SERVSAFE® REGISTRATION Please copy this form for each participant. Name: __________________________ Address: ________________________ COURSE LOCATION Lanier County Extension Office 162 W. Thigpen Ave. Lakeland, GA _______________________________ City, State, Zip: ___________________ Presents: Company: _______________________ Phone: _________________________ S ERV S AFE ® M ANAGER T RAINING Postal mailing address for certificate: ________________________________ ________________________________ Book Language: ___English ___Spanish Test Language: ___English ___Spanish ___Japanese ___Korean ___Chinese The Food Industry’s Leading Food Safety And Sanitation Training Program COST: $140 December 1-2, 2015 Re-Test Only: $60 (Postmarked by November 13, 2015) Make checks payable to: Lanier County Extension/4-H Registrations must be postmarked by November 13, 2015. A $30 late fee will apply after this date. Late registrations will be handled on a case by case basis based on the availability of books, etc. Rachel Hubbard Lanier County Extension 162 W. Thigpen Ave. Lakeland, GA 31635 Registration fees are used to cover ServSafe Course costs and to support the Lanier County Family and Consumer Sciences program. The University of Georgia College of Agricultural & Environmental Sciences (working cooperatively with Fort Valley State University, the U.S. Department of Agriculture, and the counties of Georgia) offers its educational programs, assistance, and materials to all people regardless of race, ethnicity, national origin, color, gender, sexual orientation, religion, age, disability, or veteran status and is an equal opportunity, affirmative action organization. The University of Georgia Cooperative Extension is committed to providing access for people with disabilities and will provide reasonable accommodations, if notified. Call the Lanier County Extension Office at 229/482-3895 with specific requests. Lanier County Extension 162 W. Thigpen Ave Lakeland, GA SPONSORED BY: University of Georgia Lanier County Extension SERVSAFE® MANAGERS TRAINING ARE YOU: A Food Service Manager? A Manager in Training? A School Nutrition Program Director or Manager? You have an opportunity to improve your food safety & sanitation skills through a nationally recognized food safety sanitation course: ServSafe®: Serving Safe Food The ServSafe Managers Training is a food safety training program approved by DHR and includes: 12 hours of instruction Certificate from NRAEF issued upon successful completion of the examination Includes new 6th edition manager book REGISTRATION DEADLINE: November 13, 2015 The EXAM is a standardized test and requires good reading skills. COURSE SCHEDULE COST: $140.00 TUESDAY, DECEMBER 1, 2015 8:30 - 5:00 Includes course instruction, the manager book, workshop materials, certification test, and breaks Providing Safe Food The Microworld Contamination & Food Allergens The Safe Foodhandler The Flow of Food: Introduction The Flow of Food: Purchasing, Receiving, & Storage The Flow of Food: Preparation WEDNESDAY, DECEMBER 2, 2015 Instruction and Exam 8:30 – 5:00 The Flow of Food: Service Food Safety Systems Sanitary Facilities Cleaning & Sanitizing Integrated Pest Management Food Safety Regulations & Standards Review for Exam Certification Exam *Includes the 6th Edition Manager book updated with the 2013 FDA Food Code INSTRUCTOR Rachel Hubbard Lanier County Extension Family & Consumer Sciences F OR M ORE I NFORMATION C ONTACT : Rachel Hubbard Lanier County Extension Phone: 229-482-3895 Fax: 229-482-2654 Email: rubynell@uga.edu www.ugaextension.com/lanier