Dosimetry Application Form UWM Personal Dosimetry Application Form Personal Dosimeter form for students/researchers working with X-ray devices or Radioactive Materials. Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Sex Assigned at Birth(Required)FemaleMaleEmail(Required) I will work with(Required) X-Ray Devices Radioactive Materials Primary Investigator:(Required) I was previously badged at:(Required) UW-Milwaukee Current or Previous Employer None of these; I was never previously badged Check all that applyBy signing this form, I attest to the following:Employee Signature:(Required) Name may be typed into the signature field.Signature Date:(Required) MM slash DD slash YYYY Comments: