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NC One Water Instructor Interest Form
Learn about NC One Water's Instructor Program
HERE
.
NC One Water uses this form to collect information on potential volunteers who would like participate in school programming or other instructional sessions throughout the year. Please complete the form as accurately as possible so we can reach out to you!
Feel free to contact Education Manager Paul Willeboordse (pwilleboordse@nconewater.org) with any questions.
*
1.
Full Name
(Required.)
2.
Preferred Name (if different)
3.
Preferred Pronouns
*
4.
Email Address
(Required.)
*
5.
Phone (cell preferred in case of need for on-site school contact)
(Required.)
6.
Current Job Title
7.
Employer
*
8.
Do you have any dietary restrictions for meals during programs?
(Required.)
Yes (Please Describe Below)
No, I have no dietary restrictions.
Other? (please explain)
*
9.
Which schools would you be interested in participating in?
(Required.)
Backflow
Biological Wastewater (1-4)
Confined Space
Collections (1-4)
Distributions (C-A)
Maintenance Tech
Meter Tech
Physical/Chemical
Shoring
Other (please specify)
10.
Is there a specific course or topic you'd like to teach?
*
11.
Instructors receive a branded NC One Water polo for teaching at schools. What is your current shirt size?
(Required.)
12.
Any additional comments or questions?
