East Tennessee Chapter of the Health Physics Society

ETCHPS CHP EXAM PREP CLASS REGISTRATION FORM

2013 ABHP Exam Preparation Review

DEADLINE
Registration deadline is April 15th. The Chapter needs a minimum number of interested members to justify the effort necessary to organize and conduct the proposed course. Please submit registration form as soon as possible. / MAIL IN
Print this page and send the completed registration form along with your check for $15, if applicable, before April 15th, 2013 to:
ETCHPS
PO 7006
Oak RidgeTN37831-7006 / E-MAIL (PREFERRED METHOD)
Send an e-mail with completed registration form to
If payment for classes is required, it must be received by mail or through ETCHPS Paypal before April 15th, 2013.
ETCHPS PayPal can be accessed at:

CLASS INFORMATION

Fees: ETCHPS current Member (2013 dues paid) – FREE!

Non-Member – $15 (for handouts, etc.)

When: 8 to 10 a.m. Saturday mornings tentatively starting

April 20th and commencing June 29th. (12 sessions/topics total)

* Dates to be finalized in the coming week as instructors and topics are finalized.

Recommended Study Textbooks and Materials

Basic Health Physics: Problems and Solutions
JosephJohnBevelacqua
ISBN: 0471297119
Introduction to Health Physics, 4th Ed. (2008)
HermanCember
ISBN: 0071423087

REGISTRATION FORM

Please Complete and submit this registration Form for the 2013 Spring ETCHPS CHP Exam Review Classes
Name *
______
Address *
______
City *
______
State *
______
Zip *
______
Day Phone *
______
Cell Phone *
______
Email *
______
Confirm Email *
______
Current ETCHPS member * (enter yes or no)
______
Non-member payment by check or PayPal* (enter check or PayPal)
______
Upon submission of this form, a confirmation email will be sent to you before classes commence.

Cancellation Policy

ETCHPS does not wish to cancel the ABHP Exam review classes, however, if insufficient numbers of participants have registered for the classes by April 15, 2013, we will notify the chapter and those who have registered of class cancellation by email.

Registrants may cancel up to 7 days prior to the class starting and receive a full refund of any fees paid, as applicable. ETHCPS must receive notification of the participant’s cancellation by email () prior to 7 days to the start of classes (3/13/13).

Optional Online Exam Review Courses Available

ColoradoStateUniversity is offering non-credit Health Physics Exam Review online courses. The Health Physics Exam Review is a sixteen week, self-paced Certified Health Physics (CHP) exam review class taught on line. The course instructor is Dr.TomJohnson.

Tuition for the course is $1,295. For more information go to:

Health Physic Exam Review –