Persons who wish to apply for licensure by endorsement shall do so by submitting or arranging to be submitted to the board the following materials:

1. (a) A completed “Application for a License to Practice Chiropractic” form, effective October 2017 and provided by the board requiring the information specified in Ch 302.04 and a signature to the statement described in Ch 302.05;
2. (b) An original, recent photograph of the applicant;
3. (c) Photocopies of any current licenses, certifications or other documents showing permission to practice chiropractic in any jurisdiction described in Ch 305.01(a);
4. (d) A transcript of the scores achieved by the applicant on the examinations required by Ch 305.01(d), submitted directly to the board by NBCE; and

5. (e) Two references from experienced doctors of chiropractic who:

   1. (1) Use the form or provide letters as described in Ch 302.08; and

   2. (2) Have the following knowledge of the applicant's competence in chiropractic:

      1. a. In the case of an applicant whose chiropractic training was completed within 5 years of the application, actual knowledge gained in a supervisory capacity; and
      2. b. In the case of an applicant whose chiropractic training was completed more than 5 years before the application, actual knowledge gained in any professional relationship with the applicant.

Source. #8187, eff 10-8-04; ss by #10436, eff 10-5-13; ss by #12431, eff 12-8-17