Request for Training

1General Information

2Training Preferences

3Training Details and Target Audience

X/Twitter

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General Information

Name*

First Last

Organization Name*

Job Title*

International Organization*

Yes

No (United States Only)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Address*

Street Address City State ZIP Code

Phone

Email*

Enter Email Confirm Email

Preferred Method of Contact

Training Preferences

Training Course*

Check off the training course(s) you are interested in learning more about or would like to register for.

Radiation Safety Officer In-Person Course

If you are interested in the in-person RSO course, please check off the date(s) you are interested in registering for.

Training Topic

If you do not see a course above, please describe the topic(s) you would like covered.

Type of Training Desired*

Self-Paced WBT* with periodic pre-scheduled live Q&A sessions

Self-Paced WBT without periodic live Q&A sessions

In-Person training at the RSCS home office in Seabrook NH

Blended training – a combination of pre-assigned WBT and instructor guided lessons (either remote or in person)

Live online training via WBT

In-Person training at your location

In-Person training at another location

Custom Training Development

Help me decide

*Web Based Training

Training Date(s) Desired*

Immediately

1 to 3 months

3 to 6 months

Greater than 6 months

Specific Date

Specific Training Date

MM slash DD slash YYYY

Number of People Requiring Training*

One

Less than 10

10 to 20

Other

*RSCS offers a managed Learning Management System (LMS) for easy administration, documentation, tracking, reporting,
and automation of educational courses and training programs.Our LMS streamlines learning and development,
making managing and enhancing your educational initiatives easier.

Training Details and Target Audience

Target Population

Inexperienced

Experienced

Both

Do you have existing training materials?

Yes

Existing Material Description

Examples include manuals, procedures, PowerPoints, Word documents, PDFs, and other similar documents.

Subject Matter Experts (SME) and/or Instructors In-House

Yes

Systematic Approach to Training (SAT) and ADDIE Process

Yes

Unknown

The Systematic Approach to Training (SAT) is a planned process that aims to improve job performance by guiding learning toward specific outcomes. It involves five interrelated but distinct phases: Analysis, Design, Development, Implementation, and Evaluation (ADDIE).

Industry

Medical Radiology

Nuclear Medicine

Industrial Radiography

Mining

Industrial Process Monitoring

Petroleum

Power Reactor

Research

Radioactive Source Production

Source Manufacturing

Radioactive Material Transportation

Radioactive Waste Management

Education

Training

Manufacturing

Non-Destructive Testing (NDE)

Decommissioning

Homeland Security

Military/Law Enforcement

Other

How Did You Hear About Us?*

Search Engine

Social Media

Industry Media or Publication (Journal, Magazine)

Employer or Coworker

Conference

Other

Additional Comments or Questions

Training Request

General Information

Training Preferences

Training Details and Target Audience