Safety Training Request

Safety Training Request

Please complete this form to request safety training. Due to scheduling needs, all requests must be received 21 days in advance.

Please contact uoem@uoregon.edu if you have questions.

Today's Date:

Name:*

Please list your name.

Department/Unit:*

Please list the department/unit.

Email:*

Please list your UOregon email address.

Phone Number:

Please list your telephone number.

Phone

Training Topic:*

Please select the requested training topic. If you would training on multiple training topics, please submit an additional training request form.

Select

Training Duration:*

Please select the amount of time you are able to allocate for this training.

15-minutes

30-minutes

45-minutes

60-minutes

90-minutes

Campus Location:*

Please list the campus location where the training will be centered.

Eugene

Requested Training Dates and Times:*

Please list desired training dates and times (include 2-3 options) with the first date and time being most preferable with the last date and time being least preferable.

Training Location:*

Please include your preferred training location (building and room number).

Is the requested training happening during a regularly scheduled team meeting time?*

For example, are you requesting this training to be a portion of a staff meeting time, a designated team/professional development time, etc.

Select or enter value

Estimated Number of Participants:

Some training sessions may have a minimum number of participants.

Audience:*

Describe the target audience (students, faculty, staff, etc.) Please select all that apply.

Faculty

Staff

Students

Student Employees

Non UO Affiliated Organization

Other

Training Method:*

Select or enter value

Other Information:

Please include any other information that would be helpful to consider when planning for this training.

Send me a copy of my responses

Privacy Notice|Report Abuse