Nutritionist Application Instructions Sheet printable pdf download

STATE OF ALASKA

DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT

DIVISION OF OCCUPATIONAL LICENSING

NUTRITIONIST LICENSING

P.O. BOX 110806

JUNEAU, ALASKA 99811-0806

E-mail: license@dced.state.ak.us

NUTRITIONIST APPLICATION INSTRUCTIONS

The documents listed below must be on file with the department before your application can be considered for

licensure as a nutritionist:

1. Completed, notarized application and fees as follows:

Nonrefundable application fee

$ 50.00

License fee

$ 410.00

2. Official verification mailed directly from each state licensing authority where a license, certificate, or

registration is or has ever been held. (License Verification Form 08-4399a.)

3. Official verification mailed directly from the Certification Board for Nutritional Specialist (CBNS) certifying

your status as a Certified Nutrition Specialist (CNS Verification Form 08-4399b); CBNS telephone

(212) 777-1037.

Official verification mailed directly from the American Board of Nutrition (ABN) certifying your status as a

diplomate of the American Board of Nutrition; ABN telephone (205) 975-8788

Official transcripts mailed directly from an accredited college or university verifying a masters or doctorate

degree with a major in human nutrition, public health nutrition, clinical nutrition, nutrition education,

community nutrition, or food and nutrition.

AND

Verification of 900 hours of documented work experience in human nutrition or human nutrition research.

(Report of Experience Form 08-4399c and Verification of Experience Form 08-4399d.)

IMPORTANT

Under number 3 of these instructions, if you meet the degree requirement on or before January 1, 2000, but have

not yet obtained the 900-hour experience requirement, upon receipt of a complete application, fees, and official

transcript, a license will be issued. You will have until June 30, 2001 to meet the 900-hour experience requirement.

If you do not meet the 900-hour experience requirement by June 30, 2001, the license will expire.

SOCIAL SECURITY NUMBERS

In accordance with AS 08.01.060(b), a license may not be issued by the department to a natural person unless the

applicant’s social security number has been provided.

RENEWAL INFORMATION

Licenses issued under this program will expire every two years on even-numbered years (i.e., December 31, 2002,

etc.), regardless of when first issued. Licenses issued within 90 days of the expiration date will be issued to the next

biennium.

BUSINESS LICENSES

A business license is required if you are self-employed or acting as an independent contractor. Please contact

Business Licensing at (907) 465-2550 in Juneau or (907) 269-8160 in Anchorage or you can access the Internet at

08-4399 (New 11/99)

Nutritionist Application Instructions Sheet