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Registration is mandatory. This form must be completed and submitted by all participants.
DEADLINE TO REGISTER: September 12, 2014
2014 HUMAN RELIABILITY PROGRAM WORKSHOP
September 17-19, 2014
National Training Center, Albuquerque, NM
*First Name:
*Last Name:
Position/Title:
*Site:
*Organization:
*Phone:
*Email:
*US Citizen:
Yes
No
*Attendee Type:
DOE Employee
Contractor Employee
Other
*I will be attending:
Albuquerque - in person
Day 1
Day 2
Day 3
VTC
Day 1
Day 2
Day 3
WebEx
Day 1
Day 2
Day 3
Breakout Session Day 2
Session 1 – Drug & Alcohol Testing
Session 2 – Psycological Testing
Note:
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Should you require assistance with registration or logistical arrangements, please contact: Regina Cano at (301) 903-903-3473 or Kim Duvall at (301) 903-3898