Request for Food Safety Trainer

Request for Food Safety Trainer
Pour ce formulaire en version française, veuillez cliquer sur le drapeau dans le coin supérieur droit sur cette page.
This form is for organizations that are seeking a certified food safety trainer to deliver the nationally accredited food safety training program. Please complete the information below and we will get back to you with recommendations for a trainer in your area. Important: People attending food safety training and certification MUST provide government issued photo identification.
Your Contact Information
First Name*
Last Name*
E-mail*
Phone Number (where you can be reached during the day)*
Extension
Company Name
Street Address*
Suite number
City*
Province*
Country*
Postal / Zip Code*
Training Details
Province where the training will take place*
City where the training will take place*
Date requested for the training*

MonthDayYear
TODAY'S DATE

MonthDayYear
Calculation
You have selected a training date that is less than 1 week away. We cannot accommodate your request. Please select a new date for your training, or call our office for other options.
You have selected a training date that is less than 4 weeks away. Please note that we may not be able to accommodate your request on such short notice. Be advised that you may be required to select a new training date, or select an alternate method for your training.
Select the hours you would like for the training.*
Important Note: Trainer will need access to set-up one hour prior to training.
How many people will be trained in this session?*
Will you provide the space for the training?*

Yes we will provide an appropriate training space.No, we would like the trainer to provide a training space.
Please indicate the approximate size of your training space.*
Please check all items that your training space has (select all that apply): *

Tables and chairs for participantsBright lightingProjection screen for PowerPointProjector for PowerPointElectrical outlets for the trainer's equipmentFlip chart standFlip chart paperOther
Please indicate what, if any, food and beverage will you provide for your participants (select all that apply):

Coffee and teaWaterSoft drinksBreak snacks (pastries, cookies etc.)Lunch on-siteOther
Other comments you would like to add
Freeborn & Associates, Inc. 126 Hurontario Street, Suite #204 Collingwood, ON L9Y 2L8 1-888-829-3177 service@foodsafetymarket.com
Should be Empty: