HAZWOPER Training - Interest Form
2023
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Health and Safety Training for Hazardous Waste Workers and Emergency Responders
Please complete this form to register for a Hazardous Waste training class. Contact Joel at jrubio0802@berkeley.edu for any questions or concerns. For additional information please visit https://lohp.berkeley.edu/hazardous-waste-workers-registration/
Thank you!
Course Title (hosted via Zoom) *
Language of Instruction: *
Your Full Name: *
Your Mailing Address: *
Include street, city, state, and zip code.
Your Phone Number: *
Your Email Address: *
Are you currently employed? *
Name of Employer *
Job Title
How did you hear about the course? *
Required
CONTACT FOR PAYMENT (Name, Email & Phone Number): *
Please list who we should follow-up with for payment.
Payment
Since UC Invoicing process all payments, they only accept checks at the moment (no credit cards).

$100 for an 8-Hour class*
$300 for an 24-Hour class*

Payment Questions: Joel Rubio at jrubio0802@berkeley.edu

Cancellation Policy: The registration fee (less 25% cancellation charge) is refundable if written cancellation notice is received two weeks prior to course date(s).

*For University of California Affiliated participants, an Inter-campus Financial Transaction is required (i.e., Chartstring). 

*For UC Berkeley affiliated participants, an Inner-campus Financial Cost Journal Transfer is required (i.e., Chartstring issued by the department).

Please coordinate with Joel to complete this transaction.
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