1. 1. The fee for an initial personal registration required in R4-10-102;
2. 2. A passport-style photo of the applicant;

3. 3. An application, on a form available on the Board’s website, that provides:

   1. a. The applicant’s name, full mailing and physical addresses, email address, telephone number, Social Security number, and birth date;

   2. b. For a licensed cosmetologist or aesthetician, one of the following:

      1. i. If the applicant was licensed by the Board as a cosmetologist or aesthetician before October 30, 2023, the license number; or
      2. ii. A copy of the provisional registration required under A.R.S. § 32-519(A)(3) verifying successful completion of a Board-approved eyelash technician training program;

   3. c. For an individual not previously licensed by the Board, one of the following:

      1. i. A copy of any eyelash extension training certificate of completion received before October 30, 2023; or
      2. ii. A copy of the provisional registration required under A.R.S. § 32-519(A)(3) verifying successful completion of a Board-approved eyelash technician training program;
   4. d. A statement of whether the applicant has ever had an aesthetics, cosmetology, hairstyling, nail technology, or instructor license suspended or revoked in any state of the United States or foreign country; and
   5. e. The applicant’s signature verifying the information provided is true and correct;
4. 4. Documentation of two years of high school or its equivalent as defined at R4-10-101; and
5. 5. Documentation specified under A.R.S. § 41-1080 indicating the applicant’s presence in the United States is authorized under federal law.

An applicant for an eyelash technician registration shall submit to the Board:

Historical Note

New Section R4-10-B202, under Article 2, Part B made by final rulemaking at 30 A.A.R. 527 (March 29, 2024), effective May 6, 2024 (Supp. 24-1).