Region 9 (Waco) Operator Exam: Registration Form

Special Instructions

Wastewater exam starts at 9 a.m.; Water operator exam, at 1 p.m.

First-time exam applicants should arrive 30 minutes prior to the above times to fill out the application form

Map, Accommodations, and Directions to the Waco Regional Training Center

Please fill out the following form to register for the test. * indicates a required field.

If registering under the Texas Small Public Water System Training Program, list the attendee’s TSPWS number after his or her name.

Agency*

Address*

City*

State*

ZIP Code*

Person to Attend First Name*

Person to Attend Last Name*

Exam Date* -- Please Select an Exam Date -- November   17, 2008      08:30 AM   Wastewater Opr November   17, 2008      12:30 PM   Water Opr December   15, 2008      08:30 AM   Wastewater Opr December   15, 2008      12:30 PM   Water Opr January   20, 2009      08:30 AM   Wastewater Opr January   20, 2009      12:30 PM   Water Opr February   17, 2009      08:30 AM   Wastewater Opr February   17, 2009      12:30 PM   Water Opr

TSPWS Number

Type/Level of Test*   

Retest?

YES NO

Additional Attendee First Name*

Additional Attendee Last Name*

TSPWS Number

Type/Level of Test*   

Retest?

YES NO

Additional Attendee First Name*

Additional Attendee Last Name*

TSPWS Number

Type/Level of Test*   

Retest?

YES NO

Additional Attendee First Name*

Additional Attendee Last Name*

TSPWS Number

Type/Level of Test*   

Retest?

YES NO

Additional Attendee First Name*

Additional Attendee Last Name*

TSPWS Number

Type/Level of Test*   

Retest?

YES NO

Person Sending Registration*

E-mail Address*

Work Phone Number*

Fax Number

   

Contact
TCEQ Waco Regional Office
Priscilla Symank and Glinda Baker
6801 Sanger Ave, Ste. 2500
Waco, TX 76710
254-751-0335, 254-772-9241 fax