(2) |
An application for registration shall be on a form approved by the division and shall require:
(a) |
the name, address, telephone number, email address, website, and facsimile number, if any, of the nonprofit corporation operating the residential, vocational and life skills program; |
(b) |
the name and address of the registered agent of the corporation operating the residential, vocational and life skills program; |
(c) |
the name, address, telephone number, email address, website, and facsimile number, if any, of the residential, vocational and life skills program; |
(d) |
the name and address of any entity that controls, is controlled by, or is affiliated with the residential, vocational and life skills program; |
(e) |
the name and residential address of any officer, director, manager, or administrator of the residential, vocational and life skills program; |
(f) |
the name, address, telephone number, email address, website, and facsimile number, if any, of any vocational training entity affiliated with the residential, vocational and life skills program; |
(g) |
a disclosure indicating whether any officer, director, or administrator of the residential, vocational and life skills program has been the subject of an administrative action by the division; |
(h) |
a disclosure indicating whether any officer, director, or administrator of the residential, vocational and life skills program has been convicted of a felony or a crime of moral turpitude within the previous 10 years; |
(i) |
if the organization is a charitable organization, as defined by Section 13-22-2, a copy of the charitable organization’s registration or exemption; |
(j) |
financial information described in Subsection 13-53-108(1); |
(k) |
proof of a commercial general liability and umbrella insurance policy providing at least a $1,000,000 per occurrence limit of liability; |
(l) |
a copy of the disclosure required under Section 13-53-106; |
(m) |
evidence that the applicant meets the description of a residential, vocational and life skills program under Subsection 13-53-102(5); and |
(n) |
additional information that the division requires, as provided in administrative rule. |
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