February 22 - 26, 2010 in West Palm Beach, FL

U.S Environmental Protection Agency Water Quality Standards Academy

Pre-Application Form

See Description of Modules and Announcement for Water Quality Standards Academy:
February 22 - 26, 2010 in West Palm Beach, FL

PRE-APPLICATION FORMS FOR THE February 22-26, 2010)
COURSE MUST BE RECEIVED BY MONDAY, February 1, 2010.

I WOULD LIKE TO ATTEND THE WATER QUALITY STANDARDS ACADEMY
TRAINING AT THE SOUTH FLORIDA WATER MANAGEMENT DIVISION, WEST PALM BEACH, FL
(February 22-26, 2010)

Number of years experience with water quality standards:

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:

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 APPROXIMATELY 1 month before the start of the session.
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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