Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Carefully read the instructions and begin filling out the personal information section. Ensure that you provide your date of birth, full name, and your current address as clearly and accurately as possible.
3. Complete the section regarding your Social Security number. Remember, failing to provide this will result in denial of your application.
4. Indicate your citizenship or immigration status by checking the appropriate box. If you are not a U.S. citizen, be prepared to attach the necessary documentation.
5. Answer the questions regarding student loans and child support obligations honestly, as failure to do so may negatively impact your application.
6. Proceed to the medical conditions questions. You have the right to choose not to answer certain questions; however, do so carefully and keep your responses truthful.
7. Fill out the sections regarding any legal history as indicated. Be precise and ensure that any required documentation, such as court records, is attached.
8. List your educational background, including colleges/universities attended, degrees obtained, and ensure to enclose the official transcript.
9. Provide details of your current employment, including supervisor information. Ensure that a direct supervisor provides a detailed account of your job functions.
10. Complete the affidavit section in the application. This requires a signature and should be notarized before submission.
11. After thoroughly reviewing your application for accuracy, save your changes, then download or print the form for your records.
12. Finally, ensure all required documentation is attached and submit your application as per the instructions.

Begin completing your application for licensure online today!