WOSH Specialist Registration Form


PLEASE READ: This three-day program is appropriate for workers in entry level or professional positions in high hazardous industries (e.g., manufacturing, construction, agriculture, food services, warehousing and transportation). Union members and worker leaders are highly encouraged to attend. This training covers basic health and safety concepts. May not be appropriated for those in a supervisory or managerial position.

Contact Robin Dewey at rdewey@berkeley.edu should you have any questions.

Please complete this form to register for a WOSH Specialist training course.
More information at www.lohp.org/WOSHTEP

    Course Information

    This is a required question
    This is a required question

    Registrant Information

    This is a required question
    Please enter a valid email address.
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Please tell us about yourself.

    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Employment Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Industry Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Union Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Workplace Health and Safety

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question