FSAWWA Volunteer Form
Florida Section AWWA | 1300 Ninth Street | Suite B-124 | St. Cloud, FL 34769
Phone: 407-957-8448 | Fax: 407-957-8415 | Email:
Name of agency, government, utility or organization you represent:
Address:
City/County/State: / Zip:
Area Code/Phone No.: / Area Code/Fax No:
Email Address: / Website Address:
I am a member of AWWA: / The agency I represent is an AWWA member:
Yes No / Yes No
Areas of Interest: Select areas of interest (up to 5) by entering numbers 1 through 5 in the selected
boxes to indicate your level of interest (1 = most interested; 5 = least interested).
State Level (Councils):
Administrative Council:
1 2 3 4 5 General Awards
1 2 3 4 5 Landmark Awards
1 2 3 4 5 Membership
1 2 3 4 5 Annual Report
1 2 3 4 5 Top Ops
1 2 3 4 5 Scholarships
1 2 3 4 5 Charities (Water for People, EWB) / Technical & Education Council:
1 2 3 4 5 Distribution Systems/
Operator Training & Certification
1 2 3 4 5 Training
1 2 3 4 5 Water Quality & Resources
1 2 3 4 5 Water Use Efficiency
1 2 3 4 5 Distribution System
1 2 3 4 5 Information Systems / Manufacturers/Associates Council:
1 2 3 4 5 Membership Development
1 2 3 4 5 General Awards
1 2 3 4 5 Water Distribution System Awards
1 2 3 4 5 National Conference
1 2 3 4 5 Nominating
Fall Conference
1 2 3 4 5 Local Arrangements
1 2 3 4 5 Tapping Contest
1 2 3 4 5 Meter Madness
1 2 3 4 5 Golf Tournament
1 2 3 4 5 Exhibits
1 2 3 4 5 Technical Program
1 2 3 4 5 Marketing
Public Affairs Council:
1 2 3 4 5 Customer Service
1 2 3 4 5 Government Affairs
1 2 3 4 5 Youth & Education Outreach
1 2 3 4 5 Media Relations
1 2 3 4 5 Marketing and/or Graphic Artists
1 2 3 4 5 Website / Utility Council:
1 2 3 4 5 Membership
1 2 3 4 5 Legislative & Regulatory Policy
1 2 3 4 5 Legislative Day
Contractors Council:
1 2 3 4 5 Membership Development
1 2 3 4 5 General
State Level (Committees): / Regional/Local Level:
1 2 3 4 5 Florida 2030
1 2 3 4 5 Certification & Training Board
1 2 3 4 5 Diversity
1 2 3 4 5 Finance
1 2 3 4 5 Florida 2030
1 2 3 4 5 General Policy
1 2 3 4 5 International Affairs
1 2 3 4 5 Strategic Planning
1 2 3 4 5 Young Professionals / 1 2 3 4 5 Training & Education Council
1 2 3 4 5 Public Affairs Council
1 2 3 4 5 Utility Council/Legislative
1 2 3 4 5 Manufacturers/Associates Council
1 2 3 4 5 Contractors Council
1 2 3 4 5 Golf Tournament Committee
1 2 3 4 5 Model Water Tower Competition
1 2 3 4 5 Membership
1 2 3 4 5 Newsletter
1 2 3 4 5 Media Relations / 1 2 3 4 5 Safety
1 2 3 4 5 Awards
1 2 3 4 5 Administrative
1 2 3 4 5 Young Professionals
1 2 3 4 5 University Student Chapters
1 2 3 4 5 Water Conservation
1 2 3 4 5 Youth Education
1 2 3 4 5 Charities (Water for People)
1 2 3 4 5 Other:
Personal Information: / Birthday (Month/day):
Years Worked in Water Industry: / FSAWWA Member Since:
Committees/Agencies Served on:
Suggestions, Ideas and Comments Welcomed:
Email completed form to: