(b) All applicants are required to:

1. (1) Be at least twenty-one (21) years of age;
2. (2) Be a citizen of the United States, be a legal resident, or hold a federal Form I-766 United States Citizenship and Immigration Services-issued Employment Authorization Document, known popularly as a “work permit”;
3. (3) Not have had a license to practice acupuncture and related techniques in any other state suspended or revoked nor have been placed on probation for any cause;
4. (4) Not have been convicted of a felony listed in Arkansas Code § 17-3-102; and
5. (5) Not be a habitual user of intoxicants, drugs, or hallucinatory preparations.

(c) Every applicant must provide a statement signed by the applicant and the signature verified by a notary public as to whether he or she:

1. (1) Has had a license to practice acupuncture and related techniques in any other state suspended or revoked or been placed on probation for any cause; and
2. (2) Has been convicted of a felony listed in Arkansas Code § 17-3-102.

(d)

1. (1) Every person seeking an original Arkansas license to practice acupuncture and related techniques shall file an application on the current form provided by the board.
2. (2) All applications must be complete and in English.

(e) Exhibits required. Every application shall be accompanied by:

1. (1) The fee for application for licensure specified in 17 CAR §§ 170-305 and 170-306; and

2. (2) A notarized form signed by the applicant authorizing the release to the board of additional information regarding the applicant and his or her qualifications for licensure, including, but not limited to:

   1. (A) Educational background;
   2. (B) Criminal background check;
   3. (C) Transcripts;
   4. (D) Credentials; and
   5. (E) Accreditation information on educational institutions.

(f) Verification. Verification of the applicant’s education shall include:

1. (1) A certified copy of the applicant’s certificate or diploma from an accredited educational institution evidencing completion of the required program of study in acupuncture and related techniques; and

2. (2) An official copy of the applicant’s transcript that shall:

   1. (A) Be sent directly to the board by the approved educational institution from which the applicant received the certificate or diploma;
   2. (B) Verify the applicant’s satisfactory completion of the required academic and clinical education; and
   3. (C) Designate the completed subjects and the hours of study completed in each subject.

(g) Sufficiency of document.

1. (1) The board shall determine the sufficiency of the documentation to support the application for licensure.
2. (2) The board may, in its sole discretion, request further documentation, proof of qualifications, and/or require a personal interview with any applicant to establish his or her qualifications.