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

See Description of Modules and Announcement for Water Quality Standards Academy:
December 7 - 11, 2009 in Arlington/Crystal City, VA
(PRE-APPLICATION MUST BE RECEIVED BY Monday, October 12, 2009)

I WOULD LIKE TO ATTEND THE WATER QUALITY STANDARDS ACADEMY
TRAINING AT THE SHERATON CRYSTAL CITY HOTEL, ARLINGTON, VA
(December 7-11, 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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