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Training and Conferences

Registration/Application Request

Hazardous and Medical Waste On Site Training
This form is not for individual students, it is only for those supervisors, OICs, or other persons in charge, who wish to request one of the many hazardous & medical waste courses presented at their installation, by APHC for miltiple attendees. There is a charge to your installation for this service.
*Name (Last, First):   
                              *Work E-Mail Address:   
                              AKO E-Mail Address:   
DSN Phone Number:   
                              Commercial Phone Number:   
                      Commercial Fax Number:   
*Complete Office Mailing Address:
Please check the course you're requesting:
   Basic Waste Management Workshop                                 Medical Waste Transport
   Transport of Biomedical Materials                                      Pharmaceutical Waste Management
   First Quarter             Second Quarter             Third Quarter             Fourth Quarter
         
Number of Personnel to be Trained:   
          Primary Dates for Training:   
          Alternate Training Dates:   
AOC/MOS/specialty/educational background of personnel to be trained:
Please explain why your organization needs this training:
Has your organization received any notices of violation, citations or deficiencies during any environmental inspections (federal, state or DoD)?
   No   Yes
If "Yes", please explain each violation and each citation:
What is the impact upon your organization if you do not receive this training?
What are your training expectations?
List any previous training your organization has received in this area, (please state who provided the training).
Questions/Concerns: