The following PARP forms are available to
print out and copy. They are PDF documents and will require Adobe
Acrobat to open. Click on the following link to download a free
copy of Adobe
Applicator Permit Application | Attendance
— PA# | Attendance Sheet — SS#
| Exam Brochure | Making PA Mailing Labels |
Applicator Program Letter
| Recertification Program Approval
- Private Applicator Permit Application
- The Private Applicator Permit Application is sent to
Private Applicators with expiring permits from OISC. It is also the form to
complete for a Reciprocal Private Applicator Permit.
2013 Exam Brochure
- The tri-fold
brochure lists the dates and locations of the pesticide core exam for private
applicators. Includes registration form needed for taking the exam at the
Sheet: Private Applicator Number-only
- Private Applicators with their PA permit number sign
this sheet to receive credit for a pesticide recertification program.
Sheet: Individual SS#-only Registration
- A Private Applicator can complete this individual form
with the last 4 digits of their Social Security Number if their PA permit
number is not known, in order to receive recertification credit at a program.
- Labels for back of Private Applicator Card
- Avery label that can be attached to back of private applicator's card to
record PARP program attended. Also lists ProgramLine phone number and website.
- An example of a letter to Private Applicators informing them of
the number of recertification programs they've attended.
- How to Make
PA Mailing Labels
instructions in a Word.doc on how to download PA addresses from the
website and create mailing labels in Word.
- Program must be
submitted no less than 2 weeks in advance to Cheri Janssen.
date, time, location, topic(s) presented, length of presentation and contact.
Submit via mail, fax, email (not by phone).
It's helpful to
include on the website and program phone line if advanced registration
is required or fees other than the $10 will be charged.
Approval will be
given within one week and a program number will be assigned.
Copyright © 2010,
Purdue University, all rights reserved. Purdue University is an equal
access/equal opportunity university.
If you have trouble accessing this page because of a disability, please
contact webmaster at E-mail: