2010 - 2011 hazmat training program & application

Peer trainers dedicated to providing quality education and awareness of hazardous materials, empowering rail workers and communities.

Hazardous Materials Awareness Training The Rail Workers Hazardous Materials Training Program will conduct the following hazardous materials transportation/chemical emergency response training programs at the National Labor College – George Meany Campus in Silver Spring, Maryland: October 10-15, 2010 October 17-22, 2010 March 20-25, 2011 April 24-29, 2011 May 1-6, 2011 May 8-13, 2011 The training, eligible for 3 academic credits from the National Labor College, addresses OSHA and DOT required procedures and different levels of response and worker protection in a hazardous materials emergency or release, weapons of mass destruction awareness, the incident command system, as well as components required to complete OSHA 10-Hour Outreach certification. The training includes advanced classroom instruction, small group activities, intensive hands-on drills and a simulated hazmat response in full safety gear. The Rail Workers Hazardous Materials Training Program is funded to provide this training by a federal grant from the National Institute of Environmental Health Sciences (NIEHS) and also sponsored in part by funding from the North American Railway Foundation (NARF). This funding provides transportation, lodging, and meals for training participants. In addition, participants who are unable to secure regular pay through their employer or are not union paid officers are eligible for a stipend. Completion of this five-day Hazmat training enables participants to attend a five-day DOT Hazmat Instructor training program (see website for more information on the DOT program). Completed registration forms should be faxed, mailed or e-mailed to the Hazmat office as soon as possible. Check the Rail Workers website for schedule updates and to register online at: http://www.hazmatgmc.org REGISTER NOW! Railway Workers Hazardous Materials Training Program 10000 New Hampshire Avenue Silver Spring, Maryland 20903 (301) 439-2440 (301) 628-0165 -fax [email protected]

Peer trainers dedicated to providing quality education and  awareness of hazardous materials, empowering rail workers  and communities. 

APPLICATION FORM – WITH CORRECTED DATES HAZMAT TRAINING PROGRAM NAME: DATE OF BIRTH: As it appears on your government issued identification (airline TSA requirement) ADDRESS: CITY:

STATE:

TELEPHONE: home: (

)

ZIP:

cell: (

)

E-MAIL: UNION:

LOCAL/LODGE:

RAILROAD: JOB TITLE: SSN*: *SSN Required if applying for stipend payment.

In order of preference, please indicate choice of date for training: 2010

2011

______October 10-15, 2010 Silver Spring, MD

______March 20-25, 2011 Silver Spring, MD

______October 17-22, 2010 Silver Spring, MD

______ May 1 - 6, 2011 Silver Spring, MD ______May 8 - 13, 2011 Silver Spring, MD

PLEASE RETURN THIS FORM AND/OR ALL INFORMATION TO: Mail: Hazmat Training Program National Labor College 10000 New Hampshire Avenue Silver Spring, MD 20903 (301) 439-2440

Fax: (301) 628-0165

E-Mail [email protected]

On-Line Registration Available at: http://www.hazmatgmc.org Registration is first-come, first-served, and class size is limited to 25. Due to high registration, only those selected for training will be notified. Opeiu#2