Hospital Based HAZWOPER Program Manager Course &

Live Decontamination Demonstrations & Training

Oklahoma State University CEAT Continuing Education

*    April 21, 2008 Comanche County Memorial Hospital, Lawton, OK
*   April 22, 2008 Integris Fleet Shop, Oklahoma City, OK
*   April 23, 2008 Integris Fleet Shop, Oklahoma City, OK
*   April 24, 2008 St. Johns Hospital, Tulsa, OK

*   April 25, 2008 St. Johns Hospital, Tulsa, OK

**Each class is from 8:00 am to 5:00 pm with a 1 hour lunch break between each session. **

Participant Information:

Name:

Title:

Hospital_____________________________________________________

Phone:            Email: ________________________________

Course Location:

Course Date:

Name:

Title:

Hospital_____________________________________________________

Phone:            Email: ________________________________

Course Location:

Course Date:

Name:

Title:

Hospital_____________________________________________________

Phone:            Email: ________________________________

Course Location:

Course Date:

Please fax to:            OSU CEAT Continuing Education

Attn:  LaVon Duncan

                                    (405) 744-5369

**Please note:  due to limited seating, registration is on a first come, first serve basis.  Please respond ASAP.  Directions to the course will be sent with confirmation of registration. **