USD 230
Licensure Personnel Application

The online version of this application needs to be completed in one session.  In order to complete the online application in one session, we recommend that you download the PDF* version of the application and review it.

Please furnish all information requested on this application; do not refer to other sources. Once a page has been submitted, please do not go back and change or resubmit any information.

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Proceed to online application.

 

*Requires Adobe Acrobat 5.0 or greater.