PWO SEMINAR SPEAKER’S BIOGRAPHICAL DATA
Fields in BOLD are required
Title of Presentation/Paper:
Presenter:
Job Title:
Employer:
Phone:
Email:

    Enter numbers seen at left
Are you a member of  WEF   Yes     No           AWWA    Yes    No
Do you hold a Plant  Operator certification?:   Yes     No       Level:

Speaker Bio

Please provide a brief resume including education, experience, professional organizations you belong to, offices held, honors or awards, etc.)

This information is required for Training Unit submittal.

Equipment Needs

Please list any equipment needs that you may have for your presentation (i.e. slide projector, overhead projector, blackboard, etc.):

Description of Presentation

Please provide a description or outline of the topic that you will be presenting. 

This information is required for Training Unit submittal.

To which Training Unit categories does your presentation apply.  Click all that apply.

 Wastewater Treatment
Water  Treatment
Industrial Wastewater Treatment   
Wastewater Collection
Water Distribution
If offered at this seminar, do you plan to attend the luncheon? Yes     No