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Assignment of Job Training Assessments (JTAs)

This form will be used to assess minimum training requirements. Additional training may be required. For employees and guests who are new to BNL, this form should be completed by the person who supervises your work. For everyone else, this form should be completed by the worker.

Worker's Information
First Name:
Last Name:
Life/Guest #:
Phone:
E-mail:
Job Title:
(e.g., Electrical Technician, Contractor, Beamline Staff, etc.)
Job Classification:
Supervisor:
Submitted by:  Worker
 Supervisor (or person you report to)