Student/Early Professional Day Application

Cascade Occupational Safety and Health Conference

Monday, March 4, 2024
8:15 AM – 5 PM
The Graduate Hotel
66 E 6th Ave
Eugene, Oregon 97401

The event is designed for students and those who are early in their careers to explore a career in occupational safety and health. Please fill out the application below. Items with asterisks are required.

Your Information
Your name*
Your email*
Your phone*
Current educational or training program (if applicable)
Current (or most recent) job, volunteer experience, or technical training program (if applicable):
Can you commit to going to the Graduate Hotel in Eugene and staying from 8:15 AM until 5 PM*?*
- Yes
- No
Why are you interested in participating in this full-day activity?*
Please provide an adult mentor, adviser, or reference who can attest to your ability to work independently and professionally
Reference name*
Reference email*
Reference phone*

Cascade Occupational Safety and Health Conference

Student/Early Professional Day Application

Your Information

Please provide an adult mentor, adviser, or reference who can attest to your ability to work independently and professionally