Name * Address * City * State * AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code * Phone * Email * Please indicate your training video format preference Online DVD Please indicate your t-shirt size - None -smallmediumlargex-largexx-large Stream information Name of stream you would like to monitor County where stream is located Nearest town Number of miles from nearest town, in which direction Where did you hear about this program? - None -Department of Natural ResourcesSoil and Water Conservation DistrictState ParkMaster NaturalistMaster Water StewardsSurface Water Assessment Grant ProjectBoundry Waters JournalBoundry Waters OutfitterNewspaperRadioTVTwitterFacebookInstagramVolunteer MatchEnvironmental Learning CenterLibraryBoat dealer4HOutdoor NewsOther VolunteerOther If "other" please describe Comments or questions Tennessen warning: The Minnesota Pollution Control Agency (MPCA) is committed to protecting volunteer information. By providing the abovementioned information to the MPCA Citizen Monitoring Programs, the MPCA is obligated to tell you that some of the information is classified as private data per state law and rules. The MPCA is legally bound to restrict access to your private information to CMP program staff and to those entities/persons authorized by court order or law. You are not legally required to provide private information; however, in this instance it is impossible for us to work and communicate with volunteers without this information. Should you have any concerns, please contact us at clmp.pca@state.mn.us or csmp.pca@state.mn.us. (References: Minn. Stat. § 13.02, subd. 12; Minn. Stat. § 13.43; Minn. R. 1205.0200, subp. 9; and Minn. R. 1205.0400) Leave this field blank Submit
