(1) The name, address and telephone number of the applicant. If the applicant is not a natural person, the names and titles of all directors, officers, members or partners of the entity participating in the direction, control and operation of the course provider business and the entity name, address and telephone number.

(2) A disclosure of any licenses issued by the department pursuant to this chapter to the individual course provider, any director, officer, member or partner of an entity participating in the direction, control and operation of the course provider business.

(3) A disclosure of any convictions of any felonies or misdemeanors of any owner, director, officer or partner.

(4) Two (2) full facial photographs of each individual owner and each director, officer, member or partner of an entity participating in the direction, control and operation of the course provider business, minimum size 1 ¼ ″ x 1″, taken from a maximum distance of six (6) feet.

(5) For each individual owner and each director, officer, member or partner of an entity participating in the direction, control and operation of the course provider business, unless already on file with the department in conjunction with a previous application, fingerprints must be submitted through the Live Scan fingerprint process. Unless exempted by DOJ, applicants shall provide a properly completed and legible copy of a Request for Live Scan Service, form HCD OL 8016 (New 11/05), which is incorporated by reference, or the equivalent form provided by DOJ. The form HCD OL 8016 or DOJ equivalent form must provide evidence that the fingerprints have been submitted to DOJ and that the department is properly listed as the agency to receive any criminal history information. Applicants applying for an exemption from the Live Scan process must submit their exemption requests through the department on the forms prescribed by DOJ. Fingerprints must be processed by a law enforcement agency or a DOJ-certified fingerprint roller. Additional fingerprinting may be required if the submitted fingerprints are rejected by DOJ or the Federal Bureau of Investigation.

(6) A description as to how the course will be presented.

(7) Copies of all written, audio and audio-visual presentations, lessons, reference materials or other materials the course attendants will be provided or required to possess.

(8) An outline of the course curriculum with a designation of the time allotted to each segment of the curriculum. The outline shall reference any written materials, audio or audio-visual presentations, as provided in Subsection (a)(7) above. This outline shall contain all topics required by Section 5308 of this subchapter.

(9) A description of the method of attendance control and record keeping.

(10) The signature of the applicant certifying to the accuracy of the application and that the course will be presented as approved and conducted in a manner satisfying the intent of the law and requirements of this subchapter.