Nebraska Rural Water Association Wastewater Training Class Online Registration

Fields marked with an asterisk (*) are required

*Name:

*Address:

*City:

*State:

*Zip Code:

*System/Company:

Telephone:

Email Address:

*License Information

*Primary Job Function

Are You Licensed?

Yes

No

Number

Lagoon Operator

Treatment Plant Operator

Board Member

Other

*Class Attending:

-Select Class to Attend- June 19, 2013, Wastewater Operator Class, Auburn June 10, 2013, Wastewater Operator Class, Hebron August 13, 2013, Wastewater Operator Class, Ogallala September 11, 2013, Wastewater Operator Class, Dakota City October 15, 2013, Wastewater Operator Class, Gering October 16, 2013, Wastewater Operator Class, Broken Bow November 13, 2013, Wastewater Operator Class, Valentine December 10, 2013, Wastewater Operator Class, Wahoo

If you have questions or comment/s, please provide them in the area provided, thank you.