Mass Maritime Academy
OSHA-10 Registration 2024

Please fill out the form clearly and accurately to receive an OSHA card for the course named below. It is important to complete this form for tracking purposes. If you have any questions, please speak to the instructor.

To receive your OSHA 10-Hour General Industry certificate, please fill out the form below and select Buy Now to finalize your purchase through PayPal. The certification fee is $75.00

IF YOU ARE A CURRENT OR FORMER MASS MARITIME STUDENT SEEKING A REPLACEMENT CERTIFICATE, PLEASE CONTACT OUR OFFICE AT (877) 399-1698. DO NOT FILL OUT THIS FORM.

Cadet First Name*
Cadet Last Name*
Contact Number*
Home Address*
Email Address*
Letter/Section*
Date of 1st Session*