8/10/2015 to 8/12/2015 (Class)8/14/2015 (Exam)5 to 8 p.m.

Georgia Southern UniversityCollege of Health & Human Sciences Hollis Building

Room 2106 (Class) - Room 1105 (Exam)

Cost: $75 per person (Class and Exam)Cost: $25 per person (Exam ONLY!)Required text book sold separately (see website for details)

Why ServSafe®?

• Becauseyouneedthehigheststandardoffoodsafetytrainingandcertification.

• BecausetheServSafeProgramhasevolvedtomeetthemosturgentfoodsafetytrainingchallengesinourindustry.

• BecauseServSafeisabetterwaytolearn.It ’smoreengaging,forgreatercomprehensionandbetterapplication.

• Becausefoodsafetyimpactsyourcustomers,youremployeesandyourbusiness.Withsomuchontheline,therightpreparationmeanseverything.

Georgia law requires at least one food service manager on staff to have successfully completed a food safety training program and passed an ANSI-CFP exam. For all new establishments, there is a 90-day grace period to comply with the mandatory manager certification. During this 90-day period, the manager or person in charge must demonstrate food safety knowledge.

The ServSafe® program blends the latest FDA Food Code, food safety research and years of food sanitation trainingexperience.Studentslearntoimplementessentialfoodsafetypracticesandcreateacultureoffoodsafetywhileearningthe ServSafe Food Protection Manager Certification, accredited by the American National Standards Institute (ANSI)-ConferenceforFoodProtection(CFP).

F o r m o r e i n f o r m a t i o n , v i s i t h t t p : //a c a d e m i c s . g e o r g i a s o u t h e r n . e d u /c e / p r o g r a m s / p r o f e s s i o n a l d e v e l o p m e n t /s e r v s a f e /

CONTINUING EDUCATION

Ser vSafe®

Training and Certification

RegisterTODAY!

REGISTRATION REQUESTPROGRAM # 15AACCE3012A ServSafe® Training and Certification 8/10/2015 to 8/12/2015 (Class), 8/14/2015 (Exam)5 to 8 p.m.At The College of Health & Human Sciences, Statesboro, GA

DIVISION OF CONTINUING EDUCATION G e o r g i a S o u t h e r n U n i v e r s i t y

Mail, fax, email or phone form to:

Continuing Education RegistrationsP.O. Box 8124Statesboro, GA 30460-8124Phone: 855-478-5551 (toll-free)Fax: 912-478-0847email: CE-Registrations@georgiasouthern.edu

1. Registrant Information

Name:Last First MI

Employer/Organization: Title:

AddressoHomeoWork:

City: State: ZIP:

CellPhone#: HomePhone#: FAX#:

email(Required for e-mail receipt):

SPECIAL ACCOMMODATIONS: For special assistance, please request accommodation needs at least 14 working days in advance of the program.

REFUND POLICY: If you must withdraw from a class, please notify the registration office by phone, e-mail, or in person. If you notify the registrar at least five working days prior to the beginning of class, you may: 1. Send another student in your place. 2. Transfer your tuition to another class, provided that the second class occurs within six months of the original one. 3. Receive a tuition refund, less a $25 withdrawal fee. No tuition refunds or transfers will be made after the class begins. Substitutions are encouraged, please contact ce-registrations@georgiasouthern.edu. for information.

3. Method of Payment

oPersonalcheck(PayabletoGeorgiaSouthernUniversity)(include attendee’s name, course number, and course date on all checks.)

oOrganizationcheck(PayabletoGeorgiaSouthernUniversity)

oCreditCardopersonal ocorporate

oVISA oMASTERCARD oAMEX oDISCOVER

AccountNumber: ExpirationDate: Securitycode:

Cardholder’sName:(pleaseprint) Signature:

2. Amount Due - Fee does not include text book or exam voucher.

o$75 ServSafe® Training and Certification CLASS and EXAM $

o$25 ServSafe® Training and Certification EXAM ONLY $

Total $