NeRWA Training Registration
Nebraska Rural Water Association
Wastewater Training Class
Online Registration
 
Fields marked with an asterisk (*) are required
 
*Name:
 
*Address:
 
*City:
 
*State:
 
*Zip Code:
 
*System/Company:
 
Telephone:
 
Email Address:
 
*License Information *Primary Job Function
 
Are You Licensed? Yes No Number Lagoon Operator
 
Treatment Plant Operator
 
Board Member
 
Other
 
*Class Attending:
 
If you have questions or comment/s,
please provide them in the area provided,
thank you.