Training Courses Create Account | Rent-A-Chef Kitchen Recruiting and Staffing

Training Courses Account Creation Info

FOOD SAFETY TRAINING COURSE

Account Creation Information Form

***Participant Information***

Please fill out following information to create your course account....

Full Name *

Email address *

Phone Number *

Date of Birth *

Mailing Address *

Current Employer: *

Position /Job Title: *

Work Address: *

Supervisor Name:(If applicable) *

Are you able to create your course access information on your own? *

Yes
No

Preferred Username: *

Create Password: *

Confirm Password: *

Select Course Level *

Basic Food Safety (Entry Level)
Intermediate Food Handler
Advanced Food Manager Certification

Preferred Language? *

English
Spanish
Other______________

Other *

Emergency Contact Name *

Emergency Contact Relationship: *

Emergency Contact Phone Number: *

Type Signature *

Date: *

Accessibility Needs or Accommodations: *