CALIFORNIA-NEVADA SECTION Application for Appointment to Committee/Divisions
Please do not hit SUBMIT until you have reviewed all of your information. Once the form is sent it can't be retrieved. If you hit submit by accident, call the Section Office at (909) 481-7200 for assistance.
I would like to serve on:
List in order of preference, the committee(s) on which you wish to serve:
I would like to serve on:
Date:
Name:
Address:
City:
State:
Zip:
Email:
Your Title:
Years as AWWA Member:
Member Number:
Employer:
Work Phone:
Work Address:
City:
State:
Zip
List Licenses or Special Certificates Held.
List any AWWA committees, or offices on which you have served and the years.
Briefly state why you wish to serve on a committee, and how you feel you can contribute to our Section.
Will you have approval from your employer to serve in this capacity, to attend meetings, conference calls, travel expenses, etc?
Additional Comments:
E-Signature
Type your name here
PLEASE EMAIL a copy of your background experience, education and or degrees to info@ca-nv-awwa.org
THANK YOU FOR YOUR APPLICATION WE LOOK FORWARD TO WORKING WITH YOU.
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