RADIATION WORKER S TRAINING AND EXPERIENCE SHEET 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, orientation date, BannerID/UNMH ID, and date of birth.
3. Fill in your job title and permit holder's name. Ensure that you accurately list your department.
4. In the 'LIST PAST TRAINING AND EXPERIENCE' section, indicate any relevant training by checking the appropriate boxes. If you have non-UNM training, be prepared to submit proof of completion.
5. For experience with radioactive materials or radiation-producing machines, provide details such as the type of radionuclide or machine used, activity levels, and where you gained this experience.
6. Finally, certify the accuracy of your information by typing your name in the signature field and providing an email address for correspondence.

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