U.S Environmental Protection Agency
2009 Water Quality Standards Academy
Pre-Application Form

See Description of Modules and Announcement for Water Quality Standards Academy:
July 28-30, 2009 in Muscatine, IA
(PRE-APPLICATION MUST BE RECEIVED BY Wednesday, July 1, 2009)

I WOULD LIKE TO ATTEND THE WATER QUALITY STANDARDS ACADEMY SHORT COURSE FOR R5 & R7
Presented by U.S. EPA and the Iowa Water Pollution Control Association in Muscatine, IA

(July 28-30, 2009)
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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