Citizens Water Academy Application

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2018 Citizens Water Academy

Wednesday Evenings, 6 to 9 p.m., March 14, April 11, and May 9, 2018

Eligibility: The Citizens Water Academy is a free program but seating is limited. Participants must be current DSRSD water or sewer customers, be at least 18 years old, and commit to attend all three sessions.

Deadline to Apply: March 1, 2018. DSRSD will confirm your acceptance by email.

Please correct the field(s) marked in red below:

Participant Information
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Participant Information

Why do you want to attend DSRSD’s Citizens Water Academy? Check all that apply.

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Why do you want to attend DSRSD’s Citizens Water Academy? Check all that apply.
In accordance with the Americans with Disabilities Act and state law, we offer this course in a manner that is readily accessible to everyone, including those with disabilities.
Do you require any special accommodations? (Note: all sessions include a bus tour.)
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Do you require any special accommodations? (Note: all sessions include a bus tour.)

Commitment Statement
Check the box for each response and enter Yes in the field below. All boxes must be checked.

If selected to attend the Citizens Water Academy, I commit to the following requirements: 

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Commitment Statement Check the box for each response and enter Yes in the field below. All boxes must be checked. If selected to attend the Citizens Water Academy, I commit to the following requirements:
If you have questions about the Citizens Water Academy, please contact Sue Stephenson, DSRSD Community Affairs Supervisor, at 925-875-2295 or stephenson@dsrsd.com 
  1. To receive a copy of your submission, please fill out your email address below and submit.