An applicant for a license as a licensed genetic counselor or a supervised genetic counselor shall: Complete an application on a form provided by the Board; Pay the required application fee set by the Board in accordance with Regulation .12 of this chapter; Be 18 years old or older; Be of good moral character; Demonstrate spoken and written competency in English by any of the following: Documentation of graduation from a recognized English-speaking high school or undergraduate school after at least 3 years of enrollment; Documentation of graduation from a recognized English-speaking professional school; or Documentation of receiving a grade of at least: 26 on the “Speaking Section” of the Internet-based Test of English as a Foreign Language; and 79 on the total score of the Internet-based Test of English as a Foreign Language; If applicable, provide documentation of licensure, certification, or registration from all states and jurisdictions where the applicant has ever held a license, certificate, or registration in any health profession; Have no history of public disciplinary action taken, or pending, against any license currently or previously held or expired; and Complete a criminal history records check in accordance with Health Occupations Article, §14-308.1, Annotated Code of Maryland. An applicant for a license as a licensed genetic counselor or a supervised genetic counselor shall submit satisfactory evidence of graduation from an accredited educational program. Except as provided in § D of this regulation, an applicant for a license as a licensed genetic counselor shall submit to the Board satisfactory evidence of certification by a national certifying board. If an applicant for a license as a licensed genetic counselor does not meet the requirement under §C of this regulation, the applicant may qualify for licensure as a licensed genetic counselor if the applicant: Has worked as a genetic counselor for: At least 10 years before January 1, 2024; and At least 5 consecutive years immediately preceding the date on which the applicant submits the application for licensure; Has graduated from an accredited educational program; Submits to the Board three letters of recommendation from licensed physicians who have been licensed for at least 5 years or certified genetic counselors eligible for licensure and who: Have worked with the applicant in an employment or professional setting for 3 years before the applicant submits the application for licensure; and Can attest to the applicant’s competency in providing genetic counseling services. An applicant for a license as a supervised genetic counselor shall submit to the Board satisfactory evidence that the applicant has applied for the first available national certifying examination. The Board may not issue a supervised genetic counselor license to an applicant if the applicant has failed the national certifying examination two or more times.