Thank you for your interest in the Prince William County Service Authority's 2024 Water Academy.


If you are interested in learning about the science and technology behind water and wastewater treatment, touring Service Authority facilities, learning about career and internship opportunities in the water and wastewater industries and learning more about your role in environmental stewardship, then we encourage you to apply for the Water Academy.

This FREE, interactive course will be held on June 11, 18 & 25. For the full syllabus, visit www.pwcsa.org/water_academy.

Class size is limited to 30 people. Please contact outreach@pwcsa.org if you have any questions.

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* 1. First Name

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* 2. Last Name

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* 3. Are you at least 18 years of age?

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* 4. Please indicate why you would like to attend the Water Academy and what you hope to learn from the program.

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* 5. How do you hope your participation will benefit you and the community?

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* 6. Have you participated as a student in previous Water Academy sessions?

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* 7. Are you able to attend all 3 sessions? (June 11, June 18, June 25 from 5:00 p.m. - 7:30 p.m.)

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* 8. Address & Contact Information

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* 9. Employment Information (if applicable)

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* 10. Are you currently a Service Authority customer?

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* 11. Do you have any special needs that we need to accommodate for (unable to walk 1 mile, hearing impairment, wheelchair, seating in the class, etc.)? If so, please describe.

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* 12. Do you have any food allergies?

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* 13. Please select your shirt size (one shirt per person)

 
Men's
Women's

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* 14. Your Signature

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