Form List

Print
Press Enter to show all options, press Tab go to next option

Avondale Citizen Water Alliance Academy Enrollment Request

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

Thank you for your interest in being an inaugural member of the first ever Avondale’s Citizen Water Alliance (ACWA) Academy.  The 2019 Academy has reached maximum enrollment. We are currently adding names to a waiting list, in case seats become available.  If we are not able to accommodate your request this year, you will be contacted first to fill available seats in the 2020 Academy.  We request that you please complete and submit the enrollment form below.  Someone will contact you with details.  The four sessions in 2019  with be held on Wednesday, August 7, August 21, September 11 and September 25  from 5:00 to 7:30 p.m. at the city’s Municipal Operations Center, 399 E. Lower Buckeye Rd.  A light dinner will be served at each session. Academy graduates will be recognized at a City Council meeting in October.

Enrollment is free.  Space is limited and open on a first-come, first served basis!

1
Participant Information
 *
Participant Information
2
Tell Us About You
 *
Tell Us About You
3
Reason for Applying:
 *
4
How did you hear about the Avondale Citizen Water Alliance (ACWA) Academy?
How did you hear about the Avondale Citizen Water Alliance (ACWA) Academy?
5
If you were referred by someone, please provide their name:
  1. To receive a copy of your submission, please fill out your email address below and submit.