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Available to be a Mentor

Please complete the following questionnaire if you are interested in being a "mentor" (provider of guidance to another entity). Once you have completed this form, you will be placed on the Mentor list. Once a match in expertise and needs is identified, a representative from the Council will contact you.

In the Field of: Water Wastewater or Both

Name:

Employer:

Position:

Years of Experience:

Mailing Address:

City: Zip Code:

Telephone:

Fax:

Cell:

Email Address:

Availability: (check all that apply):

Area(s) of Expertise: (check all that apply)


Regulations:

Treatment: Operation and Maintenance: Administraton: Laboratory: Safety/Security:

Other area:

Operator Certification:

Comments:


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Contact information remains confidential while we match you with a mentee. Contact information is only released once a mentorship has been agreed upon by both the mentor and the mentee.