An applicant for examination for a license as a nursing home administrator shall submit all of the following to the board:

1. (1m) An application on a form provided by the board. A qualified applicant with a disability shall be provided with reasonable accommodations requested in connection with the completion of an application for examination submitted under this section.
2. (2) The fees authorized by s. 440.05 (1), Stats.

3. (3) Subject to ss. 111.321, 111.322, and 111.335, Stats., if an applicant has a pending criminal charge or an arrest or conviction record, documentation necessary for the board to determine whether the circumstances substantially relate to the practice of nursing home administration.

   Note:  Applications are available from the department of safety and professional services at (608) 266-2112 or dsps@wisconsin.gov, or from the department’s website at: http://dsps.wi.gov.

History

History: Cr. Register, June, 1980, No. 294, eff. 7-1-80; r. and recr. Register, May, 1986, No. 365, eff. 6-1-86; am. (1) (c) 1. to 3., Register, June, 1991, No. 426, eff. 7-1-91; cr. (1) (d), Register, February, 1995, No. 470, eff. 3-1-95; r. and recr. Register, September, 1997, No. 501, eff. 10-1-97; CR 01-101: am. (intro.), Register February 2002 No. 554, eff. 3-1-02; CR 14-078: r. (1), am. (4) Register November 2015 No. 719, eff. 12-1-15; CR 18-054: am. (intro), (3), renum. (4) to (1m) and am. Register June 2021 No. 786, eff. 7-1-21.