intro
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: **Application for Operator Certification Through Reciprocity**
Please complete all sections of this form. A copy of your current certificate must be submitted separately along with the $60.00 application fee (check payable to DANR) to:
Tammie Hill – Secretary, Board of Operator Certification
523 East Capitol – Foss Building, Pierre, SD 57501-3181
Email: tammie.hill@state.sd.us | Fax: 605-773-5286, type: esriFieldTypeString
)
cert_state
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: State Where Certificate is Currently Held, type: esriFieldTypeString
)
exam_passed
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Was an exam passed to acquire this certificate?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
cert_reciprocity
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Was this certificate obtained through reciprocity?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
cert_valid
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Is this certificate valid with all fees up-to-date?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
prev_certified_sd
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you ever been certified in South Dakota before?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
hs_graduate
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you a high school graduate?, type: esriFieldTypeString
, Coded Values:
[yes: Yes – High School Graduate]
, [ged: GED]
, [no: No]
)
year_completed
(
nullable: true, editable: true, defaultValue: null, alias: Year completed (if no diploma or GED), type: esriFieldTypeInteger
)
edu_repeat_note
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: **College / Vocational-Technical Education**
Use this section to list each institution you attended. Tap **Add** to enter your first entry. After saving it you can tap **Add** again to add another institution. If you have no college or vo-tech education, tap **Add** once and enter N/A in the Institution Name field., type: esriFieldTypeString
)
other_education
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Other Education or Training, type: esriFieldTypeString
)
supervisor
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Supervisor Name and Title, type: esriFieldTypeString
)
daily_duties
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Describe your daily duties in detail, type: esriFieldTypeString
)
job_repeat_note
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: **Other Relevant Job Experience**
Use this section to list any previous positions relevant to your certification. Tap **Add** to enter your first entry. After saving it you can tap **Add** again for additional positions. If you have no other relevant experience, you may skip this section., type: esriFieldTypeString
)
cert_statement
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: **Certification Statement**
I hereby certify that this application contains no willful misrepresentations or falsifications and that the information given is true and complete., type: esriFieldTypeString
)
applicant_name_sig
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Type Your Full Name, type: esriFieldTypeString
)