EHS/RPO Event Pre-Registration Form

1. Please select a type of event (i.e. Lab Safety Training)

Training type:

*required
2. Please select an available session date/time

Available sessions: 

Location:
3. Please fill-in the information below (required)

BUMC/BMC ID#(from your ID card.  No SSN allowed):

 

First Name:

 

Middle Initial:

Last Name:

 

Email:

 
Phone:  

Department:

 

PLEASE NOTE:

-DO NOT register online unless you have a valid BMC id number.  Your registration will not be processed correctly if you enter an invalid number.