Water Academy 2025 Application

Thank you for your interest in Prince William Water's 2025 Water Academy

If you are interested in learning about the science and technology behind water and wastewater treatment, touring Prince William Water 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 18, June 25, and July 2 from 4:30-7:30pm. For the full syllabus, visit www.princewilliamwater.org/water_academy.

Class size is limited to 28 people. Please contact outreach@pwwater.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?

Yes

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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?

Yes

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* 7. Are you able to attend all 3 sessions? (June 18, June 25, July 2 from 4:30 - 7:30pm)

Yes

If you answered No which sessions will you be able to attend?

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* 8. Address & Contact Information

Address *

Address 2

City/Town *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 9. Employment Information (if applicable)

Occupation

Employer Name

Type of Organization

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* 10. Are you currently a Prince William Water customer?

Yes

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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?

Yes

If yes, please specify.

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


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Water Academy 2025 Application

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 7. Are you able to attend all 3 sessions? (June 18, June 25, July 2 from 4:30 - 7:30pm)

Question Title

* 8. Address & Contact Information

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* 9. Employment Information (if applicable)

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* 10. Are you currently a Prince William Water 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.

Question Title

* 12. Do you have any food allergies?

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

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* 14. Your Signature