Get Film Badge Request Form - Dartmouth College

This guide provides clear and comprehensive instructions for completing the Film Badge Request Form for Dartmouth College. Follow the steps outlined here to ensure a smooth process for obtaining your film badge.

Follow the steps to successfully complete your Film Badge Request Form.

1. Click ‘Get Form’ button to acquire the form and open it in your preferred online editing tool.
2. Begin filling out your personal information. Enter your name in the fields provided, including your last name, first name, and middle initial.
3. Indicate your employee status by circling one of the options: Regular, Undergraduate, Graduate, or ‘Other’ if applicable.
4. Fill in your Social Security number in the designated field.
5. Provide your sex and birthdate as requested. Ensure this information is accurate.
6. Enter your department and the name of your principal investigator in the respective fields.
7. List any isotopes and amounts you will be working with in the spaces provided, ensuring clarity and accuracy.
8. Document any previous institutions where you were issued a film badge for radiation monitoring, including mailing addresses and dates of attendance.
9. Sign the consent statement which authorizes the release of your previous radiation exposure information to Dartmouth College.
10. Date your signature to finalize the form completion.
11. Once all steps are completed, save your changes, and choose to download, print, or share the form as required by your needs.

Complete your Film Badge Request Form online today for efficient processing.