Application for Provisional License

(1) The Board may grant a provisional license to an applicant who: (a) is 18 years of age or older and of good moral character; (b) holds either: 1. a master's degree from a genetic counseling training program accredited by the Accreditation Council for Genetic Counseling (ACGC) or its successor agency, or an equivalent program as determined by the ACGC; or 2. a doctorate from a medical genetics training program accredited by the American Board of Medical Genetics (ABMG) or an equivalent program as determined by the ABMG; (c) is eligible to sit for a certifying examination by a certifying agency; and (d) has submitted the following to the Board: 1. An accurate, complete and signed application for a provisional license, as specified by the Board for that purpose; 2. A copy of the written notice from the certifying agency to the applicant that he or she has been approved to take a certification examination; 3. A transcript or other documentation satisfactory to the Board that verifies that the applicant holds at least one of the degrees identified in 270 CMR 3.02(1)(b); 4. Written notice to the Board of the name, business address and telephone number, license number, genetic counselor certification number, and signature of the fully licensed genetic counselor, or licensed physician with current ABMG certification in clinical genetics, who has agreed to serve as the license applicant's supervisor pursuant to 270 CMR 3.03; and 5. Payment of all applicable fees established bythe Executive Office for Administration and Finance pursuant to M.G.L. c. 7, § 3B, unless waived in accordance with M.G.L. c. 112, § 1B. (2) An application for a provisional license initiated by the Board's receipt of a completed and signed application form and all applicable fees shall be considered valid for one year from the date of its initiation. If the application for a provisional license is not completed by the applicant and received by the Board within one year from the date of its initiation, such application shall no longer be valid. All fees are non-refundable.