NARRAGANSETT

WATER POLLUTION

CONTROL ASSOCIATION

Training Scholarship Program Application<= /u>

Name:&n= bsp; ______________________________________________

Title: &= nbsp; ________________________________= ______________

Entity: &= nbsp; ____________________________________________= __

Street: &= nbsp; ____________________________________________= __

City/Town: ___________= ___________________________________

Phone: &nb= sp; __________= ____________________________________

Fax: &= nbsp; __________________________= ____________________

Describe your current position in wastewater treatment (or attach a job description)= : __________________________________= ___________________________________________________________________________= ___________________________________________________________________________= ___________________________________________________________________________= _____________________________________________________________

Provide the title of the course you are seeking a scholarship for as well as the na= me of the training provider:

__________________________________________________________________________= ___________________________________________________________________________= ___________

¨ = Attach one page written summary on your reason for applying for this scholarship a= nd why you feel that attending this course or training seminar will help you in yo= ur current position.

¨ = Attach written certification from your supervisor that this course or training was= not paid for by another entity.

¨ = Attach proof of attendance and/or a passing grade for the course or training semin= ar for which you are seeking the scholarship.

____________________________________ _______________________________________

Applicant's Signature &nbs= p; &= nbsp; Supervisor&= #8217;s Signature &nbs= p;

________________________________= _____

Date

= &nb= sp; = &nb= sp; Scholarship Program Guidelines

PURPOSE: &= nbsp; The Narragansett Water Pollution Control Association (NWPCA)’s training scholarship program was developed to provide assistance to NWPCA members who wish to advance their skills in the field of wastewater operations and maintenance. Scholarship winn= ers will be reimbursed for expenses related to training seminars or courses rel= ated that broaden their understanding wastewater operations and maintenance, including collections systems.

SCHOLARSHIP AWARDS: The NWPCA w= ill award any number of training scholarships to any number of individuals up t= o a maximum of $1,000 disbursed per year. The awards will be made on a first-come, first-served basis. The application process will be co= ntinuously open and ongoing until budgeted funds are fully expensed in a given year.

ELIGIBILITY:&n= bsp; All NWPCA members are eligible to participate.

APPLICATION GUIDELINES:

In order to be eligible for the Scholarship Pr= ogram, a completed application must be submitted to Janine Burke, Secretary, = at the Narragansett Water Pollution Control Association, P.O. Box 8805, Crans= ton, RI 02920.
A one page summary, to be completed by applicant, must be submitted on w= hy he/she feels that attending the course will help them in their current position in wastewater treatment.
A written certification that the cost of the course or training was not = paid for by another entity must to be attached to the application.
The application must be co-signed by the applicant’s supervisor.
NWPCA will limit one (1) scholarship per member per year.
Scholarship will cover the cost of the seminar, transportation, hotel accommodatio= ns, and meals.
Scholarship winners will be determined by a committee composed of members of the B= oard of Directors.
Winners will be notified in writing. All awards are final.

Applications are available at NWPCA web site at www.= rinwpca.org.

&= nbsp; &nbs= p; For further information regarding NWPCA's scholarsh= ip program contact:

Janine Burke, Secretary

Narragansett Water Pollution Control Association

P.O Box 8805

Cranston, RI 02920

(401) 822-9228

janine.l.burkr@warwickri.com<= /a>