Request Form

For enabling the Trainers module within Hazcalc we kindly ask you to fill in and and send the request form below.

In order to review the request, we require a fully filled Request Form. With a positive review you will be granted access to the free Trainings Module. We will inform you about the outcome of the review in any case.

Best Regards,

Team Hazcalc

Trainers Module Request

Company name(Required)

Name(Required)

First Middle Last

Email(Required)

Address(Required)

Street adress: City: ZIP/Postal Code: Country:

Website(Required)

What is your function in your company?(Required)

What is your function in relation to training?(Required)

I train trainees myself

Training / course planner

Training developer

HSE Manager

Consultant

Engineer

Average number of trainings per year:(Required)

Please enter a number greater than or equal to 0.

Average number of trainees per year:(Required)

Please enter a number greater than or equal to 0.

Training information, e.g. website:

Upload Training program/list of content (pdf, doc, jpg, ppt):(Required)

Drop files here or

Accepted file types: pdf, jpg, doc, ppt, Max. file size: 146 MB, Max. files: 3.

In which aspect of the training do you want to implement the use of Hazcalc:(Required)

Are you interested in becoming an authorised reseller of Hazcalc?(Required)

Yes, contact me about that

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