1. A. An individual who meets the eligibility requirements, as specified in R9-13-113(A), may apply for a vision screening trainer certificate of completion by submitting a request to the Department, in a Department-provided format, that includes:

   1. 1. The individual’s name, address, email address, and telephone number;

   2. 2. If the individual is a licensed optometrist or ophthalmologist, as specified in R9-13-113(A)(1), the:

      1. a. Optometrist or ophthalmologist license number, and
      2. b. Date of expiration;

   3. 3. If the individual is a registered nurse according to A.R.S. Title 32, Chapter 15, as specified in R9-13-113(A)(2), the:

      1. a. Registered nurse license number, and
      2. b. Date of expiration;
   4. 4. If the individual has completed 30-semester credits, as specified in R9-13-113(A)(3), all applicable academic transcripts demonstrating that the qualifying educational requirements have been met;

   5. 5. If the individual is a vision screener who has maintained a vision screening certificate of completion for the previous five years, as specified in R9-13-113(A)(4), the:

      1. a. Names of the school districts where the vision screener provided vision screenings, and
      2. b. Vision screener’s certification of completion date of expiration;
   6. 6. Whether the individual completed the vision screenings, as specified in R9-13-113(A)(4); and

   7. 7. An attestation that:

      1. a. The applicant will comply with the requirements in R9-13-113, and
      2. b. The information provided in the request for the vision screening trainer certificate of completion is true and accurate; and
      3. c. The individual’s signature and date of signature.
2. B. Within 30 calendar days after the date the Department receives an individual’s request for a vision screening trainer certificate of completion, the Department shall send a notification to the individual regarding the information on how the individual may register to take a vision screening classroom instruction and written examination.

Historical Note

Effective 4-72. Amended effective November 18, 1976 (Supp. 76-5). Repealed effective February 18, 1986 (Supp. 86-1). New Section made by final rulemaking at 25 A.A.R. 1827, effective July 2, 2019 (Supp. 19-3). Section repealed; new Section made by final rulemaking at 30 A.A.R. 1949 (May 31, 2024), effective July 7, 2024 (Supp. 24-2).