December 12-16, 2011 in Washington, DC

U.S Environmental Protection Agency Water Quality Standards Academy

Application Form

See Description of Modules and Announcement for Water Quality Standards Academy:
December 12-16, 2011 in Washington, DC

APPLICATION FORMS FOR THE DECEMBER 12-16, 2011
COURSE MUST BE RECEIVED BY MONDAY, OCTOBER 17, 2011

I WOULD LIKE TO ATTEND THE WATER QUALITY STANDARDS ACADEMY
TRAINING AT THE SHERATON CRYSTAL CITY HOTEL IN ARLINGTON, VA
(December 12-16, 2011)

I would like to apply for the following academy courses:

First Name

Middle Initial

Last Name

Title	Job Function
Organizational Affiliation:
Organizational Office/Division:
Address:
City	, State Zip

EPA Region:

Email Address:

Primary Phone:

Fax Number:

Number of years experience with Water Quality Standards? Please check one that applies:

0-6 months 6 months to 1 year 1-3 Years 3 Years or more

What are your expectations of this course?

Do you have any specific questions about Water Quality Standards and implementation that you would like addressed during the course?

EPA WILL CONFIRM YOUR ATTENDANCE IN WRITING BEFORE THE START OF THE COURSE. REMEMBER: YOU ARE RESPONSIBLE FOR MAKING YOUR OWN HOTEL AND TRAVEL ARRANGEMENTS.

IF YOU HAVE ANY QUESTIONS, PLEASE CALL EPA's CONTRACTOR:

Water Quality Standards Academy Coordinator
Great Lakes Environmental Center
(614) 487-1040

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