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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Orientation Registration
Complete the fields below and submit this form to register for the next upcoming orientation.  To review the date, time and location of this class, click on the "Calendar" link above.  You should only use this form to register for the next orientation class offered.


 An A-3 form, "Authorization to Use Radioactive Materials," must be submitted to the RSO prior to registering for the orientation class.  Click here to download this form.

Name: 

Email: 

Permit Holder
Last Name:  First: 

Dept:

Bldg:   Room:

Phone:

Orientation:

        


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This page last modified on Wednesday August 26, 2009
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