Application for certification: Filing; requirements; expiration; waiver of requirements.

1. An applicant for a certificate as a chiropractic assistant must file an application with the Board on a form furnished by the Board and pay the required fee within 15 days after the date on which the applicant has begun performing duties as a chiropractic assistant. An applicant who has not begun performing duties as a chiropractic assistant may file an application at any time after completing his or her formal training required pursuant to NRS 634.123 . 2. The application must set forth: (a) The date of the application. (b) The applicant’s date and place of birth and two personal references based upon 5 years’ acquaintance. (c) The applicant’s name, age, social security number, sex and current residence. (d) The name and mailing address of the applicant’s current employer, if any. (e) If applicable, the date on which he or she was hired to perform the duties of a chiropractic assistant. (f) Whether or not the applicant has ever applied for certification as a chiropractic assistant in another state. If the applicant has so applied, he or she must state when and where he or she applied and the result of that application. (g) If the applicant has been certified in another state, whether any proceeding to discharge, dismiss or discipline him or her or other similar proceeding has ever been instituted against him or her and the disposition of each such proceeding. 3. An application expires after 1 year. 4. For good cause shown, the Board may, at its discretion, waive one or more of the requirements of this section.