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"Pesticide Apprentice License (Apl) Application Form" - Oregon

"Pesticide Apprentice License (Apl) Application Form" - Oregon 2025

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4.1 out of 5

28 votes

The document is an application form for the Immediately Supervised Trainee (IST) program under the Oregon Department of Agriculture's Pesticides Program. It outlines the requirements and responsibilities of trainees, including working under a licensed applicator's supervision, completing specific pesticide applications, and maintaining accurate records. The form also includes sections for personal information, license type selection, payment details, and compliance agreement.

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Click ‘Get Form’ to open the Pesticide Apprentice License (Apl) Application Form in the editor.
Begin by selecting the license type you are applying for: either 'New License' or another option. Ensure this is clearly marked.
Fill in your personal information, including your name, address, city, state, and zip code. Make sure to provide a valid phone number and email for contact purposes.
Select the general areas where you expect to make pesticide applications by checking the appropriate boxes. Options include Agriculture, Forestry, Turf & Ornamental, and more.
Read and acknowledge the responsibilities of being an Immediately Supervised Trainee. This includes understanding that you must work under a licensed applicator's supervision at all times.
Complete the signature section along with the date and your Social Security number. Ensure all information is accurate to avoid processing delays.
If applicable, fill out the credit card payment section for any fees due. Provide necessary details like cardholder name and address.

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Versions	Form popularity	Fillable & printable
2021	4.1 Satisfied (28 Votes)
2019	4.5 Satisfied (27 Votes)
2018	4.4 Satisfied (40 Votes)
2012	4.9 Satisfied (28 Votes)

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