Form Mde/wma/bww/oper - Application For Operator Examination
Download a blank fillable Form Mde/wma/bww/oper - Application For Operator Examination in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Mde/wma/bww/oper - Application For Operator Examination with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2MARYLAND BOARD OF WATERWORKS
AND WASTE SYSTEMS OPERATORS
1800 Washington Blvd, Baltimore MD 21230
410-537-3167 * 1-800-633-6101 x- 3167
APPLICATION FOR OPERATOR EXAMINATION
(Please print or type all information)
I. GENERAL INFORMATION
Name: _______________________________________________________________________________________
Address: _______________________________________________________ City: _________________________
State: ________________________Zip:_______________________Telephone: ___________________________
Certification No: ____________________________Expiration:_________________________________________
II. CATEGORY AND CLASS EXAMINATION APPLYING FOR (Circle Below)
Wastewater Treatment (W)
1
2
3
4
5
6
S
A
Water Treatment (T)
1
2
3
4
5
G
Water 5 Option:__________
(For Water 5 write RO, DE, Arsenic or GWUDI)
Industrial Wastewater (I)
1
2
3
4
5
6
7
Wastewater Collection (C)
1
2
Water Distribution (D)
1
Board Examination Schedule (Available on MDE’s Website):
works/Documents/BWW_EXAMINATION_SCHEDULE.pdf
Preferred Date/Location of the Exam: _______________________________
Paper based exam (select one)________________
Computer based exam(select one)____________
Fee included: Yes____ No____
Amount* ________
Check No. __________________________
The examination fee is $100.00 per examination.
Mail application and check to: Maryland Department of the Environment, P.O. Box 2057,
Baltimore, Maryland 21203-2507.
There will be an additional fee if you choose a computer-based examination. That fee will be
paid when you register for the online exam through the testing agency (AMP).
Certificate currently held:
Operator in Training: __________
Operator: _______________ Superintendent: ___________
MDE/WMA/BWW/OPER
Page 1 of 2
Revision Date (10/14)
Recycled Paper
TTY Users 1-800-735-2258
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business