OTI 501 -Trainer Course in Occupational Safety & Health Standards General Industry

Registration Form
(Items in Red are required fields)

First Name
Last Name
Degrees
Prof. Title
Gender Male Female
E-mail
Home Phone
Work Phone
Fax
Company
Department
Address
Address2
City
State
Zip
Country


Prerequisites:

Five years relevant experience in the General Industry field and attendance in a week-long general industry safety and health course (OTI 511).

Please print this downloadable form and FAX to the OSHA Training Institute prior to the couse if you have doubts that prerequisites aren't meet. You will have to attest to the fact that you meet these prerequisites when you sign in on the first day of class. - Prerequisiste Verification Form

REFUNDS WILL NOT BE ISSUED IF PREREQUISISTES AREN'T MEET!


Would you like to apply for General or American Board of Industrial Hygiene CEU's

ADA Describe Any Disabilities

Notes/Comments
 
Registration Dates, Locations and Fees
Please check which course you are registering for.

Course Registration: $750.00
Course hours are 8am - 4:30pm

 
Location
Start Date
End Date
2008 Dates
Orlando, FL
July 14
July 17
Orlando, FL
August 04
August 07
Ft. Pierce, FL
August 18
August 21
Tampa, FL
August 25
August 28
Columbia, SC
September 02
September 05
Jacksonville, FL
September 08
September 11
Trinidad
September 08
September 11
Homestead, FL
September 15
September 18
Biloxi, MS
September 22
September 25
Charlotte, NC
September 22
September 25
Dothan, AL
September 29
October 02
Tallahassee, FL
October 20
October 23
Ft. Myers, FL
October 27
October 30
Tampa, FL
November 03
November 06
West Palm Beach, FL
November 04
November 07
Clearwater, FL
November 17
November 20
Birmingham, AL
December 08
December 11
Pensacola, FL
December 15
December 18
Payment Method
(Note: You will not be charged until registration is confirmed.)

Cancellation Policy
Cancellation notification must be in writing (FAX or email are acceptable). A cancellation fee equal to 25% will be assessed. Written cancellations received less than 5 working days prior to the event will be charged the cancellation fee plus the per-person cost. No-shows will be billed. Substitutes are welcome without penalty.

The Continuing Professional Education Office at the University of South Florida Health Sciences Center reserves the right to cancel this activity due to unforeseen circumstances. In the event of such cancellation, only the registration fee will be returned to the registrant.


Credit Card
Mastercard
Visa
American Express
Name (exactly as on card)
Credit Card Number
Expiration Date (mm/yy)
CVC Code


Check
Please make checks payable to:

USF HPCC
PO Box 864240
Orlando, FL 32886-4240

On your check, please include the program code which is printed on your confirmation and the registrants name or a copy of the registration.
Bill Later For Registrations Paid By PO
PO Number
 
If billing address is different than above - please list below
Company
Attn:
Address
City State Zip
Phone EMAIL
Security Notice

Accommodations for Disabilities: Please notify the CME Office, 12901 Bruce B. Downs Blvd., MDC Box 60, Tampa, Florida, 33612 or call (813) 974-6695 a minimum of ten working days in advance of the event if a reasonable accommodation for a disability is needed.

Events, activities and facilities of the University of South Florida are available without regard to race, color, sex, national origin, disability, age, or Vietnam veteran status as provided by law and in accordance with the University's respect for personal dignity.