MWS Application The application period is now closed. Contact Alex Van Loh with questions. Name* First Last I prefer all correspondence sent to:* Home Business Home Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Business Address (if applicable) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone Number*Cell Phone NumberWork Phone Number (if applicable)Preferred Email* Partner organization or area of residence* Capitol Region Watershed District Ramsey Washington Metro Watershed District Rice Creek Watershed District Mississippi Watershed Management Organization Lower Mississippi River Water Management Org Riley Purgatory Bluff Creek Watershed District 9 Mile Creek Watershed District Vermillion River Watershed Vadnais Lake Area Watershed Management Organization Minnehaha Creek Watershed District City of Eagan Brown's Creek Watershed District Hennepin County Carnelian-Marine-St. Croix Watershed District Comfort Lake-Forest Lake Watershed District Middle St. Croix Watershed Management Organization South Washington Watershed District South Eastern MN Outstate/Other Tuition and Project Costs* I accept that I am responsible for raising some funds for a Capstone Project (your partner organization will provide some opportunity for all of the cost depending on the district grants) I have attended an information session, or commit to attending one, prior to the start of class. Which area interests you and represents your community most?* Urban stormwater pollution Rural stormwater pollution Water conservation/groundwater How did you hear about the Minnesota Water Stewards Program?*Why are you interested in becoming a Minnesota Water Steward?*Please list any community organizations in which you participate, positions held and relevant accomplishments. Please list your public speaking and meeting facilitation skills and experience.*Indicate your proficiency in E-mail:*LowAdequateProficientIndicate your proficiency in Microsoft Office (Word, Excel, PPT):*LowAdequateProficientIndicate your proficiency in Internet/Social Networking*LowAdequateProficientPlease list any other relevant computer or non-computer skills or interests:What do you expect to gain from your participation in the Minnesota Water Stewards Program?*What changes are you hoping to effect in your community? Do you have a project in mind already? If so, please tell us about it.*Do you have any conflicts with the class dates as published?*Class Dates HereReferred by (if applicable):Letters of Recommendation attached (if applicable)Max. file size: 50 MB.E-Signature*I understand and agree to the program requirements as stated on the Applicant Information Sheet.
