The applicant for a masseur or masseuse permit shall furnish the following information:
(A) Name (including any alias) and address;
(B) Social Security number and driver’s license number, if any;
(C) Applicant’s weight, height, color of hair and eyes;
(D) Business, occupation or employment of the applicant for the four years immediately preceding the date of application;
(E) Whether the applicant has ever been convicted of, pleaded nolo contendere to or suffered a forfeiture on a bond in relation to charges of committing any federal, state or local crime, except minor traffic violations. If the answer is in the affirmative, a statement must be made giving the place and the court in which conviction plea or forfeiture was had, the specific charges under which the conviction plea or forfeiture was obtained and the sentence imposed;
(F) A recent photograph of the applicant;
(G) The results of a physical examination for contagious and communicable diseases, which shall include a recognized blood test for syphilis, a culture for gonorrhea, a test or tests which will demonstrate freedom from tuberculosis, which is to be made and interpreted by a licensed physician acceptable to the Health Officer and such other laboratory tests done in a laboratory acceptable to the Health Officer, as may be necessitated by the above examination, a certificate based upon the applicant’s physical examination and issued within 30 days of such examination, signed by a physician duly licensed by the State of Illinois and stating that the person examined is either free from any contagious or communicable disease or incapable of communicating any of such diseases to others. Applicants shall undergo the physical examination referred to above and submit to the Health Officer the certificate required herein prior to commencement of their employment and at least once every 12 months thereafter.
(Ord. 77-36, passed 9-12-77)