Virtual Training Request

1.

Complete the steps below to request registration for a virtual training course. To prevent shipping delays for your class materials, provide your organization's complete shipping address.

Note: training is for standard instrument configurations. For Special Order Research Product options (SORP), contact a training coordinator to discuss.

If you have questions, please contact a training coordinator at 877-232-8995, prompt 5 or traininginfo@bd.com.

Cancellation Policy: Cancellations received at least 21 days before the training event will receive a full refund. If a cancellation or rescheduling request is received less than 21 days before the start date, a cancellation fee of $500 may be applied. Refunds will not be allowed for "no-shows." Note that non-payment of tuition does not constitute a proper cancellation.

BD, the BD Logo, FACSCanto, FACSCelesta, FACSDuet, FACSLyric, FACSymphony, LSRFortessa and Multitest are trademarks of Becton, Dickinson and Company or its affiliates. All other trademarks are the property of their respective owners. © 2023 BD. All rights reserved.

Question Title

* 1. Contact information

Name *

Company/Organization *

Company Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Instrument Serial Number or BD Sales Order *

Email Address *

Phone Number *

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* 2. Are you a licensed healthcare professional (HCP) who can prescribe drugs and/or treatment?

Yes

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* 3. if you answered yes in Q2, please provide the following:

Profession:

License Number:

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* 4. Would you like to receive email updates from BD Biosciences Education Services?

Yes

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* 5. Do you require continuing education credits to maintain your license or certification? If you are attending a course with eligible credits and require a certificate of completion with credit information, select one of the options below. If you do not require credits, select "Not applicable".

BD Biosciences is an approved provider for continuing education programs offered by the following organizations:

ASCLS P.A.C.E.^® Program

ASCP Credential Maintenance Program (CMP) for Specialist in Cytometry (SCYM)

CE Broker is the official tracking system used by Department of Health for several states

NOTE: Some courses are eligible for credits. If you are attending a course with eligible credits and require a certificate of completion with credit information, select one of the options below. If you do not require credits, select "Not applicable".

P.A.C.E.

SCYM (ASCP)

CE Broker - provide your license number below.

Not Applicable

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* 6. Select one of the following payment options:

Training provision (included with new instrument purchase)

Tuition (paying via credit card, purchase order, or check)

Pre-purchased training credit

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* 7. Requester - you should have your trainee(s) complete a virtual training request. (Note: observers do not need to fill one out).
Trainee - you will need to complete all the questions in this request. Please list who you will be paired up with if there will be two operators in your training session.