Form testing Annual Membership Scheme - Water Stewardship Ireland. "*" indicates required fields Personal Detailsindicates required fieldsName* First Last Phone*Email* Country of Residence*Please choose...AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsGender Male Female Company Detailsindicates required fieldsCompany Name* What is your job title?* Company Address* Street Address Address Line 2 City Stay ConnectedWhat is your occupation category?* Owner / Manager Technician / Technical Semi Skilled Professional Managerial / Supervisor Operative Level Can you please confirm your sites annual consumption of water:* Not applicable Band 1 Less than 1,000m3 Band 2 Between 1,000m3 and 19,999m3 Band 3 Between 20,000m3 and 249,999m3 Band 4 Equal to or greater than 250,000m3 How did you hear about this programme? Irish Water KAM Lean & Green Skillnet Water Stewardship Ireland SEAI Origin Green Chambers Ireland IBEC Other If other, please specify:* Stay connected Yes, I’d like to occasionally receive updates on training, events and other relevant news No, I do not want to receive updates on training, events and other relevant news PhoneThis field is for validation purposes and should be left unchanged. BIM Water Stewardship Support Programme "*" indicates required fields Name* First Last Phone*Email* Company Name* What is your job title?* Stay connected Yes, I’d like to occasionally receive updates on training, events and other relevant news No, I do not want to receive updates on training, events and other relevant news EmailThis field is for validation purposes and should be left unchanged. Water Stewardship for SMEs "*" indicates required fields Your Detailsindicates required fieldsName* First Last Phone*Email* County of Residence*Please choose...AntrimArmaghCarlowCavanClareCorkDerryDonegalDownDublinFermanaghGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryTyroneWaterfordWestmeathWexfordWicklowGender Male Female Age range*Please choose...<2020-2425-2930-3435-3940-4950-59>60Please select your highest attainment level on the National Framework of Qualifications (NFQ)*Please choose...No Qualification per NFQNFQ 1 Certificate HonoursNFQ 2 CertificateNFQ 3 Junior CertificateNFQ 4 Leaving CertificateNFQ 5 Leaving CertificateNFQ 6 Advanced/Higher CertificateNFQ 7 Ordinary Bachelor DegreeNFQ 8 Honours Bachelor Degree/Higher DiplomaNFQ 9 Masters Degree/Post Graduate DiplomaNFQ 10 Doctoral DegreeOccupation category* Managerial / Supervisor Professional Semi Skilled Technician / Technical Skilled Manual Operative Level Non-Manual Owner Manager Company Detailsindicates required fieldsCompany Name* Company Address* Street Address Company County*Please choose...AntrimAntrimArmaghCarlowCavanClareCorkDerryDonegalDownDublinFermanaghGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryTyroneWaterfordWestmeathWexfordWicklowCountry*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsSector*Please choose...AgricultureAviationBusinessConstructionEngineeringEnvironmental Goods & ServicesFood & DrinkGreen TechnologyHealthICT Manufacturing & ServicesFinancial ServicesLegalLife SciencesManufacturingMedia/AudiovisualMixedPharmaceuticalRetailServicesTechnologyTourism & TravelTransportationVisual ArtsWholesale TradeOtherAverage Number of Employees*Please choose...0-910-4950-250250+Please confirm you are an Irish Water customer* Yes No Can you please confirm your sites annual consumption of water:* Not applicable Band 1 Less than 1,000m3 Band 2 Between 1,000m3 and 19,999m3 Band 3 Between 20,000m3 and 249,999m3 Band 4 Equal to or greater than 250,000m3 Primary WPRN (Water Point Reference Number):* Stay ConnectedHow did you hear about this programme? Irish Water KAM Lean & Green Skillnet Water Stewardship Ireland SEAI Origin Green Chambers Ireland IBEC Other If other, please specify:* Stay connected Yes, I’d like to occasionally receive updates on training, events and other relevant news No, I do not want to receive updates on training, events and other relevant news EmailThis field is for validation purposes and should be left unchanged. Certified Water Steward "*" indicates required fields Your detailsName* First Last Mobile Phone*Email* County of Residence*Please choose...AntrimArmaghCarlowCavanClareCorkDerryDonegalDownDublinFermanaghGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryTyroneWaterfordWestmeathWexfordWicklowGender Male Female Age range*Please choose...<2020-2425-2930-3435-3940-4950-59>60Please select your highest attainment level on the National Framework of Qualifications (NFQ)*Please choose...No Qualification per NFQNFQ 1 Certificate HonoursNFQ 2 CertificateNFQ 3 Junior CertificateNFQ 4 Leaving CertificateNFQ 5 Leaving CertificateNFQ 6 Advanced/Higher CertificateNFQ 7 Ordinary Bachelor DegreeNFQ 8 Honours Bachelor Degree/Higher DiplomaNFQ 9 Masters Degree/Post Graduate DiplomaNFQ 10 Doctoral DegreeWhat is your occupation category?* Owner / Manager Technician / Technical Semi Skilled Professional Managerial / Supervisor Operative Level Non-Manual Skilled Manual Company detailsCompany Name* What is your job title?* Company HR/Training Contact Name* Company HR/Training Email* Company Address* Street Address Company County*AntrimArmaghCarlowCavanClareCorkDerryDonegalDownDublinFermanaghGalwayKerryKildareKilkennyLaoisLeitrimLimerickLongfordLouthMayoMeathMonaghanOffalyRoscommonSligoTipperaryTyroneWaterfordWestmeathWexfordWicklowCountry*Republic of IrelandUnited KingdomOtherSector*Please choose...AgricultureAviationBusinessConstructionEngineeringEnvironmental Goods & ServicesFood & DrinkGreen TechnologyHealthICT Manufacturing & ServicesFinancial ServicesLegalLife SciencesManufacturingMedia/AudiovisualMixedPharmaceuticalRetailServicesTechnologyTourism & TravelTransportationVisual ArtsWholesale TradeOtherAverage Number of Employees*Please choose...0-910-4950-250250+Please confirm you are an Irish Water customer* Yes No Can you please confirm your sites annual consumption of water:* Not applicable Band 1 Less than 1,000m3 Band 2 Between 1,000m3 and 19,999m3 Band 3 Between 20,000m3 and 249,999m3 Band 4 Equal to or greater than 250,000m3 Primary WPRN (Water Point Reference Number):* Additional WPRN I have more than one WPRN for my business Please confirm if your site is (tick all that apply)* An Enterprise Ireland client company A member of Origin Green A member of Water Stewardship Ireland None of the above Stay ConnectedHow did you hear about this programme? Irish Water KAM Lean & Green Skillnet Water Stewardship Ireland SEAI Origin Green Chambers Ireland IBEC Other If other, please specify:* Stay connected Yes, I’d like to occasionally receive updates on training, events and other relevant news No, I do not want to receive updates on training, events and other relevant news CommentsThis field is for validation purposes and should be left unchanged.
