SimpleForms :: Health and Safety Training Registration

Health and Safety Training Registration

Use this form to pre-register for Environmental Health and Safety Training Courses. Please submit one form per person, per class.

Course Name:

required

Course Date:

required

Example: MM/DD/YYYY

Course Location:

required

Name:

required

700 Number:
Click on the link below to look up your WVU ID. Once you have located your ID write it down, close the lookup window, and return to this page.
Click here to lookup your WVU ID (700 xx xxxx)

required

Title:

required

Department:

required

Campus Address:

required

Address 2:

required

City:

required

State:

required

Zip:

required

Example: 12520

Phone Number:
Please include area code.
required

Example: (555) 555-5555

Phone extension:

Fax Number:
Please include area code.

Example: (555) 555-5555

E-Mail Address:

Example: dmolsen@hotmail.com

Supervisor:

required

Supervisor's E-Mail Address:

required

Example: dmolsen@hotmail.com

Persons needing a disability-related accommodation to participate in this training session should contact EH&S Training by phone at 304-293-6737 or by E-Mail: Roger.Wright@mail.wvu.edu or Jodie.Shaffer@mail.wvu.edu

WVU's SimpleForms

Health and Safety Training Registration