New Jersey Administrative Code
Title 13 - LAW AND PUBLIC SAFETY
Chapter 44E - STATE BOARD OF CHIROPRACTIC EXAMINERS
Subchapter 4 - LICENSED CHIROPRACTIC ASSISTANTS
Section 13:44E-4.7 - Application for licensure

1. A completed application form provided by the Board, which shall contain the applicant's name, address, Social Security number, academic qualifications, information from other states regarding licensure, certification or registration (if applicable), a resume, answers demonstrating moral character, confidential answers concerning the applicant's fitness to practice, and child support questions;

2. Official transcripts demonstrating completion of the educational requirements pursuant to N.J.A.C. 13:44E-4.6;

3. Proof of successful completion of a Board-approved competency exam pursuant to N.J.A.C. 13:44E-4.4(a)6;

4. The application fee set forth in NJ.A.C. 13:44E-4.16; and

5. A certification of authorization to perform and cooperate in a criminal history background check conducted pursuant to N.J.S.A. 45:1 -28 et seq.