Section 915.10  Applications

a)         An application for examination for registration as a licensed water well contractor and/or water well pump installation contractor must be received in the office of the Department of Public Health, Springfield, Illinois, at least 30 days prior to the date of examination.  Applications shall be made on forms provided by the Department and shall include the following information:

1)         name and address of the applicant;

2)         age of the applicant;

3)         a statement that the applicant is a citizen of the United States or has declared his intention to become a citizen of the United States; and

4)         employment records, W-2's, copies of paychecks, or other evidence that the applicant has been employed in water well construction or water well pump installation for a minimum of 420 working days in a maximum of two years.

b)         A recent photograph shall comprise a part of the application form and be made a permanent record.

c)         Affidavits by three responsible persons as to the applicant's moral character, honesty and integrity shall be made a part of the application form and become a permanent record.

d)         Affidavits from previous and current licensed contractor employers must accompany the application indicating the dates which the applicant was employed and the locations of previous jobs the applicant performed verifying that the applicant was engaged in water well or water pump installation work and that he performed this work under the supervision of a licensed contractor. The names and addresses of previous licensed contractor employers shall be included. These affidavits shall be made a part of the  application form and become a permanent record.

(Source:  Amended at 22 Ill. Reg. 4111, effective February 10, 1998)