Safety Training Requests

Name*

Name of employee or student requesting training

ID#*

Employee or Student ID Number

Email*

@olemiss.edu or @go.olemiss.edu email addresses only, do not enter your personal email address

Phone*

Phone

Department*

Select

Supervisor*

If you are not Faculty or Staff, type the name of the professor or Faculty teaching the class you are involved with

Notes

Any notes or details we should be aware of related to this training request

Send me a copy of my responses