OSHA Construction Health & Safety Course

Registration Form

 
 

NYSWDA is offering a 2-day 10 Hour OSHA Construction Industry Outreach Training Program  intended to create awareness on the part of employees for working safely on the job.  The full course is being presented in two   one-day segments.  As long as all requirements are completed within a 6 month time frame, a certificate can be issued.

Please fill out the following form for registration or print and fax to Robyn Visser at 315-701-0440

Agenda - the class runs from 9:00 AM to 3:30 PM  with lunch included in the registration fee

CANCELLATION POLICY

Cancellations must be made in writing via fax or e-mail to Robyn Visser at 315-437-5712 or rvisser@nyswda.org. 
Cancellations must be made no later than 24 hours prior to the training. Any registrations cancelled after the deadline will be payable in full.

  Please check the box below that applies to your organization.
         WAP Subgrantee/NYSWDA member           Private Contractor 


Agency/Company 
Street Address 
City 
Zip 
Phone # 
Name 
Job Title  
Email address 

Please register me for the OSHA 10 Hour Construction Safety Certificate Training

      May 25th & 26th - Regional Economic Community Action Program
                                     FOCUS Building 119-123 East Main Street, Middletown, NY 10940

       Please list attendees in the box below:



Number of people attending

 

Cost:
$100.00 Registration Fee for WAP Sub-grantees and NYSWDA members.

$300 for Affiliate members

$400 Advance Registration Fee for all others.

Please send checks or Purchase Orders to:

NYSWDA
2 Charles Boulevard
Guilderland, NY 12084
Attn:  Roxanne Edwards

An email confirmation will be sent to you upon receipt of registration.

*If registering within one week of the training date call Robyn  @ (315) 701-0440 for confirmation.