Lead Registration Disclaimer: Please complete the form below. Once the information is submitted and processed, you will receive an email with a confirmation of the training OR an alternate date for the course(s) you have requested and any other related information.Today's Date(Required) MM slash DD slash YYYY Organization(Required) Contact Name(Required) Student Name(Required) Contact Email(Required) Student Email(Required) Contact Phone(Required)Student Phone(Required)Course 1(Required)Please select a courseEPA LEAD RENOVATION, REPAIR & PAINTING INITIAL (RRP – I)EPA LEAD RENOVATION, REPAIR & PAINTING REFRESHER (RRP – R)LEAD ABATEMENT CONTRACTOR – INITIAL (LAC‐ I)LEAD ABATEMENT CONTRACTOR – REFRESHER (LAC – R)LEAD ABATEMENT CONTRACTOR WORKER – INITIAL (LAW-I)LEAD ABATEMENT CONTRACTOR WORKER – REFRESHER (LAW-R)LEAD INSPECTOR INITIAL (LI)LEAD CLEARANCE TECHNICIAN (CT)LEAD RISK ASSESSOR INITIAL (LRA)LEAD RISK ASSESSOR – REFRESHER (LRA – R)Preferred Date(Required)Next Available DateDate Specific (please note below)Location(Required)Athens-Main CampusCentral Hub-NewarkSouthwest Hub-DaytonAdd a Second Course? Yes Course 2Please select a courseEPA LEAD RENOVATION, REPAIR & PAINTING INITIAL (RRP – I)EPA LEAD RENOVATION, REPAIR & PAINTING REFRESHER (RRP – R)LEAD ABATEMENT CONTRACTOR – INITIAL (LAC‐ I)LEAD ABATEMENT CONTRACTOR – REFRESHER (LAC – R)LEAD ABATEMENT CONTRACTOR WORKER – INITIAL (LAW-I)LEAD ABATEMENT CONTRACTOR WORKER – REFRESHER (LAW-R)LEAD INSPECTOR INITIAL (LI)LEAD CLEARANCE TECHNICIAN (CT)LEAD RISK ASSESSOR INITIAL (LRA)LEAD RISK ASSESSOR – REFRESHER (LRA – R)Preferred DateNext Available DateDate Specific (please note below)LocationAthens-Main CampusCentral Hub-NewarkSouthwest Hub-DaytonAdd a Third Course? Yes Course 3Please select a courseEPA LEAD RENOVATION, REPAIR & PAINTING INITIAL (RRP – I)EPA LEAD RENOVATION, REPAIR & PAINTING REFRESHER (RRP – R)LEAD ABATEMENT CONTRACTOR – INITIAL (LAC‐ I)LEAD ABATEMENT CONTRACTOR – REFRESHER (LAC – R)LEAD ABATEMENT CONTRACTOR WORKER – INITIAL (LAW-I)LEAD ABATEMENT CONTRACTOR WORKER – REFRESHER (LAW-R)LEAD INSPECTOR INITIAL (LI)LEAD CLEARANCE TECHNICIAN (CT)LEAD RISK ASSESSOR INITIAL (LRA)LEAD RISK ASSESSOR – REFRESHER (LRA – R)Preferred DateNext Available DateDate Specific (please note below)LocationAthens-Main CampusCentral Hub-NewarkSouthwest Hub-DaytonAdd a Fourth Course? Yes Course 4Please select a courseEPA LEAD RENOVATION, REPAIR & PAINTING INITIAL (RRP – I)EPA LEAD RENOVATION, REPAIR & PAINTING REFRESHER (RRP – R)LEAD ABATEMENT CONTRACTOR – INITIAL (LAC‐ I)LEAD ABATEMENT CONTRACTOR – REFRESHER (LAC – R)LEAD ABATEMENT CONTRACTOR WORKER – INITIAL (LAW-I)LEAD ABATEMENT CONTRACTOR WORKER – REFRESHER (LAW-R)LEAD INSPECTOR INITIAL (LI)LEAD CLEARANCE TECHNICIAN (CT)LEAD RISK ASSESSOR INITIAL (LRA)LEAD RISK ASSESSOR – REFRESHER (LRA – R)Preferred DateNext Available DateDate Specific (please note below)LocationAthens-Main CampusCentral Hub-NewarkSouthwest Hub-DaytonAdd a Fifth Course Yes Course 5Please select a courseEPA LEAD RENOVATION, REPAIR & PAINTING INITIAL (RRP – I)EPA LEAD RENOVATION, REPAIR & PAINTING REFRESHER (RRP – R)LEAD ABATEMENT CONTRACTOR – INITIAL (LAC‐ I)LEAD ABATEMENT CONTRACTOR – REFRESHER (LAC – R)LEAD ABATEMENT CONTRACTOR WORKER – INITIAL (LAW-I)LEAD ABATEMENT CONTRACTOR WORKER – REFRESHER (LAW-R)LEAD INSPECTOR INITIAL (LI)LEAD CLEARANCE TECHNICIAN (CT)LEAD RISK ASSESSOR INITIAL (LRA)LEAD RISK ASSESSOR – REFRESHER (LRA – R)Preferred DateNext Available DateDate Specific (please note below)LocationAthens-Main CampusCentral Hub-NewarkSouthwest Hub-DaytonAdd a Sixth Course Yes Course 6Please select a courseEPA LEAD RENOVATION, REPAIR & PAINTING INITIAL (RRP – I)EPA LEAD RENOVATION, REPAIR & PAINTING REFRESHER (RRP – R)LEAD ABATEMENT CONTRACTOR – INITIAL (LAC‐ I)LEAD ABATEMENT CONTRACTOR – REFRESHER (LAC – R)LEAD ABATEMENT CONTRACTOR WORKER – INITIAL (LAW-I)LEAD ABATEMENT CONTRACTOR WORKER – REFRESHER (LAW-R)LEAD INSPECTOR INITIAL (LI)LEAD CLEARANCE TECHNICIAN (CT)LEAD RISK ASSESSOR INITIAL (LRA)LEAD RISK ASSESSOR – REFRESHER (LRA – R)Preferred DateNext Available DateDate Specific (please note below)LocationAthens-Main CampusCentral Hub-NewarkSouthwest Hub-DaytonAdditional Information/Notes(Required)
