TWO SEPARATE COURSE

OFFERINGS

FEB 25 - MAR 5, 2020 (T/TH)

3:00 PM - 7:00 PM

OR APR 28 - MAY 7, 2020 (T/TH)

1:00 PM - 5:00 PM

COST: $175 EACH

Food Safety Training and Certification For Managers (ServSafe)

Tuition Includes Text Book and Cost of One Certification Exam

*Students are asked to read the first four chapters

before the first day of class.*

Books can be picked up at ESCC Workforce Services Center after student has registered

29300 Lankford Highway

Melfa, VA 23410

E A S T E R N S H O R E C C

Register online at es.augusoft.net

For assistance please call 757-789-7979

This Certification Course is for:

Managers of food service operations for hotels, restaurants, schools, clubs,

non –profit organizations and other institutions that offer food services.

ESCC does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities.

The following person has been designated to handle inquiries regarding the non-discrimination policies:

Michael Driscoll, Human Resources Manager, 29300 Lankford Hwy., Melfa, VA 23410; 757.789.1754.

1. *Name: First Full Middle Last 2. Social Security Number: - - Empl-Id: You are not required to provide your SSN if you choose not to. Your SSN or date of birth will help distinguish you from other students in Virginia who might have the same name, and will help to ensure that your participation is correctly

recorded.

3. Former Name: First Full Middle Last 4. * Date of birth: / / 5. *Phone - home: (Month) (Day) (Year)

6. *Mailing address: (Street or PO BOX) (Apt #) (City) (State) (ZIP) (Country, if not USA)

7. *Email address: (This is critical)

8. Employer: 9. Phone - work:

10. Ethnicity: ____ Black/African American ____ White ____ Asian ____ Hispanic/Latino ____ American Indian or Alaskan Native ____ Native Hawaiian/ Pacific Islander 11. Gender: _____ Male _____ Female 12. US Citizenship Status: ____ Native: US citizen from birth ____ Naturalized USA citizen ____ Alien: permanent resident ____ Alien Temporary resident 13. Primary language: _____ English _____ Other 14. Military information: ( ) active duty ( ) active reserves ( ) inactive reserves ( ) retired ( ) veteran ( ) military spouse ( ) military dependent child Branch:________________________________

* = Mandatory for registration

Class Title Date Fee

Food Safety Training and Certification (ServSafe) Feb 25 - Mar 5 April 28 - May 7

$175

SPRING 2020 ES.AUGUSOFT.NET 757-789-7979