Fill and Sign the Look Out for Marketing Form Disguised as Tax Document

State of Delaware Department of Natural Resources & Environmental Control Board of Certification Division of Water Resources 89 Kings Highway Dover, Delaware 19901 Phone: (302) 739-9946 Fax: (302) 739-8369 WASTEWATER OPERATOR EXAM REGISTRATION FORM Instructions 1. Registration forms must be typewritten or clearly printed. 2. Registration forms must be complete. Incomplete forms will be returned and could delay registration. 3. A $100* exam fee is due with submission of the Exam Registration Form. 4. Registration forms and fees are to be mailed to: DNREC ~ SWDS, Board of Certification, 89 Kings Highway, Dover, DE 19901. 5. Very Important ~ on the day of the exam bring some form of picture identification and a calculator. Certification Process 1. Submit an Exam Registration Form with a $100* exam fee. Written exams are held twice a year (the second Friday in January and June) at Delaware Technical & Community College, Terry Campus. 2. A confirmation letter will be sent via mail (or e-mail if requested) with the exam date, time, location and map. 3. The exam is multiple choice and true/false. A score of 75% or higher is required to pass. 4. Within four (4) to six (6) weeks of taking the exam, an exam status letter (pass/fail) will be sent via mail (or e-mail if requested). Exam papers and scores will not be returned, simply a pass or fail status. 5. Upon receiving a passing grade, submit an Application for Certification. Test results will be on file for a period of three (3) years. a. Submit a completed Application for Certification, educational transcripts and a $50* fee. b. Must be operating in Delaware or have a written job offer to operate in Delaware to receive consideration for a license. c. If an individual does not meet the experience or educational requirements they may, with the approval of the Board, receive an Operator-In-Training (OIT) license, pending fulfillment of these requirements. 6. If an individual fails the exam for a particular operator class on three (3) consecutive occasions, they will then have to satisfactorily complete an approved education examination review course prior to being considered again to take the exam. * Fees are non-refundable and cannot be transferred FOR MORE INFORMATION ON THE DELAWARE WASTEWATER OPERATOR LICENSING PROGRAM, VISIT US ON THE WEB AT… www.wr.dnrec.delaware.gov/Services/OtherServices/Pages/SurfaceWaterDischargesLicensing.aspx KEEP PAGES 1 & 2 FOR YOUR REFERENCE, SUBMIT PAGE 3 ONLY Page 1 Wastewater Operator Qualifications Per Section 6.03 of the Regulations for Licensing Operators of Wastewater Facilities Class Education Experience I High School Diploma Plus One (1) year of acceptable operating experience II High School Diploma Plus Three (3) years of acceptable operating experience in Wastewater Facilities of Class I or higher III High School Diploma and two Plus (2) years of approved college level education in engineering or allied subjects Four (4) years of acceptable operating experience in Wastewater Facilities of Class II or higher; two (2) years of which must have been in a position of Direct Responsible Charge (DRC) IV A college degree or completion of four (4) years in a standard curriculum in engineering or allied subjects Four (4) years of acceptable operating experience in Wastewater Facilities of Class III or higher, two (2) years of which must have been in a position of Direct Responsible Charge (DRC) Plus 6.02 (d) Where applicable, education may be substituted for a portion of operating experience as specified below: [i] Where education or training is substituted for operating experience, it shall not exceed an amount which would reduce the requirement of actual operating experience to less than one (1) year for Class I, or less than two (2) years actual operating experience for Classes II, III, and IV. [ii] Education applied to the operating experience requirement cannot also be applied to the education requirement. [iii] College Level education in engineering or allied subjects, or equivalent, as approved by the Board, may be substituted on a year-for-year basis for operating experience (any Wastewater Facility Classification). [iv] Specialized operator training courses, correspondence courses, Seminars, workshops, etc., may be substituted for operating experience on a case by case basis, and the equivalency will be determined by the Board. 6.02 (e) Where applicable, operating experience may be substituted for educational requirements as specified below: [i] Operating experience applied to educational requirement may not also be applied to the operating experience requirement. [ii] One (1) year of Direct Responsible Charge operating experience may be substituted for a year-for-year basis for one (1) year of college level education. 6.02 (f) Substitutions for formal education may be made as follows: [i] Specialized operator training courses, correspondence courses, seminars, workshops, etc., may be substituted for formal education on a case by case basis; and the equivalency will be determined by the Board. [ii] An acceptable High School Equivalency Certificate (GED) may be used to substitute for a High School Diploma. KEEP PAGES 1 & 2 FOR YOUR REFERENCE, SUBMIT PAGE 3 ONLY Page 2 WASTEWATER OPERATOR EXAM REGISTRATION FORM Administered By: The Board of Certification for Wastewater Operators 89 Kings Highway, Dover, DE 19901 STATE OF DELAWARE DEPARTMENT OF NATURAL RESOURCES AND ENVIRONMENTAL CONTROL DIVISION OF WATER RESOURCES Registrations Must Be Complete, Typewritten or Clearly Printed APPLICANT INFORMATION Prefix First Name Middle Name Last Name Suffix Home Address City State Zip Home Telephone Number Social Security Number E-Mail Address ‰ Check here to receive exam confirmation & results by e-mail only (hard copy will not be mailed) EXAM Indicate the Level of Examination For Registration ‰I ‰ II ‰ III ‰ IV PAYMENT INFORMATION (Required at time of Registration) Exam Registration Fee ~ $100.00* Cash or Check Only (payable to Division of Water Resources) *fee is non-refundable and cannot be transferred VERIFICATION I hereby certify that the information given on this exam registration form contains no misrepresentation or falsifications, is true and complete to the best of my knowledge and belief. I am aware that any willful falsification or misrepresentation will result in the revocation of any certificate issued. I have read the wastewater operator qualifications on page 2 for the level of certification that I am seeking and believe that I am eligible to sit for the examination for that certification. ______________________________________________ Signature of Applicant ____________________________ Date Mail Exam Registration Form and Payment to: DNREC ~ SWDS Board of Certification 89 Kings Highway Dover, DE 19901 VERY IMPORTANT REMINDER… ON THE DAY OF THE EXAM BRING SOME TYPE OF PHOTO IDENTIFICATION AND A CALCULATOR KEEP PAGES 1 & 2 FOR YOUR REFERENCE, SUBMIT PAGE 3 ONLY Page 3