Section Pari 605.15 - Supplemental Application Form for Harness Race StarterOn a form provided by the commission, an applicant for an occupational license as a horse race starter shall, in addition to the application form specified in Pari 605.05, supply the following:
(a) The name of the applicant as it appears on the form specified in Pari 605.05;(b) Whether or not the applicant is a member of the USTA, and if so, the applicant's membership number and expiration date;(c) Whether or not the applicant is licensed as a starter by the USTA for the calendar year being applied for;(d) Whether or not the applicant has ever been licensed as a starter by USTA;(e) A list of all USTA licenses and years held by the applicant for the most recent 3 years of licensure;(f) The name, address and telephone number of the person, corporation or association licensed under RSA 284:15 recommending the applicant for the occupational license;(g) Whether or not the applicant has successfully completed on-the-job-training under the supervision of a current or former occupational licensee in the occupational category in which the applicant seeks licensure;(h) If the answer to the foregoing question is yes, the name of the supervising occupational licensee or former occupational licensee and the date and location of the supervised training;(i) The applicant's signature on the statement set forth in Pari 605.28; and(j) The date of the signature described in (i) above.N.H. Admin. Code § Pari 605.15