal history records check form and
fingerprint card, seeking both a New Hampshire and a federal records check, in
accordance with the procedure specified by the New Hampshire department of
safety rules at Saf-C 5700, Operation of the Central Repository: Criminal
Records, with the required fee;
(2)
If the federal criminal history records check shows the existence of a criminal
record in another state, the applicant shall obtain a detailed criminal record
check directly from that state and provide it to the board; or
(3) An original, not a photocopy, of a
criminal offender record report:
a. Issued by
each state where the applicant has resided or been licensed within the past 6
years, providing that such state will:
1. Send
the report to the board; or
2. To
the applicant for forwarding to the board;
b. Covering the applicant under his or her
name and any aliases; and
c. Dated
within the 6 months preceding the application for licensure;
(f) A copy of the
applicant's current certificate issued by one of the following:
(1) The American Board of Genetic Counseling
(ABGC);
(2) American Board of
Medical Genetics (ABMG); or
(3) The
successor organization; and
(g) A letter sent directly to the board by:
(1) ABGC verifying the applicant's current
ABGC certification and the date of expiration of the certification;
or
(2) ABMG verifying the
applicant's current ABMG certification and the date of expiration of the
certification.
