Toxicology for Chemists: Pilot Tester Sign Up
This sign up form is for higher education professionals who would like to pilot test one or more modules from Beyond Benign's Toxicology for Chemists curriculum. Each module has approximately 3 hours of content.

Please provide your name, institution, and any other relevant details. Beyond Benign will contact you shortly about the details relevant to your pilot testing.

If you have any questions, comments, or concerns, please contact nimrat_obhi@beyondbenign.org.

Thank you for your participation and interest, and we greatly look forward to working with you!
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Email *
What is your name? *
What is the name of your institution? *
Where is your institution located? Please provide the city, region (e.g. state, province, etc.), and country. *
Which module(s) would you like to pilot test? Please click all that apply. Each module has approximately 3 hours of content. At any stage, you can also always update or change which module(s) you would like to pilot test! *
Required
What course(s) are you thinking of implementing the Toxicology for Chemists module(s) into?
Is this your first time teaching toxicology material/content?
How did you hear about the pilot testing program?
Is there anything else you would like to ask or notify us about the pilot testing process?
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