Get Important Information And Instructions For Application For - Mass . Gov - Mass

Filling out the Important Information and Instructions for Application for Licensure as a Dietitian/Nutritionist is a crucial step in obtaining your credential. This guide provides a structured approach to help you complete the application accurately and effectively.

Follow the steps to complete your application successfully.

1. Press the ‘Get Form’ button to access the application form and open it in your preferred editor.
2. Begin by providing your personal information, including your name, permanent address, and contact details. Make sure to include your email and both daytime and evening phone numbers.
3. Indicate the address you prefer to appear on your license — either your permanent or business mailing address.
4. Fill out your date of birth, highest degree obtained, academic major, and the name of your school.
5. Detail your professional experience by stating the number of years you have practiced and the location of any formal internship.
6. List all professional licenses or certifications you hold or have held, and ensure you enclose the necessary certificates of standing from any jurisdictions.
7. Answer all questions regarding any disciplinary actions or license denials truthfully. If applicable, provide additional information on separate sheets.
8. Ensure your application is notarized and accompanied by a fee of $196.00, payable by U.S. check or money order.
9. Attach all required documents such as official transcripts, certificates of standing, and the verification by supervisor form if necessary.
10. Review your application for completeness and accuracy before mailing it to the Board of Dietitians and Nutritionists at the provided address.
11. After submission, keep track of your mailing address and update it if necessary, as it will be a matter of public record.
12. Finally, once your application is processed, you will be notified of your eligibility to sit for the licensure examination.

Start filling out your application online today to take the next step towards your licensure.