RCUH Training Portal Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Complete this form if you are interested in training offered by RCUH. Upon completion of this form, you will not have immediate access to the Training Portal, but you will receive a welcome message when RCUH creates your account (which is done periodically). Please feel free to direct questions to Randi Fukunaga at rfukunaga@rcuh.com or Kaylee Hull at khull@rcuh.com.

First Name *

Last Name *

Are you a supervisor? (Some training/courses will be designated for supervisors only.) *

Yes

Name of the unit your project is affiliated with (e.g., office/institute/department, college/school, and campus) *

BUSINESS Email Address *

Work Phone Number (include area code and omit any spaces or symbols, e.g., 8085550000) *

Who is your employer? *

RCUH -- If you select RCUH, please go to next question.

Other

Are you an RCUH student employee who attends the University of Hawaiʻi?
*

Yes

What is your RCUH Employee ID No.? (6-digit number starting with 0)

Comments and/or questions

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms