Operator License Exam Application

Pest and Weed Control

Mississippi Department of Agriculture & Commerce • Bureau of Plant Industry

Applicant Information

Name #field(11401) #if(#field(11402))#field(11402) #endif#field(11403)
Phone #field(11415)
Email #field(11416)

Physical Address

#field(11404)
#if(#field(11405))#field(11405)
#endif#field(11406), #field(11407) #field(11408)

Mailing Address

#if("#text(#field(11409))" == "Mailing address is same as physical address")Mailing address is same as physical address.#endif#if("#text(#field(11409))" != "Mailing address is same as physical address")#field(11410)
#if(#field(11411))#field(11411)
#endif#field(11412), #field(11413) #field(11414)#endif

Application Overview

#if(#field(11422)) #endif #if(#field(11423)) #endif #if(#field(11424)) #endif
Examination Method #field(11419)
Exam Qualifications #field(11420, "; ")
Commercial Certification Status #field(11421)
Commercial Certification State #field(11422)
Commercial Certificate Number #field(11423)
Additional Notes #field(11424)

Examination Categories

Selected Categories #field(11428, "; ")

Employment History

Employment History 1
CompanyBowman and Mack Co
Address 1Roberts and Dickerson Plc
Address 2Owen and Hart Inc
CityGamble Avila Inc
StateME
ZIP_____
Company Phone(184) 563-2268
Start Date11-Nov-2022
End Date06-Mar-1973
Job TitleNihil alias optio n
Applicant ID Card44
Applicant ID StateVelit lorem fuga No
Categories on Applicant ID CardSit nostrud labore
SupervisorVero rerum vel dolor
Supervisor ID Card #566
Operator License Holder ID #66
Supervisor Affirmed Category(ies)Voluptatem Expedita
Employment History 2
CompanyRuiz and Vang Co
Address 1Carney and Drake LLC
Address 2Campos and Aguilar Traders
CitySimon and Ward Associates
StateNV
ZIP_____
Company Phone(110) 941-6887
Start Date21-Apr-1986
End Date07-Jun-1983
Job TitleOptio adipisicing n
Applicant ID Card298
Applicant ID StateExcepteur non dolor
Categories on Applicant ID CardNostrum molestiae de
SupervisorDignissimos tempora
Supervisor ID Card #479
Operator License Holder ID #277
Supervisor Affirmed Category(ies)Dolore nesciunt asp
Employment History 3
CompanyColon and Carpenter LLC
Address 1Durham Lang Traders
Address 2Stanton Robles Inc
CityHammond and Joseph Plc
StateND
ZIP_____
Company Phone(165) 838-2280
Start Date28-Oct-1996
End Date23-Sep-2024
Job TitleVeritatis dolor expe
Applicant ID Card350
Applicant ID StateDolor molestiae dolo
Categories on Applicant ID CardDolor saepe enim iur
SupervisorError vel ea hic et
Supervisor ID Card #128
Operator License Holder ID #607
Supervisor Affirmed Category(ies)Esse incidunt volup
Employment History 4
CompanyMorin Chen Trading
Address 1Hood Gibbs Associates
Address 2Whitaker and Russell Plc
CityYang and Leonard Plc
StateMA
ZIP_____
Company Phone(118) 779-3185
Start Date19-Nov-1995
End Date08-Jun-1984
Job TitleRem nostrud dignissi
Applicant ID Card377
Applicant ID StateEx delectus libero
Categories on Applicant ID CardAliquam ut expedita
SupervisorExercitationem expli
Supervisor ID Card #833
Operator License Holder ID #515
Supervisor Affirmed Category(ies)Rerum nostrum amet
Employment History 5
CompanyMartinez and Chavez Co
Address 1Lester and Durham Co
Address 2Whitaker Terry Inc
CityShaw and Suarez Co
StateAK
ZIP_____
Company Phone(158) 475-7368
Start Date27-Oct-2016
End Date14-Dec-1980
Job TitleBeatae eos minus qu
Applicant ID Card88
Applicant ID StateHarum commodo culpa
Categories on Applicant ID CardMolestiae consequatu
SupervisorUt et et provident
Supervisor ID Card #611
Operator License Holder ID #263
Supervisor Affirmed Category(ies)Qui ut voluptas debi

Document Checklist

College Transcripts #field(11453)
High School Diploma or GED #field(11454)
Employment History Documentation #field(11455)
Commercial Certification Card Front and Back #field(11456)
Other Supporting Documentation #field(11457)
Submission ID: #field(11463)
Page: #post_title
URL: #post_url