Limited number of scholarships (max $300) may be awarded towards WMG's Water Harvesting Certification course fee. Please complete the form below to request a scholarship for one of our upcoming courses. Your information First Name * Last Name * Phone Number * Phone Type CellPhone Phone Location BusinessHome Email * Email Location BusinessHome Street Address * City * Postal Code * State/Province * Country * United StatesArgentinaAustraliaBangladeshBelgiumCameroonCanadaChileColombiaCosta RicaDenmarkEthiopiaFranceGermanyIndiaIsraelMexicoNepalPeruSpainUnited Kingdom Event discovery * Traditional Media (Tv, Radio, Poster/Flyer, Newspaper) Web Media (Google, Facebook, Twitter, LinkedIn, Blog, ect) Personal Referral from a Friend or Colleague Referral from WMG Staff WMG Website Another WMG Event How did you find out about event Motivation for participation * Describe why you interested in participating in this course. How will you use your training in your work? (2-4 sentences) Related experience * What relevant skills, education, or training do you have that will prepare you for this course? (Please describe in 1-2 paragraphs) Preparedness * This course is rigorous intellectually (an extensive reading list, written homework assignments, and a fast-paced curriculum) and physically (four to eight hours of outside hands-on work per day). How well are you prepared to succeed in the course given this level of challenge? Please indicate any physical limitations so that WMG may accommodate them. Schedule conflicts * In order to earn certification, we require that participants attend all course sessions and complete all reading and written assignments. Can you commit to participating in the entire course? Do you have any possible conflicts during the course dates? Scholarship eligibility * We offer a limited number of scholarships (up to $300) to defray some of the cost of the course for participants in need. If you would like to be considered for a scholarship, please explain your financial need. How would a scholarship assist you in attending this program? Course availability * Which course are you applying for (city and dates)? If space is not available in the course, is there another session you would consider? Dietary preference * WMG provides some meals during the course. Please indicate any dietary restrictions we should be aware of (allergies, vegetarian, vegan, gluten-free, etc.). Certification final exam * To earn certification as a "Certified Practitioner" a score of 90% is required on a two part exam which includes 1) a site practicum administered the final day of the course and 2) a written exam completed at your convenience within 30 days of the course. Do you plan on completing the exam? Leave this field blank