North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 63 - SOCIAL WORK CERTIFICATION › Section .0200 - CERTIFICATION › Section 63 .0202 - APPLICATION PROCESS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Pursuant to
				G.S.
				90B-7, any person desiring to obtain a
				certificate or license from the Board shall make application to the Board.
				Applications not completed within two years of submission to the Board shall be
				denied. Application forms and instructions may be found on the Board's website
				at
https://www.ncswboard.org
.
(b) All applications for certification or
				licensure shall contain the following:
(1) the
				applicant's contact information;
(2) the social security number of the
				applicant;
(3) the requested
				designation of licensure or certification type;
(4) educational history and degree
				attainment;
(5) the names and
				contact information of three persons supplying professional reference forms in
				support of the applicant's application, as well as the length of time that the
				persons have known the applicant;
(6) employment history;
(7) whether the applicant has ever been
				certified, licensed, or registered to practice social work by the Board, by
				another occupational Board, or in another state/jurisdiction and, if so:
(A) what credential was held;
(B) in what state/jurisdiction;
(C) the issuance date and expiration date;
				and
(D) what examinations were
				taken to obtain said certification, licensure, or registration;
(8) whether the applicant has ever
				had a credential denied, limited, reprimanded, suspended, or revoked;
(9) whether the applicant has ever been
				convicted of a felony or misdemeanor under any laws;
(10) whether any criminal charges are pending
				against the applicant;
(11) whether
				any court, board, agency, or professional organization has found the applicant
				guilty of misconduct, unprofessional conduct, dishonest or fraudulent practice,
				or incompetent practice;
(12)
				whether any charges are pending against the applicant before any court, board,
				agency, or professional organization for unprofessional conduct, dishonest or
				fraudulent practice, or incompetent practice;
(13) three professional references, as
				prescribed in
				21 NCAC
				63 .0204, provided in a sealed envelope with
				the signature of the reference over the sealed closure;
(14) official score reports showing passage
				of the required examination, as prescribed herein and in
				21 NCAC
				63 .0301, provided from the examination
				testing provider;
(15) official
				transcripts, as prescribed in
				21 NCAC
				63 .0203, provided either from the
				institution directly to the Board or from the applicant to the Board in an
				envelope that is sealed by the institution;
(16) the applicant's affirmation that:
(A) the applicant has read the North Carolina
				General Statute 90B Social Work Certification and Licensure Act, including the
				Board's rules, ethical guidelines, and disciplinary procedures, which are
				available on the Board's website at
https://www.ncswboard.org
;
(B) the information provided by the applicant
				in the application is true;
(C) the
				applicant consents to a criminal history record check; and
(D) the applicant has read and understands
				the public notice statement on employee misclassification that is set forth in
				the application and has disclosed any investigations for employee
				misclassification, and its results, over the preceding 12-month period, as
				prescribed by
				G.S.
				143-789; and
(17) the application fee, as prescribed in
				21 NCAC
				63 .0208.