Any applicant relying on experience with VDH to meet the minimum requirements for licensure shall provide an endorsement from the applicant’s direct supervisor at VDH stating that the applicant’s job performance has been satisfactory. 

Why must VDH applicants provide an endorsement from their direct supervisor but private sector applicants do not?  It would seem that the regulation should have one standard for all and not a double standard.  The rule should require all applicants to provide an endorsement from their direct supervisor.  If a direct supervisor endorsement is not possible, then ask for three references.