Registration

Registration: COVID 19 Health and Safety Training

Name *

First

Middle

Last Name *

Last

Birthdate *

Company *

Company Name *

State where you WORK: *

Other State or Territory where you WORK: *

Job Site *

The exact building and/or campus where you work. For Example: Georgetown University, Google, World Bank, etc…

Last 4 Digits of your Social Security Number *

We will never share this information with anyone.

Email *

Email Address

Confirm Email *

Confirm Email

No EMAIL

I don't have an email address.

Phone *

This is REQUIRED since you did not share an email address. We may need to contact you to confirm your employment. If you do not have an email address or phone number where you can be reached, you may reach out to your manager or shop steward for help. You may also contact us at (301) 876-4419 or Information@steptraining.org

Having Trouble?

If you are having difficulty using this registration form, you may contact us at Information@steptraining.org or (301) 876-4419 and we will get back to you within 24 hours.