Student Application

PLEASE NOTE: You are going to need to have your certifications handy. So you can enter the certification number and its expiration date(THESE ARE REQUIRED FOR RECERTIFICATION). If you are trying to submit your application, ALL boxes need to be completed before hitting submit. If you do not completely fill out your application and hit submit, the page will be refreshed with notes describing which sections need to be completed. Additionally, if you do not have a middle name, you do not have to enter an initial.

Student Information

First Name:

Middle Initial:

Last Name:

Address:

City:

State:

Zipcode:

Phone Number:

Email Address:

Employer Information

Company Name:

Position/Title:

Length in position:

Address:

City:

State:

Zipcode:

Phone Number:

Email:

I acknowledge that I meet the prerequisite for this certification class:

Minimum of five years of water industry experience:

Please list current certification(s) and/or experience. In this section if you have an ABPA or ASSE Certification, please input your certification number and the expiration date for each certification:

Class Location:

Class Date:

Class Type:

Please type your first and last name to confirm your application:

Date:

PLEASE NOTE: If you are going to be paying for registration fees for classes in Durango, CO, you will have to checkout twice. Please make sure you select the "class only" option that correlates with the class you registered for. This is different because we have both ABPA and ASSE certification classes in Durango. The class fee for either ABPA or ASSE are the same. It is the exam fees that are different. If you are doing the ASSE certification, you will pay through the one of the ASSE Exam Fee options based on your certification type. If you are going to be doing ABPA certification, the link for the registration and payment is ABPA Events

Student Application

Student Information

Employer Information

Make a Payment:

Enter Student's Name:

Choose Your Type of Certification:

Student Application

Student Information

Employer Information

Make a Payment:

Enter Student's Name:

Choose Your Type of Certification: Select One Pueblo: New Certification Pueblo: Recertification Repair Durango: New Certification Class Only Durango: Recertification Class Only Durango: New Certification ASSE Exam Fee Durango: Recertification ASSE Exam Fee Surveyor & Specialist

Choose Your Type of Certification: