Authority: IC 12-9.1-2-3; IC 12-10-17.1-20

Affected: IC 12-10-17.1; IC 16-28-13

Sec. 4. (a) In order to be registered with the division, an individual must submit the following:

1. (1) A personal résumé containing information concerning the individual's qualifications, work experience, and any credentials the individual may hold. The individual must certify that the information contained in the résumé is true and accurate.
2. (2) The individual's limited criminal history check from the Indiana central repository for criminal history information under IC 5-2-5 [IC 5-2-5 was repealed by P.L.2-2003, SECTION 102, effective July 1, 2003.] or another source allowed by law.
3. (3) If applicable, the individual's state nurse aide registry report, referred to in IC 16-28-13, from the department of health. This subdivision does not require an individual to be a nurse aide.
4. (4) Three (3) letters of reference.
5. (5) A registration fee of zero dollars ($0).
6. (6) Proof that the individual is at least eighteen (18) years of age.
7. (7) Any other information required by the division.

(b) Subject to section 9(c) of this rule, if the requirements of subsection (a) are satisfactorily met, the division shall issue a certificate of registration for the period required under IC 12-10-17 [IC 12-10-17 was repealed by P.L.141-2006, SECTION 115, effective July 1, 2006.], effective on the date that the certificate of registration is issued.

(Division of Aging; 455 IAC 1-9-4; filed Oct 2, 2002, 9:13 a.m.: 26 IR 351; readopted filed Oct 17, 2008, 3:35 p.m.: 20081105-IR-460080685RFA; readopted filed Nov 15, 2013, 3:22 p.m.: 20131211-IR-455130453RFA; readopted filed Nov 13, 2019, 11:55 a.m.: 20191211-IR-455190488RFA; errata filed Dec 15, 2022, 8:17 a.m.: 20221228-IR-455220377ACA; readopted filed Oct 8, 2025, 3:16 p.m.: 20251105-IR-455240503RFA) NOTE: Transferred from the Division of Disability and Rehabilitative Services (460 IAC 1-8-4) to the Division of Aging (455 IAC 1-9-4) by P.L.153-2011, SECTION 21, effective July 1, 2011.