Online registration form for Safety Training

First Name:

Last Name:

Email: *Valid Organizational email address(e.g.: UCSD, VA, SALK) and not a personal email address. Please only use your own email address.

Phone:

Organization:

UCSD

SDSU

VMRF

Scripps

Other:

Department:

Job Title:

PI Name: (Must be in Firstname Lastname format)

PI Email:

Will you require operator training?:

Yes (Your PI must also submit a Operator Training request form)

Have you attended this safety lecture before?:

Yes

Note: The email address should be a work or educational address and not any of the follow domains: hotmail, yahoo, gmail, msn, aol, earthlink, etc.
Please do not use commas in any of the fields.

Note: If you do not attend the next scheduled Safety Training Lecture, you will need to register again.

NOTE: Please bring a printed copy of the safety manual (PDF) and supplementary guidelines (PDF) to the safety lecture.