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FINANCE DEPT . STAFF ONLY
LINE ITEM USED �mafrgo �x3 y cq ' 3 9
�
TRAVEL REQUEST FYdOi � BUDGETED
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST 16j
LEFT AFTER THIS
REQUEST / t5J
DATE
Original - Clerk/Finance Co - Department
NAME( S) AND POSITION(S): DATE :
Craig Denner — Facilities Specialist 1126/2018
Katy Moeller — Member Services/Aquatics Specialist
NAME OF CLASS / MEETING : DESTINATION : CedarFa/ls
2018-2019 Aquatic CEU Workshop
2018-2019 CPO Class DEPARTURE POINT
IF NOT WATERLOO :
DEPARTURE DATE : RETURN DATE:
FDATE(S) F MEETING :
1282019 1282019 1292018 & 1/302019 1292019 & 1/302019 019
PURPOSE OF TRAVELITRAINING :
Aquatic CEU goes towards keeping CPO up to date.
CPO is needed for pools
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $
YES NO
METHOD OF TRAVEL :
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM : SportsPlex
010-37-4180- 131'5 - 13Vb
ESTIMATE OF COST: $ 150
010-37-4200- 131 - r3q6
BUDGET LINE ITEM : $245
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
395. 00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISCITOLLS YES NO
150. 00 &
TOTAL FOR ALL: $ 395. 00 TOTAL : $ $245. 00 PER PERSON
1 BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WAMTLOO
NT HEAD/.HEAD MAYOR
// - Z6 - / 9,*� kms/ /
K:\Shared Goodies\FormsUravel Request Form January 2010
DATE DATE
10WA
��NECKK=M
2018 - 2019 Aquatic CEU Workshop Registration Form
1 ) Mail a copy(ies) of this form, with, payment to 2) Save time with a click!
Iowa Parks and Recreation Association Register securely on-line
P.O Box 906 Register one or more people on-line
Ames, IA 50010-0906 www.iapra.org
,3) Complete scan, email form to stove@iapra.org
Fee (please check one) $150 Non-IPRA Member $120 IPRA Member
0 Mail Payment Options (please check one)
Check -n-- Invoice — P.O #
VISA MasterCard Discover American Express
Credit card # Exp: /
Name as it appears on credit card: 3/4 Digit Security Code
Billing address of credit card :
City, State, Zip Code of credit card :
Please print all information clearly. Welcome letter will be mailed directly to the participant using the following
information you provide.
Participant's Name: CFAtr4 bENNEK Title: fAGhtstt SPCUiUISiIG
Participant's Business/Agency UDRZ *4L y SP(r�iSPt{x GIT t)Fy�fliCKIIX?
Participant's Mailing Address: 3QB �( iE,YSDtsT1ZEE (
Participant's City: q State: TA Zip: 5KMD1
Participant's Work Phone: (3t`t ) Z9I - OltnS Cell Phone: (315 ) 7JA - 92AI
Contact Person E-mail; Gru+go Cie.nnec yJo xto - i a . OYnf
Please 19 the workshop you will be attending :
#1 Wednesday, September 12 , 2018 (AM)Fort Dodge Best Western Plus 515-573-7177
#2 Monday, October 15, 2018 Burlington Pzazz-Fun City 319-237-1277
%#3 Monday, November 5 2018 Cedar Rapids Best Western Plus (Longbranch) 319-377-6386
#4 Monday, December 10, 2018 Davenport Best Western Plus 563-386-6900 "
#5 Monday, January 14, 2019 Dubuque Best Western Plus 563-557-8000
#6 Monday; January 28, 2019 Cedar Falls Clarion Inn/University Plaza 319-2772230
#7 Monday, February 11 ,` 2019 Sioux City Hilton Garden Inn 712-255-4200
#8 Monday, February 25, 2019 Altoona Adventureland Inn 515-265-7321
#9 Monday, March 11 , 2019 Coraluille Radisson Hotel 319-351 -5049
#10 Thursday, March 28, 2019 (AM) Des Moines Marriott (downtown) 515-245-5500
#11 Monday, April 8, 2019 Clear Lake Best Western Holiday"Lodge 641 -357-5253
#12 Monday,. April 29, 2019 Cedar Rapids 'Best Western Plus (Longbranch) 319-377-6386
#13 Monday, June 17, 2019 Fort Dodge Best Western Plus (Starlight Village) 515-573-7177
#14 Monday, July 29, 2019 Ames Quality Inn & Suites 515-232-9260
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FINANCE DEPT , STAFF ONLY
LINE ITEM USED _7_A0 /� 5 ;00 /34-(0
TRAVEL REQUEST FYA.M BUDGETED &00v
CITY OF WATERLOO EXPENDED YTD 3(/ I2
THIS REQUEST 00?6 �W
LEFT AFTER THIS
REQUEST .��2 �?
DATE yy/w //- ,Z40jr
Original - Clerk/Finance Co - Department
NAME(S) AND POSITION(S) : DATE:
Scot Reuter 11/29/18
NAME OF CLASS / MEETING : DESTINATION :
Water and Wastewater Operator Training Certification DEPARTURE POINT Waterloo
Program Basic Wastewater Training IF NOT WATERLOO :
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING :
12/05- 12/06 12/05/18 12/06/18
12/12- 12/13 12/12/18 12/13/18
PURPOSE OF TRAVELITRAINING :
Obtain his Grade 1
WILL TRAVEL REQUIRE ADDITIONAL x COST $
PERSONNEL:
YES NO
METHOD OF TRAVEL :
CITY VEHICLE x PRIVATE VEHICLE
AIRFARE DEPARTING
FROM :
ESTIMATE OF COST: BUDGET LINE ITEM : 520-14-5200-1346
LODGING TAXI x GRANT REIMBURSABLE
0 MEALS PARKING YES NO
$ 475. 00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION
MILEAGE/FUEL MISCITOLLS YES NO
TOTAL:
TOTAL FOR ALL: $ 475. 00 $ 475. 00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC I APPROVE THIS TRAVEL REQUEST
PURPOSE AND IS NECESSARY AND
BENEFICIAL TP THE CITY OF WATERLOO
r
DEP- MEN MAYOR
1117 ` f \ ?� 13 / ib
DATE DATE
Kirkwood Community College Continuing Education
Sponsorship Billing Authorization Form - Non-Credit Programs
Please complete and fax or mail prior to the start of your class.
6301 Kirkwood Blvd SW
Cedar Rapids, IA 52406-2066
Phone: (319)398- 1022 Fax: (3 19)398-7185
Date: Nov 29,2018
We authorize Kirkwood Community College Continuing Education to bill our company for the below listed student
and class(es). We will assume responsibility for tuition.
Student Name: scot Reuter
Student Address: street: 6710 LA Porte Rd
City: Washburn
State: IA zip: 50702 Phone: 319-291 -4553 ext 36ti
Student Gender: Male
Student Email Address:
Student SSN or Kirkwood ID #: a7a-oa-3989
Date of Birth: 11 -14-82
Course # Class Title Class Dates Class Tuition
99574 Basic Wastewater Training 12-05-18 Thru 12-13-18 $475.00
Please send the bill to the following name and address:
Companyname: city of waterloo/ WMs
Attention: Julianne
Address: 3505 Easton Ave -
Waterloo, IA 50702
Email Address: julianna.henrich@waterloo-ia.com
Phone: 319-291 -4553 ext3600
If you would like to pay by company credit card and not be billed please provide: El MasterCard ❑Visa
❑ Discover ❑AmericanExpress
CC#• Expiration Date: / Card ID (CVV2/CID) Number:
Card Holder Name:
Card Billing Address:
If this bill remains unpaid at the end of the class, the charges will revert back to the student's account and he/she will
be held accountable. The student will not receive CEU's or transcripts and will not be allowed to register until the
account is paid in full.
Please note: Under the Federal Right to Privacy Act, Kirkwood Community College cannot disclose any student
informati n witho he written consent (on a separate form) of the student.
J
St&dent Signature (required)
Authorized Company Signers printed name A orized signature (required)
jo
Water and Wastewater
Operator Training
CERTIFICATION
PROGRAMS
Kirkwood Community College provides com-
prehensive training for water and wastewater -
personnel. Training ranges from basic concepts
through advanced applications, offering water
and wastewater operators the skills necessary
to obtain certifications In compliance with state
regulations. The operator in charge of a water
or wastewater system must be certified at a
grade equal or greater to the classification of the
water or wastewater system. The State of Iowa -
Department of Natural Resources recognizes
the following courses for certification in Water
Treatment, Water Distribution and Wastewater. Basic Wastewater Training Basic Water Distribution Training
Recommended for: Grades 1-2 (3.0 Wastewater Recommended for: Grades 1-2 (3.0 Water
Certification, Recertification and Upgrade) Distribution, Certification, Recertification and
Basic Training Water Treatment This entry-level classroom instructor course Upgrade)
Recommended for: Grades 1-2 (3.0 Water will present the basics of wastewater sources, This entry-level classroom instructor course will
Treatment Certification, Recertification and characteristics, operations and regulations. present the basics of water distribution and will
Upgrade) The topics covered include biological treatment cover: sources of water, principles of design,
This is a comprehensive course designed to principles, wastewater math, and overview of installation, operation and maintenance pipes,
teach the student the principles of water treat- the operation of preliminary, primary and sec- valves, meters and other related hydraulic units.
Trent plant operations. The course will cover ondary treatment operations. This course and Operation and maintenance safety consider-
sources of water, the treatment process, plant six months' experience satisfies the eligibility ations emphasized. This course and six months'
operations, safety, water quality regulations and requirements needed to take the state Waste- experience satisfies the eligibility requirements
waterworks math. This course and six months' water Treatment Plant Operator Grade 1 exam. needed to take the state Water Distribution Op-
experience satisfies the eligibility requirements This is also a good review for those preparing to erator Grade 1 exam.
needed to take the state Water Treatment Plant take the Wastewater Treatment Plant Operator ETCT-4000 / 4 sessions / $475
.... ... ... . ... . . ... ... .. ... . . . ... . . .. . . ... . . . . ... . ... ... . ... . .... I .. . . . .... .
Operator Grade 1 exam. This is also a good re- Grade 2 exam. >99556 Wed/Thu 8:30am-4:30pm Sep 5-Sep 13
view for those preparing to take the Water Treat. ETCT-4100 / 4 sessions / $475 Guy Hawkeye CC Business Community
... . .. . .... ... . .... .._ . . .. .... . ... .... . ... .. . . ... . _ . ..._.. . .... . ... . . . . . .
ment Plant Operator Grade 2 exam . >99570 Thu/Fri 8:30am-4:30pm Oct 18-Oct 26 Education Center 111
. .... ... .... .... . .. . . .... . .... . . ... . .... ..a ..... .. . ... . .. . .... . ... . ...
ETCT-4050 / 4 sessions / $475 McCleary Kirkwood Continuing Education Training >99562 Wed/Thu 8:30am-4:30pm Nov 7-Nov S5
. ...... . . . . . .. . . .... ... ..... ... . . ... . . ... . .... . . .... . . .. . . ... . ... .. . . .. .. . . . y g a
>99627 Thu/Fri 8:30am-4:30pm Sep 20-Sep 28 Center 1102 Guy Kirkwood Continuing Education
McCleary Kirkwood Continuing Education Training >99573 Wed/Thu 8:30am-4:30pm Nov 7-Nov 15 Training Center 1102
.. . . .. .... . .. . .... . .. . ..... . ..... .... . .... ... .. .. . .. . . .. .... . ... . . .. . . . . .. . . :.
Center 1102 Brown Northeast Iowa Community College - >99559 Wed/Thu 8:30am-4:30pm Mar 6-Mar 14
>99631 Wed/Thu 830am-4:30pm Oct 10-Oct 18 Peosta Campus NECAS Center Roam Ag 3 Brown Northeast Iowa Community College -
. . .. . .... . . ..... . . . .. . . . . I ..a .... . ... ... . .. .. .. . ... . ... . .
Guy Hawkeye CC Business Community >99574 Wed/Thu 8:30am-4:30pm Dec 5-Dec 14yv� Peosta Campus NECAS Center Room Ag 3
Education Center 112r1Y-tN! . .. . . ._ ... . ... . . . .. . ..I.. ..... . . ... I ._ . ... .... . .. . . . . . WWII ... . . ._ ..... . . .
7�uy Hawkeye CC Business Community >99561 Wed/Thu 8:30am-4:30pm Mar 20-Mar 28 !;
...... . ...... . ..... ... ... .. ... .. . _ .. ......- .. .... . . . .. . .... . ._ .. . ... . +
>99632 Wed/Thu 8:30am-4:30pm Oct 31-Nov 8 Education Center 111 Guthrie Western Iowa Tech Community
. ... .... . ... . . . . . ... . . ... . ... . .... ... . ... . . . ... . ... . ... . . ...... . . . . . ... ;
Guthrie Western Iowa Tech Community College >99578 Wed/Thu 8:30am-4:30pm Jan 16-Jan 24 College 301
. . . . .. . . .. .... . .... ..... . .... ..... . . .. .. ... .. .. . .. . .. . .. . .... . .... ..... . . ...
301 Guthrie Western Iowa Tech Community College >99564 Wed/Thu 8:30am-4:30pm Apr 17 Apr 25
>99634 Wetl/Thu 830am-4:30pm Dec 5-Dec 13 301 Gu Iowa Valle Community College Continuing
.. . ... . ... . . ......A .... . . .. . ... . . .. . . .. .. . ... ... . . ... . . .. . ... . . .. . . Y Y g g
Brown Northeast Iowa Community College - >99580 Wed/Thu 8:30am-4:30pm Feb 13-Feb 21 Education Conference Ctr Rm 614
Peosta Campus NECAS Center Room Ag 3 . .. . . . .. . . .. . ... . . ... ..... . .... . . . .. . . .... .. . .. .. ... . ... . ... . .... . . . .. . . ....
Guy Iowa Valley Community College Continuing >99667 Thu/Fri 8:30am-4:30pm May 2-May 10
>99635 Wed/Thu 8:30am-4:30pm Jan 9-Jan 17 Education Conference Ctr Rm 614 McCleary Kirkwood Continuing Education Training
Guy Iowa Valley Community College Continuing >99582 Wed/Thu 8:30am-4:30pm Mar 20-Mar 28 Center 1102
Education Conference Ctr Rm 614 Guy Iowa Valley Community College Continuing
. . . . . . ...... . . . ... . ... ... .. . . .. . . .. . . .... ...... . . . ... . ... . .... . .. ... . . ..
>99636 Thu/Fri 8:30am-4:30pm Feb 7-Feb 15 Education Conference Ctr Rm 614
McCleary Kirkwood Continuing Education Training >99584 Thu/Fri 8:30am-4:30pm Apr 4-Apr 12
Center 1102 McCleary Kirkwood Continuing Education Training
....... . . .. . ... . . . .. . ... . ..... . . .. . .. ... . ..... . ..... . . .. . . .. . . .. . .. . ....
>99637 Wed/Thu 8:30am-4:30pm Apr 3-Apr 11 Center 1102
. . . .. . . . .. . . . .. . . . .. . .... . .. . . .. . .. .. ... . .. ... .... . .. . . ... . . ..... . .. . . . ... ..
Guthrie Western Iowa Tech Community College 301 >99586 Wed/Thu 8:30am-4:30pm May 15-May 23
>99639 Wed/Thu 8:30am-4:30pm Jun 5-13 Guy Hawkeye CC Business Community