The following items must be submitted to the Alcoholic Beverage Control Division to apply for a cultivation facility, processor, or dispensary registry card:

1. (1) An application form from the Alcoholic Beverage Control Division to include the following information:

   1. (A) Legal name of applicant;
   2. (B) Date of birth;
   3. (C) Address of applicant;
   4. (D) Current employment information, including intended position in cultivation facility, processor, or dispensary; and
   5. (E) Criminal history information;
2. (2) A completed “Notice of Intent to Hire” form from the cultivation facility or dispensary specifying the intended job duties of the applicant;
3. (3) A signed, notarized “Authority to Release Information” form provided by the Alcoholic Beverage Control Division;
4. (4) An in-state criminal background check through the Division of Arkansas State Police, which may be submitted by electronic submission by a Division of Arkansas State Police-approved vendor;
5. (5) The applicant shall also furnish fingerprints to the Division of Arkansas State Police, which may be collected by a Division of Arkansas State Police-approved vendor for electronic submission, for transmission to the United States Federal Bureau of Investigation for investigation of the applicant’s criminal history, if any;

6. (6) The following signed forms to be provided by the Alcoholic Beverage Control Division:

   1. (A) “Agency Privacy Requirements for Noncriminal Justice Applicants” form; and
   2. (B) “Noncriminal Justice Applicant’s Privacy Rights” form; and

7. (7) An applicant shall not have to submit the information in subdivisions (4), (5), and (6) of this section if the applicant:

   1. (A) Holds an existing registry identification card for another licensed facility; or
   2. (B) Has completed the required background checks for the purpose of obtaining a registry identification card in the two (2) years prior to the application, and the applicant has never had a registration card suspended or revoked.