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Please check which certification(s) you are applying for: Barbering  FORMCHECKBOX  Hair Design  FORMCHECKBOX  Esthetics  FORMCHECKBOX  Nail Technology  FORMCHECKBOX  1. Applicant InformationAPPLICANT NAME LAST FIRST MIDDLE INTIAL  FORMTEXT        FORMTEXT        FORMTEXT  MAILING ADDRESS  FORMTEXT      CITY  FORMTEXT      STATE  FORMTEXT      ZIP  FORMTEXT       COUNTY  FORMTEXT        BUSINESS TELEPHONE (  FORMTEXT     )  FORMTEXT       FORMTEXT       HOME TELEPHONE (  FORMTEXT     )  FORMTEXT       FORMTEXT      E-MAIL3  FORMTEXT      BIRTHDATE (MO/DAY/YR)  FORMTEXT    /  FORMTEXT    /  FORMTEXT      SOCIAL SECURITY NUMBER (REQUIRED)  FORMTEXT       FORMTEXT      FORMTEXT     EMPLOYMENT INFORMATION  FORMTEXT       As part of your application for initial or renewed occupational, professional or recreational license, certification, or registration issued by the Health Licensing Agency, you are required to provide your Social Security Number to the Health Licensing Agency. This is mandatory. The authority for this requirement is ORS 25.785, ORS 305.385, 42 USC 405(c)(2)(C)(i), and 42 USC 666(a)(13). Failure to provide your Social Security Number will be a basis to refuse to issue or renew the license, certification, or registration you seek. This record of your Social Security Number is used for child support enforcement and tax administration purposes (including identification) only, unless you authorize other uses of the number. Although a number other than your Social Security Number appears on the face of the licenses, certificates, or registrations issued by the Health Licensing Agency, your Social Security Number will remain on file with the Health Licensing Agency. I have examined this application and certify that it is true, correct, and complete. I understand that knowingly making a false statement in this application will be cause for denial, suspension, or revocation of registration. I have enclosed the required fees and documentation. 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