ARSD 20:61:01:03. Required contents of applications for licensure

An application for an emergency medical services personnel license must contain: (1) An affidavit, with a photograph of the applicant attached, attesting to the applicant's qualifications required by SDCL chapter 36-4B and this chapter; (2) A list of all states in which the applicant is or has at any time been licensed to perform any type of emergency medical services; (3) A list of all places where the applicant has previously provided emergency medical services; (4) A signed statement listing any criminal offense for which the applicant has been convicted; and (5) The dates and locations of all schooling relating to emergency medical services.