Ohio Administrative Code › Title 4758 - Chemical Dependency Professionals Board › Chapter 4758-4 - Application for Licensure or Certification › Section 4758-4-01 - Formal application for licensure or certification

Current through all regulations passed and filed through July 1, 2024
(A) All applicants for initial licensure,
			 certification or endorsement shall file with the executive director of the
			 board a formal application on a form prescribed by the board.
			 Any person who knowingly makes a false statement on an
			 application may be found guilty of falsification under section
			 2921.13 of the Revised Code, a
			 misdemeanor of the first degree. Applications shall be maintained for one year
			 from the date of receipt by the board. Submitted applications which remain
			 incomplete after one year shall be considered abandoned. The license
			 application and fee shall be forfeit and individuals seeking licensure or
			 certification shall be required to re-apply.
(1) The formal application contains all
			 documentation necessary to be licensed or
			 certified at a particular
			 level and consists of, at a minimum, the following:
(a) Formal application
			 through the board's on-line electronic application
			 platform.
(b)
										Grade transcripts showing all coursework and/or
			 academic degrees necessary to meet the education requirements for the license
			 or certification for which the applicant is applying.
(i)
											Such transcripts
			 shall bear the official seal of the college or university and the signature of
			 the registrar. The applicant shall bear sole responsibility for transcripts
			 sent directly from the college or university to the board
			 office.
(ii)
											If an applicant's transcript does not clearly indicate
			 that he/she meets the education requirements for the license or certificate for
			 which they are applying, the applicant shall provide additional information
			 about their coursework in a manner prescribed by the board.
(c) Documentation of hours of
			 volunteer or paid work experience when applicable. Statements on a form prescribed by the board to document all
			 professional employment paid work experience, supervised internship, or if
			 applicable, volunteer work experience, required by any rule under this chapter
			 for licensure or certification by the board. Statements, if required, shall be
			 completed by the person(s) who supervised the required professional employment
			 experience according to the applicant's scope of practice, or who are judged by
			 the board to be in a position to make a professional judgment about the nature
			 of the applicant's duties, the quality of their work, and number of hours
			 worked. This includes related position descriptions that are signed by
			 the supervisor.
(d) Documentation
			 of required hours of specific education and training. This includes original
			 transcript(s) of college or university courses taken, certificates of
			 attendance of board approved continuing education, and any other documentation
			 the board deems appropriate.
(e) The
			 required non-refundable fee.
(f)
			 Documentation of felony charges or convictions which
			 includes a BCI background check or any additional information as requested from
			 the applicant including but not limited to a complete criminal background
			 check. BCI background checks are not required if the applicant:
(i)
											Holds another behavioral health license in the state of
			 Ohio where the licensee can supervise a license or certificate holder under
			 this chapter;
(ii)
											Holds an active peer supporter certification and a BCI
			 background check was completed and provided as part of the peer supporter
			 application within the last two years; or
(iii)
											Has held a
			 continuous active license or certificate under this chapter without any
			 convictions.