Skip redundant pieces
Office of Compliance

Chalk Courtesy User Request Form

Chalk Courtesy User
If you are an APPLICANT, EMPLOYEE, or STUDENT at KUMC please contact Customer Support (913-588-7995) to see if an account has been created for you.  If no account exists please contact your KUMC department.

The account request form below is only for individuals not formally affiliated with KUMC who need access to the Chalk online training system. Office of Compliance must authorize access before an account is created.

Asterisk (*) indicates required field.

*First Name
Middle Name or Initial
*Last Name
*Phone Number
*Fax
*Email
*I am not formally affiliated with KUMC as an employee or a student.
My affiliation is best described as: 
Children’s Mercy clinical faculty
CMSU affiliate
KDHE affiliate
KSU affiliate
Mid-America Cardiology affiliate
Rockhurst affiliate
Stowers affiliate
UMKC affiliate
Via Christi affiliate
Wesley affiliate
WSU affiliate
Researcher-Animal
Researcher-Human
Other
  If Other please describe:
I am required to complete
Chalk training on behalf
of the following KUMC
department or contact person:
I am/will be a member of a KUMC research study team.
 

Questions? Email Office of Compliance staff: Tom Field or Sharon Cooper.

KUMC Wichita  |  Research Institute  |  Research Advisory Council