(b) The application for registration as an international student exchange visitor placement organization shall include the following information:

1. (1) The name, address, and telephone number of:

   1. (A) The organization;
   2. (B) Its chief executive officer; and
   3. (C) The person within the organization who has primary responsibility for supervising placements within the state;
2. (2) Evidence of the organization’s most recent listing with the Council on Standards for International Educational Travel, by submitting a copy of the Council on Standards for International Education Travel’s approval for listing letter showing current registration;
3. (3) Evidence of the organization’s federal income tax exemption status, if applicable, by submitting the appropriate letter from the Internal Revenue Service;
4. (4) A statement of compliance declaring that all monetary and nonmonetary compensation paid to employees who are residents of Arkansas has been reported in accordance with current state income tax law, if the organization has paid employees;

5. (5) A list of the organization's placements in Arkansas for the previous academic year, including:

   1. (A) The number of students placed;
   2. (B) Their home countries;
   3. (C) The school districts in which they were placed if placed in a public school or the private school in which they were placed; and
   4. (D) The length of time of their placements;
6. (6) The organization’s most recent brochure describing its programs;
7. (7) Evidence that students participating in the exchange program have health and accident insurance from the time of departure from home to the time the student returns to his or her home country, by providing evidence of the agreement or contract between the organization and the insurance carrier or carriers;
8. (8) The names, addresses, and telephone numbers of the organization’s local representatives for Arkansas; and
9. (9) A sample copy of an actual informational document which must be provided to each student, host family, and school principal of the school in which the student is being placed as required by the Arkansas International Student Exchange Visitor Placement Organization Registration Act of 2009, Arkansas Code § 6-18-1701 et seq.