New Graduate Student
2013 Summer
Semester Safety Seminar Registration
Please register for one of the seminars below:
First Name
Middle Initial
Last Name
CWID (Student ID)
DEPARTMENT
Select
Chemical Engineering
Select
Chemistry
Select
Engineering
Select
Environmental Science
Select
Geology
Select
Geophysics
Select
Materials Science
Select
Metallurgy
Select
Mining
Select
Petroleum Engineering
Select
Physics
Select
Other
Select
Nuclear Engineering
Email Address
(enter entire email address: username@domain.edu)
If you have questions about this registration form, please contact Morris Berton at (303) 273-3555 or
mberton@mines.edu
. If you have questions about the Seminar, please contact Michelle Kozel at (303) 273-3316 or
mkozel@mines.edu
.