NAC623A.210. Application for certificate.

     1. Application for a certificate of registration must be made on a form prescribed by the Board.

     2. An applicant for a certificate of registration must:

     (a) Include with his or her application form the nonrefundable application fee; and

     (b) Arrange for his or her scores on the national examination to be sent directly from the Council to the Board.

     3. Except as otherwise provided in subsection 4, an applicant for a certificate of registration must provide the following information on the application form:

     (a) The name, business and residence addresses, business and residence telephone numbers and, if applicable, facsimile numbers and electronic mail address of the applicant.

     (b) The state of residence of the applicant.

     (c) The birthplace, birth date and social security number of the applicant.

     (d) Information regarding any conviction of the applicant for a felony, gross misdemeanor or misdemeanor.

     (e) Evidence that the applicant is a citizen of the United States or is lawfully entitled to remain and work in the United States.

     (f) A chronological statement of the educational background of the applicant, including the names and addresses of schools attended, years of attendance, major subject and degree received, as applicable.

     (g) A statement of all prior registrations of the applicant as a landscape architect, indicating each state in which registration has been granted, the date of issuance of the certificate or license and the current status of his or her registration in each state.

     (h) A list of professional organizations of which the applicant is a member.

     (i) The names and addresses of two registered landscape architects and two licensed professionals from a related design profession who have direct knowledge of the professional abilities of the applicant.

     (j) A complete record of the work experience of the applicant, including the beginning and ending dates of that employment, the titles of the positions held by the applicant and the duties performed by the applicant in those positions. Employment in the field of landscape architecture must be described in particularity.

     (k) An affidavit signed by the applicant attesting that the information provided to the Board is truthful, complete and accurate.

     (l) Any other information deemed necessary by the Board.

     4. If an applicant for a certificate of registration has been certified by the Council, the applicant may submit a copy of the certification of the Council instead of the information required pursuant to the provisions of paragraphs (f) to (j), inclusive, of subsection 3 when submitting the application for a certificate of registration.

     [Bd. of Landscape Arch., § 3.1, eff. 9-9-76]—(NAC A 11-1-95; R216-03, 6-1-2006; R142-11, 9-14-2012)