Outreach Training Bursary Application

To apply for the Outreach Training Bursary, please complete the following form and provide the requested documentation.

Applicant Information

Full Name *

Street Address *

Apartment/Unit #

City *

Province *

Postal Code *

Phone Number *

Email Address *

AWWOA Membership #: *

Course Name: *

Date: *

Course Provider: *

Course registration paid by: *

Registration Confirmation *

Please provide proof of course registration.

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The maximum total size of all files in a single form submission is 1 GB.

Proof of payment receipt *

Please provide a copy of the course registration fee and proof of payment

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The maximum total size of all files in a single form submission is 1 GB.

Course completion certificate or document *

Please provide course completion certificate or document.

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The maximum total size of all files in a single form submission is 1 GB.

If you have any questions or need to submit additional information, please contact connect@awwoa.ca

I hereby declare that the information provided in this application is correct and can be verified upon request.

I understand that false or misleading information in my application may result in revocation of my bursary.

I give the Alberta Water and Wastewater Operators Association permission to publish my name and photo if I am the successful recipient.

Consent *

By checking this box, I agree to the above statements and give consent.

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