R9-13-114. Vision Screening Trainer Certificate of Completion

A. An individual who meets the eligibility requirements, as specified in R9-13-113(A), may apply for a vision screening trainer certificate of completion by submitting a request to the Department, in a Department-provided format, that includes: 1. The individual’s name, address, email address, and telephone number; 2. If the individual is a licensed optometrist or ophthalmologist, as specified in R9-13-113(A)(1), the: a. Optometrist or ophthalmologist license number, and b. Date of expiration; 3. If the individual is a registered nurse according to A.R.S. Title 32, Chapter 15, as specified in R9-13-113(A)(2), the: a. Registered nurse license number, and b. Date of expiration; 4. If the individual has completed 30-semester credits, as specified in R9-13-113(A)(3), all applicable academic transcripts demonstrating that the qualifying educational requirements have been met; 5. If the individual is a vision screener who has maintained a vision screening certificate of completion for the previous five years, as specified in R9-13-113(A)(4), the: a. Names of the school districts where the vision screener provided vision screenings, and b. Vision screener’s certification of completion date of expiration; 6. Whether the individual completed the vision screenings, as specified in R9-13-113(A)(4); and 7. An attestation that: a. The applicant will comply with the requirements in R9-13-113, and b. The information provided in the request for the vision screening trainer certificate of completion is true and accurate; and c. The individual’s signature and date of signature. B. Within 30 calendar days after the date the Department receives an individual’s request for a vision screening trainer certificate of completion, the Department shall send a notification to the individual regarding the information on how the individual may register to take a vision screening classroom instruction and written examination.