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Annual Radiation Training Assessment

Radiation Safety Training – Annual

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Information

Name*

First Last

Email

Enter your myBama email address. Confirm your myBama email address.

Date*

Month

Day

Year

Time*

Hours

:

Minutes

AM/PM

Sublicensee's Name:*

First Last

Please provide the name of the sublicensee.

PI's Name:*

First Last

Please provide the name of PI.

Location of Radioactive Work:*

Please provide the building, room number, and/or any other information related to location of radioactive work.

User Status:*

New

Returning

Instructions

Provide your responses to the annual radiation safety training course below.

Question 1:*

A

B

C

D

Question 2:*

A

B

C

D

Question 3:*

A

B

C

D

Question 4:*

A

B

C

D

Question 5:*

A

B

C

D

Question 6:*

A

B

C

D

Question 7:*

A

B

C

D

Question 8:*

A

B

C

D

Question 9:*

A

B

C

D

Question 10:*

A

B

C

D

Question 11:*

A

B

C

D

Question 12:*

A

B

C

D

Question 13:*

A

B

C

D

Question 14:*

A

B

C

D

Question 15:*

A

B

C

D

Question 16:*

A

B

C

D

Question 17:*

A

B

C

D

Question 18:*

A

B

C

D

Question 19:*

A

B

C

D

Question 20:*

A

B

C

D

Email

This field is for validation purposes and should be left unchanged.

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