Radiation Protection Online Refresher Course

> Environmental Health and Safety > Programs and Services > Radiation Safety > Radiation Protection Online Refresher Course

University of Toronto
Radiation Protection - Online Refresher Registration

Online Refresher - previous U of T training required

NON-UNIVERSITY OF TORONTO APPLICANTS: Please contact Radiation Protection Services at 416-978-1012

Page 1 of 1

IMPORTANT NOTE: A copy of this registration form will be sent to the e-mail address that you provide. You may assume that you have been approved to take this course unless notified otherwise. After your name is added to the portal an e-mail with instruction to proceed will be sent to you. Should you have any questions, please contact Anna Mozharova at 416-978-4467 or via email anna.mozharova@utoronto.ca

REGISTRANT'S INFORMATION

UTORid: (Required for registration in online courses)

Last Name:

First Name:

Department:

Telephone No:

E-Mail Address:

Enter a valid email address. Example: name@company.com

Status:

Staff or Student No.

PRINCIPAL INVESTIGATOR'S INFORMATION

PI Name, Permit No., E-Mail Address:

Your PI's e-mail address is required and must be entered in the following field. Please note that you will find the e-mail address in the PI Name drop-down list above.

PI E-Mail Address:

Enter a valid email address. Example: name@company.com