Each applicant seeking initial certification shall submit an application, on a form provided by the attorney general, to the attorney general. The completed application for initial certification shall include the following: (a) The applicant's full name and residential address;

1. (b) the name under which the applicant intends to do business and the business address;
2. (c) a statement of the general nature of the business in which the applicant intends to engage;
3. (d) a statement of the education and work experience of the applicant and any agent or employee thereof;
4. (e) a statement that the applicant has met any other qualifications specified in "the essential elements and standards of batterer intervention programs in Kansas," which is adopted in K.A.R. 16-12-4;
5. (f) payment of the initial application fee of $100.00; and

6. (g) any other information, evidence, statements, or documents necessary to determine the qualifications of an applicant for initial certification, including the following:

   1. (1) A copy of completed certificates documenting training hours as required by "the essential elements and standards of batterer intervention programs in Kansas" for each agent or employee thereof;
   2. (2) proof of current licensure for each agent or employee required to be licensed by the behavioral sciences regulatory board;
   3. (3) a copy of the core curriculum to be used in batterer intervention services;
   4. (4) demonstration by the applicant of attempts to establish a cooperative relationship with key agencies, as described in "the essential elements and standards of batterer intervention programs in Kansas," which is adopted in K.A.R. 16-12-4; and
   5. (5) a copy of release of information and offender agreement forms.

(Authorized by L. 2012, ch. 162, sec. 11; implementing L. 2012, ch. 162, secs. 2, 4; effective, T-16-6-28-12, June 28, 2012; effective, T-16-10-25-12, Oct. 26, 2012; effective Jan. 25, 2013.)