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Forms

Many of the forms below are now, or will in the future be available in both MS Word and Adobe PDF format. To download and complete the Adobe PDF formatted forms Adobe Reader must be installed on your computer. If your computer does not have Adobe Reader, CLICK HERE to visit Adobe's website and download Adobe Reader.

NCWOA Membership Form

CLICK HERE for Membership Form - MS Word format
CLICK HERE for Membership Form - Adobe PDF

Book Order Form: Surface

CLICK HERE for Surface Book Order Form - MS Word format
CLICK HERE for Surface Book Order Form - Adobe PDF

Book Order Form: Well

CLICK HERE for Well Book Order Form - MS Word format
CLICK HERE for Well Book Order Form - Adobe PDF

Committee Volunteer Form

Committee descriptions are available by clicking on the "Committee" menu option on the left of this page.

CLICK HERE for Volunteer Form - MS Word format
CLICK HERE for Volunteer Form - Adobe PDF

Operator of the Year Nominations

Outstanding Operator of the Year

Basis for the Award: Any of the following reasons may qualify an operator:  outstanding proficiency in plant operations; records, and reports; exceptional organizational activities in the  award winner’s  facility, demonstrated educational practices or investigations leading to improvement of the profession; exceptional devotion to duty; and outstanding service to the Association

Eligibility for the Award: Must be a member in good standing of this Association and engaged in water treatment at least part time, on a regular basis.

CLICK HERE to download application form
Applications are due July 1, 2010

Certified Operator of the Year

Eligibility for the Award: Must be a member in good standing of this Association and must be actively engaged at least part-time in the technical (as opposed to the administrative) operation of the water treatment facility.)

Basis for the Award: To recognize at each level of certification (A Surface, B Surface, C Surface, A-Well, B-Well, C-Well, D-Well) a waterworks operator who has demonstrated outstanding ability and devotion and technical expertise in the operation of a water treatment facility.

CLICK HERE to download application form
Applications are due July 1, 2010


Laboratory Analyst of the Year Award

Object of the Award:  To annually recognize one person who has demonstrated outstanding ability in the field of drinking water analysis, and who has made exceptional achievements and contributions to the field of drinking water analysis and/or drinking water treatment

Eligibility for the Award:

1.  The candidate must be employed as one of the following:  A chemist;  A chemical and / or microbiological analyst at a drinking water facility; an employee at a drinking water facility, with duties that include performing the analysis of drinking water samples;  A position that involves working closely with the drinking water community.

2.  Candidates may be nominated by their co-workers, supervisors, or by someone who is familiar with the professional work of the candidate.

3. Candidates may win this award only once every 10 years.

CLICK HERE to download application form
Applications are due July 1, 2010

Educator of the Year Award

Object of the Award:  To recognize a person who has demonstrated outstanding devotion, service, and dedication to the Association and Waterworks Profession in the area education.

Eligibility for the Award:

1.  Characteristics of the candidate shall/may include: Have documented efforts in the area of Operator education; Be an engaging and inspiring presence in the area of Operator education; Demonstrate outstanding leadership in the area of Operator education; Demonstrate innovativeness with regards to Operator education.

2.  Candidates may be nominated by their co-workers, supervisors, or by someone who is familiar with the professional work of the candidate.

3.  Candidates may win this award only once every 10 years.

CLICK HERE to download application form
Applications are due July 1, 2010

Directory Advertisers Order Form

CLICK HERE to download 2009-2010 Advertisers Form - MS Word
CLICK HERE to download 2009-2010 Advertisers Form - Adobe PDF