Indiana University Purdue University of Indianapolis
 Radiation Safety Office

541 Clinical Drive, CL 159
Office: 317-274-4797
Fax: 317-274-2332

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Course Registration
Complete the fields below and submit this form to register for the  upcoming Radiation Safety Course.  To review the dates, times and location of this class, click on the "Calendar" link above.  You should only use this form to register for the next course offered.


 An A-3 form, "Authorization to Use Radioactive Materials," must be submitted to the RSO prior to registering for the course.

Name: 

Email: 

Permit Holder
Last Name:  First: 

Dept:

Bldg:    Room:

Phone:

Course:   

Comments:
 

        


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This page last modified on Friday November 06, 2009
Indiana University | Purdue University
 Any questions or comments regarding this site should be directed to radsafe@iupui.edu