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
CompanyMccall Eaton Traders
Company AddressRamsey Reese Plc
Contreras and Evans Trading
Short Wade Co, MA _____
Company Phone(180) 252-3521
Employment Dates01-Jan-1995 to 09-Mar-1992
Job TitleMolestiae quisquam r
Applicant ID Card453 (In accusantium autem)
Categories on Applicant ID CardCulpa ex tempora rer
SupervisorQui fuga Aut quis v
Supervisor ID Card #328
Operator License Holder ID #586
Supervisor Affirmed Category(ies)Cupidatat ab quod se
Employment History 2
CompanyRamirez and Mann Associates
Company AddressHarrell and Ortega Co
Boyer Harrison LLC
Bartlett Wall LLC, RI _____
Company Phone(194) 526-5470
Employment Dates18-Jan-2020 to 12-Mar-1983
Job TitleRepudiandae dolores
Applicant ID Card98 (Dolorem sed velit a)
Categories on Applicant ID CardEt in unde neque ut
SupervisorVoluptatem sunt nob
Supervisor ID Card #709
Operator License Holder ID #900
Supervisor Affirmed Category(ies)Tempore in magna co
Employment History 3
CompanyHolcomb and Berger Inc
Company AddressDonaldson and Reid Co
Douglas and Cain Traders
Calderon Padilla Trading, MS _____
Company Phone(131) 220-6493
Employment Dates26-Sep-1986 to 05-Jul-1977
Job TitleAnim dolorem volupta
Applicant ID Card428 (Corrupti non sed co)
Categories on Applicant ID CardQuia officiis soluta
SupervisorConsequatur ut sit e
Supervisor ID Card #128
Operator License Holder ID #941
Supervisor Affirmed Category(ies)Cupidatat eaque tota

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