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.