If you are human, leave this field blank.Personal InformationFirst NameLast NameAddress *CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codePhone *EmailIOWPA Member InformationInformationApplicants for the Ralph Reed Scholarship are required to either be a dependent of a current IOWPA member or be sponsored by a member. Please include the IOWPA member sponsor name and company below. If you believe you meet all other eligibility requirements except for this this portion and don’t know an IOWPA member, please contact info@iowpa.org. Member Name *Member Company Name *Member PhoneMember EmailEducationHigh School Name *Graduation Date *CityGPAHigh School Transcripts Upload *College / University InformationIs this your first year of higher education? *YesNoIf “No,” college transcript is requiredIf “No,” indicate credit hours completed If “No,” indicate credit hours required to graduate School Name *CityStateMajor Course of study *Priority will be given but is not limited to water/wastewater related studies.Please indicate:4 Year College/UniversityVocation/Technical School2-Year Community/Junior collegeOther: SpecifyIf you are receiving other financial aid please itemize by name and amount:NameAmountNameAmountNameAmountEssayOn a separate document, in 500 words or less, write a brief essay on your goals as they relate to your education, career, and future plans. Upload below. *Headshot/Photo *CertificationIn submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge and I acknowledge that typing my name in the signature fields below is signing the form. False information will result in revocation of any scholarship granted.Applicant’s Name (Signature) *Date *Official Rules Scholarships are awarded for $750 to help defray the cost of tuition, room, and board at an accredited institution of higher learning approved by the IOWPA Board of Directors. Up to (3) three scholarships may be awarded annually. Recipients may apply for the scholarship each year of schooling, though preference may be given to first-time applicants. Recipients applying again should include transcripts of previous year indicating coursework and a declared major in the water quality industry. Students must be pursuing education in a career that relates to the industry, both in four-year degree programs, two-year programs, and vocational/technical programs. Areas of study that will receive priority include, but are not limited to, the following: Environmental Science/Engineering Public Health Soil Science/Agronomy Water Quality Science Hydrology Agricultural/Biological Engineering Excavation/Construction Technology Any student who is either a dependent of an IOWPA member or submits a recommendation from an IOWPA member will be eligible to apply for the Scholarship. Applications should be completed in their entirety and submitted no later than March 31 each year. Awards will be sent directly to the institution to be applied to the recipient’s account and will be disbursed prior to the fall semester. IOWPA does not discriminate or request information to make award decisions based on ethnicity, national origin, gender, identity, sexual orientation, disability, religion or age, in accordance with federal anti-discrimination laws and the statutes. Headshots are requested for use in the announcement of scholarship winners. By submitting a headshot, applicants agree to the use of their likeness in IOWPA communications including the IOWPA website, printed publications, and email communications. Captcha *reCAPTCHA is required.Submit