Welcome to the "Worker Protection Standard: Train the Trainer" course.
• On this page we require you fill in all of the fields below.
• On the next page, you will complete a short pre-course survey.
• Once you submit your answers, you will be given an enrollment key which provides you access to the online course. (Complete directions provided once you submit your answers.)

* 1. Enter today's date

Today's date is
/
/

* 2. Your First Name

* 3. Your Last Name

* 4. Business Name

* 5. Business Address

* 6. Business City/Town

* 7. Business State

* 8. Business Zip Code

* 9. Business Phone Number including area code
(example format: 515-555-1234)

* 10. Email address

* 11. Approximate Number of People to be Trained at Your Business

* 12. I Am ...(check all that apply)...

* 13. Are there any additional comments you wish to provide?

T