(i) an application on the form that the Secretary provides; and

(ii) an application fee of $500.

(2) The application fee is nonrefundable.

(b) (1) The application form provided by the Secretary shall contain a statement advising the applicant that willfully making a false statement on an application is a misdemeanor, subject to a fine or imprisonment or both, as provided under § 20-701 of this title.

(2) The applicant shall sign the application under oath.

(c) In addition to any other information that the Secretary requires, the applicant shall provide:

(1) the name, date of birth, and residence address of the applicant;

(2) the address of the applicant’s proposed principal place of business and of each proposed branch office;

(3) a telephone number at which the applicant can be reached during normal business hours;

(4) a telephone or pager number that can be used to reach the applicant during nonbusiness hours; and

(5) the name and permanent address of each individual the applicant intends to employ as a private home detention monitor.

(d) An applicant for a license shall submit with the application form:

(1) a bond in accordance with the requirements of § 20-601 of this title; and

(2) proof of liability insurance, as required under § 20-602 of this title.