Submit this form to complete the Radioactive Safety for Sealed Source - Online training course.

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Please enter a valid ten-digit phone number with optional extension (e.g (206) 543-7262). Phone numbers should only contain numbers and + and - and ( and ) and spaces.

Please note that when you press the Submit button at the bottom of this form, the test results will be automatically e-mailed to Radiation Safety. Radiation Safety will send you and your supervisor an e-mail notification that you have completed Sealed Source Radiation Safety Training.

Training Background

On a scale of 1 to 5, with 1 = excellent and 5 = poor, please rate the Sealed Source Radiation Basics Modules and the test on the following elements