One AWWA Operator's Scholarship Question Title * 1. Section: Question Title * 2. One AWWA Operator's Scholarship Coordinator (person coordinating the scholarship process) Name: Email Address: Phone Number: Question Title * 3. Scholarship Amount Total Amount Awarded: Match Amount Requested from AWWA: Question Title * 4. Send Match Payment To Section Contact Name: Section Address Question Title * 5. Recipient #1 Contact Information for AWWA Membership Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 6. Recipient #1: Please attach a copy of the application and any application materials (if applicable). PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Recipient #1: Please attach a copy of the application and any application materials (if applicable). Question Title * 7. Is Recipient #1 a veteran? Yes No Question Title * 8. Please attach photo of Recipient #1 for Water Equation marketing High resolution photo is preferred PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File High resolution photo is preferred Question Title * 9. Recipient #2 Contact information for AWWA Membership Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 10. Recipient #2: Please attach a copy of the application and any application materials (if applicable). DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Recipient #2: Please attach a copy of the application and any application materials (if applicable). Question Title * 11. Is Recipient #2 a veteran? Yes No Question Title * 12. Please attach a photo of Recipient #2 for Water Equation marketing High resolution photo is preferred PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File High resolution photo is preferred Question Title * 13. Recipient #3 Contact information for AWWA Membership Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 14. Recipient #3 :Please attach a copy of the application and any application materials (if applicable). Use this to upload any additional files, if needed. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Use this to upload any additional files, if needed. Question Title * 15. Please attach a photo of Recipient #3 for Water Equation marketing High resolution photo is preferred PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File High resolution photo is preferred Question Title * 16. Recipient #4 Contact information for AWWA Membership Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 17. Recipient #4: Please attach a copy of the application and any application materials (if applicable). Use this to upload any additional files, if needed. DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Use this to upload any additional files, if needed. Question Title * 18. Is Recipient #4 a veteran? Yes No Question Title * 19. Please attach a photo of Recipient #4 for Water Equation marketing High resolution photo is preferred PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File High resolution photo is preferred Submit for Matching funds