Van Training Sign-up Form

Please complete the form below to register for Van Training.

NOTICE: Please provide an on campus address and phone number for us to mail your completion certificate to and contact you if necessary. If you do not have these, please speak with your department's main office for their address and phone number. We need an on campus address to send your completion certificate to, and cannot provide this to you without an on campus address.

* Indicates a required field.

Training Date:
*Name of attendee:
*Email Address
*Dept. or group you will be driving for:
*Campus phone number:
*Dept. or Group address (to mail certifcates to):
*How Many training attendees?:
If signing-up more than one attendee, please list additional names here.


Questions or Comments:

109 Dykstra (785) 532-6373 fax (785) 532-5749 8:00 am - 5:00 p.m.