In addition to a current registered nurse license to practice in Arkansas, the information submitted to the Arkansas State Board of Nursing shall include:

1. (1) A completed board application form;
2. (2) Verification of active practice of nursing as a registered nurse for a minimum of two thousand (2,000) hours, effective July 1, 2019;

3. (3)

   1. (A) An official transcript or document from a nursing education program accredited by a nursing accrediting body that:

      1. (i) Is recognized by the United States Secretary of Education and/or Council for Higher Education Accreditation, as acceptable by the board; and
      2. (ii) Meets the qualifications of 17 CAR § 123-201 in the category of advanced practice nursing for which the applicant is seeking licensure.

   2. (B) The transcript or document shall verify:

      1. (i) The date of graduation;
      2. (ii) The degree or certificate conferred;
      3. (iii) Clinical hours completed; and
      4. (iv) The role and population focus of the education program;
4. (4) Evidence of state and federal criminal background checks conducted by the Division of Arkansas State Police and the Federal Bureau of Investigation completed no earlier than twelve (12) months prior to the application for advanced practice licensure;
5. (5) Verification of certification directly from the board-approved national certifying body evidencing current certification in good standing; and
6. (6) Payment of the nonrefundable fee.