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:

mm/dd/yyyy

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.

Campus Location:

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

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.

Estimated Number of Participants:

Some training sessions may have a minimum number of participants.

Training Method:

Other Information:

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

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