Water Career Explorer *

Did you take the Career Interest Survey, review the Career Maps, and complete the Water 101 course found at https://twt.juliusexplorer.com/? If not - please do that before submitting this form.

Yes

No

HS Diploma or GED *

Do you have, or are you working toward, a High School Diploma or GED? (required for all training programs)

I have a HS Diploma or GED

I am working toward a HS Diploma or GED

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Enter required value

Postal Code *

Email *

Phone *

Date of Birth *

Gender Identity

Ethnicity

Hispanic or Latino Non-Hispanic or Non-Latino

Race (Select all that apply)

Black/African American

Asian

White/Caucasian

American Indian/Alaskan Native

Native Hawaiian/Other Pacific Islander

Other/Multi-Racial

Special Requirements/Accommodations Needed (If none, type N/A) *

Schedule Availability

Monday	Tuesday	Wednesday	Thursday	Friday
AM PM	AM PM	AM PM	AM PM	AM PM	Del

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Graduation/GED year of Completion *

What year did you receive your HS Diploma or GED? If you are High School or a GED program, please provide anticipated Graduation/Completion (Month and Year)

How did you hear about our program? *

Course Selection *

If you know which class you are most interested in, please choose from the dropdown list. If you are uncertain, or would like information on all of the classes, please select "Undecided." 

Enter required value Water or Wastewater Operator Plant Maintenance Technician Water or Wastewater Laboratory Analyst Distribution or Collection System Operator Undecided