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Licensure Process and Forms
TEMPORARY LICENSURE
INITIAL LICENSURE
INITIAL LICENSURE FLOWCHART
RECIPROCAL LICENSURE
ADMINISTRATOR-IN-TRAINING (AIT) PRACTICUM INFORMATION
PRECEPTOR APPLICATION AND INFORMATION
NAB Domains of Practice
SLIDE SHOW
History, licensure types, requirements and steps.
TEMPORARY LICENSURE
● Issued for the purpose of serving on an emergency basis for a facility in need of an administrator, OR
● Issued to a candidate who has been previously licensed in Kansas and is eligible for reinstatement to allow the candidate to practice while accumulating the 50 hours of CE required to reinstate their full Kansas license, OR
● Issued to a candidate who holds a license as an adult care home administrator in another State and is otherwise eligible for reciprocity.
- Temporary Licensure Instructions
- Temporary License Application
- Fees
- Credit Card Authorization Form
- Social Security Number Information
- Accommodation Request Form (State Exam)
- Statutes
- Regulations
INITIAL LICENSURE
For candidates who have never been licensed in Kansas or any other State.
- Initial Licensure Instructions
- Initial License Application
- Fees
- Credit Card Authorization Form
- AIT Sponsors/Coordinators of Practicum
- Reference Letters (download 2)
- Federal Register
- Core of Knowledge
- Social Security Number Information
- Accommodation Request Form (State Exam)
- Statutes
- Regulations
INITIAL LICENSURE FLOWCHART
Illustrates order of licensure steps
RECIPROCAL LICENSURE
Issued to candidates who hold or held licensure in another State(s).
- Reciprocal Licensure Instructions
- Reciprocal License Application
- Reciprocity Licensure Questionnaire
- Reference Letters (download 2)
- Fees
- Social Security Number Information
- Statutes
- Regulations
ADMINISTRATOR-IN-TRAINING (AIT) PRACTICUM INFORMATION
Training sponsors, description of training requirements
- AIT Sponsors/Coordinators of Practicum
- Training Requirements Overview
- AIT Orientation (optional tool, not required form)
PRECEPTOR APPLICATION AND INFORMATION
Application forms and information for current preceptors and administrators who want to serve as preceptors.