Learning Activity Request Form

Contact Information

Topic Requested

Scheduling and Logistics

Indicate 3 dates and times when you would like this learning activity scheduled.
EH&S staff require a minimum of 5 business days notice for most Instructor-Lead learning activity requests. If there is a more immediate need, please complete this form and send an additional email to ehstraining@ucr.edu.
Select a preferred start time range.
Certain topics require more time be scheduled and may adjust your preferred start time.
Identify location. *