Get Mn Acupuncturist Application Packet 2019

This guide provides clear and detailed instructions for completing the MN Acupuncturist Application Packet online. It aims to assist users in navigating the application process smoothly and efficiently, ensuring compliance with all required guidelines.

Follow the steps to complete your application accurately.

1. Click 'Get Form' button to obtain the form and open it in the editing space.
2. Begin by entering your full legal name accurately in the designated field. Ensure that it matches the name on your certification.
3. Provide your current address, including street address, city, state, and zip code. This information is vital as it will be public and accessible.
4. Enter your contact information including phone number and email address. Accurate contact information is crucial for communication regarding your application.
5. Indicate your gender as per the options provided.
6. Input your social security or alien registration number, and provide your date of birth.
7. Complete the NCCAOM information section by providing your certification date, certification number, and expiration date.
8. Select the basis for your application by checking either 'General' or 'Reciprocity'.
9. Detail your preliminary education, including names, locations, and dates of attendance for both your high school and college education.
10. Complete the acupuncture education section by entering the institution name, city, state, and dates of your study.
11. Provide details of any other relevant education and training, including institution names and the duration.
12. List all health professional licenses you have held, including details of the issuing state or province.
13. Chronologically account for all activities since your graduation from high school or for the last ten years, detailing positions and institutions.
14. Carefully answer all personal health-related questions to ensure compliance with the licensing requirements.
15. Affix a recent passport-type photo to your application and ensure it is notarized as required.
16. Submit all additional required documentation, including verification forms and references, directly from the respective institutions.
17. Review your application for completeness before final submission. Once satisfied, you can save changes, download, print, or share the form as needed.

Complete your application for the MN Acupuncturist license online today!