Affirm all licensing requirements have been met. box provided) Affirm all licensing requirements for renewal have been met. (check box provided) Affirm all continuing professional education (CPE) requirements have been met. (check box provided) Affirm you have completed the annual Virginia specific ethics requirement (check box provided) Affirm you understand the A/A CPE requirement (check box provided) Affirm you understand if you have ever been convicted in any jurisdiction of a felony or misdemeanor or have been charged with a crime, or have any charges pending against you at this time and have not previously communicated this to the Board, you must disclose this information to the Board immediately. Any guilty plea or nolo contendere must also be disclosed to the Board immediately. (Do not disclose violations that were adjudicated in the juvenile court system while you were a minor.) (check box provided) Affirm you understand if any jurisdiction has found you in violation of its standards of conduct or practice, and you have not previously communicated this to the Board, you must disclose this information to the Board immediately. (check box provided) Affirm you understand if you have ever been subject to any disciplinary action imposed by any local, state or national regulatory body, and have not previously communicated this to the Board, you must disclose this information to the Board immediately. (check box provided)
Affirm all licensing requirements have been met. box provided) Affirm all licensing requirements for renewal have been met. (check box provided) Affirm all continuing professional education (CPE) requirements have been met. (check box provided) Affirm you have completed the annual Virginia specific ethics requirement (check box provided) Affirm you understand the A/A CPE requirement (check box provided) Affirm you understand if you have ever been convicted in any jurisdiction of a felony or misdemeanor or have been charged with a crime, or have any charges pending against you at this time and have not previously communicated this to the Board, you must disclose this information to the Board immediately. Any guilty plea or nolo contendere must also be disclosed to the Board immediately. (Do not disclose violations that were adjudicated in the juvenile court system while you were a minor.) (check box provided) Affirm you understand if any jurisdiction has found you in violation of its standards of conduct or practice, and you have not previously communicated this to the Board, you must disclose this information to the Board immediately. (check box provided) Affirm you understand if you have ever been subject to any disciplinary action imposed by any local, state or national regulatory body, and have not previously communicated this to the Board, you must disclose this information to the Board immediately. (check box provided)
Attachment%20C%20--%20NBPA%20Licensing%20Consolidated%20Requirements%20August%202016.docx