Student Information

    First Name:

    Last Name:

    Panther ID:

    Email Address:

    Phone Number:

    Academic Major:

    Certificates Upload

    Students must have completed the following Workshops and obtain the necessary certificates before reserving the area. Please upload proof of completion for the 14 required certificates.

    Please make sure to label each certificate appropriately with the corresponding title.For example, name the Fire Safety Certificate as "Fire-Safety-LastName-FirstName.

    Laboratory Hazard Awareness – 2024

    Hazard Communication (HAZCOM) – 2024

    Fire Safety – 2024

    Environmental Awareness – 2024

    Small Spills and Leaks – 2024

    EPA: Hazardous Waste Awareness – 2024

    Personal Protective Equipment (PPE): General / Industrial – 2024

    Safe Use of Fume Hoods – 2024

    Safe Use of Emergency Eyewash and Shower – 2024

    Chemical Handling Safety – Basic Principles – 2024

    Chemical Handling Safety – Flammables – 2024

    Laser Safety – 2024

    Powered Hand Tools Safety – 2024

    Compressed Gas Cylinder Safety – 2024

    Ensure all required certificates are in an acceptable format (PDF, JPEG, PNG) before submitting the form.

    I confirm and verify that the certificates uploaded are my own and that I have successfully completed each of the 14 required workshops. I affirm that I possess the necessary skills and qualifications gained through these workshops to responsibly reserve and use the designated area.