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Environmental Health & Safety
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Lab Group Safety Training Request
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Lab Group Safety Training Request
Please accommodate a few days for processing.
Complete the training request form.
Page 1
Principal Investigator
First Name:
Last Name:
Email: (UMass Boston Email)
Department:
(Check all that apply)
Art
ARCF
Anthropology
Biology
Chemistry
Engineeering
Physics
Psychology
VDC
Other
If other, which department?
New Group Member (1)
First Name:
Last Name:
Email: (UMass Boston Email)
Position:
(Check all that apply)
Undergraduate
Graduate
PhD
Post-Doctoral
Technical Staff
Faculty
Summer Lab Student
Other
If other, please explain:
Preferred Lab Coat Size:
XS
S
M
L
XL
2XL
Start Semester:
Spring
Summer
Fall
Winter
Year:
Availability for OEHS In-Class Training in next 60days (
This training is required for individuals working in a wet research lab and should be completed by the end of the first semester in the lab
)
Not Available
Tuesday 9AM-11:30AM
Wednesday 2-4:30PM
Friday 9:30-12:00PM
Friday 2:30-5PM
Other
If other, please specify:
You can add up to 5 members in this request. Add more team members?
Yes
No
Page 2
New Group Member (2)
First Name:
Last Name:
Email: (UMass Boston Email)
Position:
(Check all that apply)
Undergraduate
Graduate
PhD
Post-Doctoral
Technical Staff
Faculty
Summer Lab Student
Other
If other, please explain:
Preferred Lab Coat Size:
XS
S
M
L
XL
2XL
Start Semester:
Spring
Summer
Fall
Winter
Year:
Availability for OEHS In-Class Training in next 60days (
This training is required for individuals working in a wet research lab and should be completed by the end of the first semester in the lab
)
Not Available
Tuesday 9AM-11:30AM
Wednesday 2-4:30PM
Friday 9:30-12:00PM
Friday 2:30-5PM
Other
If other, please specify:
You can add up to 5 members in this request. Add more team members?
Yes
No
Page 3
New Group Member (3)
First Name:
Last Name:
Email: (UMass Boston Email)
Position:
(Check all that apply)
Undergraduate
Graduate
PhD
Post-Doctoral
Technical Staff
Faculty
Summer Lab Student
Other
If other, please explain:
Preferred Lab Coat Size:
XS
S
M
L
XL
2XL
Start Semester:
Spring
Summer
Fall
Winter
Year:
Availability for OEHS In-Class Training in next 60days (
This training is required for individuals working in a wet research lab and should be completed by the end of the first semester in the lab
)
Not Available
Tuesday 9AM-11:30AM
Wednesday 2-4:30PM
Friday 9:30-12:00PM
Friday 2:30-5PM
Other
If other, please specify:
You can add up to 5 members in this request. Add more team members?
Yes
No
Page 4
New Group Member (4)
First Name:
Last Name:
Email: (UMass Boston Email)
Position:
(Check all that apply)
Undergraduate
Graduate
PhD
Post-Doctoral
Technical Staff
Faculty
Summer Lab Student
Other
If other, please explain:
Preferred Lab Coat Size:
XS
S
M
L
XL
2XL
Start Semester:
Spring
Summer
Fall
Winter
Year:
Availability for OEHS In-Class Training in next 60days (
This training is required for individuals working in a wet research lab and should be completed by the end of the first semester in the lab
)
Not Available
Tuesday 9AM-11:30AM
Wednesday 2-4:30PM
Friday 9:30-12:00PM
Friday 2:30-5PM
Other
If other, please specify:
You can add up to 5 members in this request. Add more team members?
Yes
No
Page 5
New Group Member (5)
First Name:
Last Name:
Email: (UMass Boston Email)
Position:
(Check all that apply)
Undergraduate
Graduate
PhD
Post-Doctoral
Technical Staff
Faculty
Summer Lab Student
Other
If other, please explain:
Preferred Lab Coat Size:
XS
S
M
L
XL
2XL
Start Semester:
Spring
Summer
Fall
Winter
Year:
Availability for OEHS In-Class Training in next 60days (
This training is required for individuals working in a wet research lab and should be completed by the end of the first semester in the lab
)
Not Available
Tuesday 9AM-11:30AM
Wednesday 2-4:30PM
Friday 9:30-12:00PM
Friday 2:30-5PM
Other
If other, please specify:
Acknowledge last group member.
I Acknowledge
Page 6
Acknowledgement
University Staff Assistance
:
By clicking the checkbox, I understand my information will be shared with university staff to help me with this transaction.
Contact Information