CPO Student Intake
Please complete this form because your employer registered you for the Certified Pool Operator (CPO) program, but did not provide us with any of your personal contact information and/or we only have facility address information. 

Lakeview Aquatic Consultants must register you personally with the Pool & Hot Tub Alliance (PHTA) to write the CPO exam online.  We recommend providing your personal contact information (not work) as the CPO certificate stays with you - not the employer - if you switch jobs in the next 5 years.
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Your legal name (first + last) *
If you go by a different name, please specify with ( ). Example: Aspen (Onyx) Jorgensen.
Mailing Address (unit, street name or PO box; city, province; postal code) *
We recommend using your personal/home address, not work, in case you switch jobs in the next 5 years.
Cell Phone Number (Primary) *
Other Phone Number (Secondary)
Please specify if work direct, work main, home, on call, etc.
Email Address (personal/primary) *
Email Address (work/secondary)
Organization/Employer *
Job Title/Position *
Thank you! If you have any questions about this form, please contact Katie.
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