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June 4-5, 2012 Registration

Space is limited. Please register as soon as you can to ensure your place.

First Name
Last Name
Title
Organization
Organization Type Please choose which one of the following best describes
the type of organization you work with:
Street Address
City, State, Zip
Phone
Email

Allergies, dietary restrictions, or other issues we should be aware of to make your time with us as healthy and comfortable as possible:

So that we can most effectively meet your needs in the training, please tell us a little bit about yourself. You can use the following as a guide.

  • your professional background/interests/expertise
  • current issues you have been working on that seem relevant

Please indicate the category that best reflects your professional experience that is relevant for these activities:

Please indicate the category that best reflects your relevant professional knowledge:

 
No Amount of Knowledge
Low Amount of Knowledge
Moderate Amount of Knowledge
High Amount of Knowledge
Alternatives Assessment
Toxicology
Chemicals/Chemistry
Process Engineering
Product Life Cycle Assessment

Given what you know about the training, are there specific issues or questions that you would like to see addressed?

How do you plan to use what you learn from the training?

How did you learn about the training?

Everyone will need access to a laptop computer for the hands-on exercises. Will you be able to bring a laptop computer?
Yes     No    
Code (internal use only):

Tuition and Payment

Tuition covers all materials and expenses as well as breakfast, lunch, and breaks.

The early tuition rate is $500 until Friday, May 11. Rates will increase after that according to the table below.

Tuition Rates

Registration Date Tuition
Until Friday, May 11
$500
Saturday, May 12 to Friday, May 25
$600
Saturday, May 26 and after
$700

 

It is not currently possible to process credit cards online through the university. Therefore, we can only accept checks for payment.

Please make checks payable to “University of Massachusetts Lowell” and write “Alternatives Assessment 101” in the memo area.

To avoid any confusion, please enclose a copy of the registration receipt with your check. The receipt will be emailed to you immediately after you register.

Please mail your check to:

Alternatives Assessment Training
Toxics Use Reduction Institute
University of Massachusetts Lowell
600 Suffolk Street
Lowell, MA 01854

Your registration will not be considered final until we have received full payment.

Scholarships

There is limited funding for partial scholarships. If you would like to apply, please contact us as soon as you can.

Cancellation Policy

Please let us know immediately if you need to cancel your registration. Registrations canceled up to Tuesday, May 29 may receive a complete refund. After that date, we will not be able to refund registrations.

 

UML