Villanova University Department of Chemistry Safety Day Response Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Safety Day will be held on Friday, April 10, from 2:30 pm to 4:30 pm, and will commence in Mendel Hall Room 213. A detailed schedule will be available on the Department of Chemistry website homepage.

Your first name

Your last name

Your email address

Will you attend the event? *

Yes I will attend. (If you are a student researcher or TA please see next questions.)

No I am unable to attend. (If you are a student researcher or TA please see next questions.)

Student Researchers only: If you are able to attend, please check the box to indicate that you understand it is mandatory for you to attend the Research Lab Safety session lead by Dr. Paul and Dr. Palenchar.

I understand I am required to attend this session.

TAs only: If you are able to attend, please check the box to indicate that you understand it is mandatory for you to attend the "Haunted House" Teaching Lab Safety session lead by undergraduate students, and facilitated by Dr. Eggler and Cian Watts.

I understand I am required to attend this session.

Student Researchers and TAs only: If you are unable to attend, describe your reason for missing the event.

If you are undergraduate biochemistry or chemistry major, and would like more information on serving as a student representative on the departmental Safety Committee, please check the box below.

Yes I would like to be contacted.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms