TrainCan, Inc. Proctor/Trainer Application Form

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Please fill out the TrainCan, Inc. Proctor/Trainer Application Form and press submit at the bottom. You will then be contacted shortly by a TrainCan team member with further information.

Click the statement below that applies best to this application: *

I Want to oversee certification examinations for students. (Proctor)

I want to hold in-class training sessions to teach TrainCan food safety courses and proctor student exams. (Trainer)

What is your first name? *

What is your last name? *

What is your company? *

What is your title?

Please enter your mailing address in the following four boxes.

Address (example: 1840 Clements Road, Suite 100) *

City (example: Pickering) *

Province (example: Ontario) *

Postal Code (example: L1W 3R8) *

What is your email? *

What is your phone number? *

Please provide the following information as it applies to you:

I have completed ADVANCED.fst: *

Yes - I will provide the details in the following question.

If you answered yes to the above question (ADVANCED.fst), please provide your certificate number, date of issue, and score.

I have completed TrainCan Inc.'s Train the Trainer Program: *

Yes - I will provide the details in the following question.

If you answered yes to the above question (Train the Trainer), please provide your certificate number and date of issue.

Please provide a short explanation as to why you are seeking Proctor or Trainer status. If you are applying to be a trainer, please note relevant training experience. *

If applying to be a Trainer, would you like to teach (check all that apply):

BASICS.fst

ADVANCED.fst

Please read and review the following PDF documents. They will be used for the following questions.

Examination Protocol (Form 202106)
https://drive.google.com/file/d/1bpcgFAKrEbvsluL-tOE5HShNu7Qw8L7A/view?usp=sharing

Mutual Confidentiality and Nondisclosure Agreement
https://drive.google.com/file/d/1DIxwAKoECWJk1pl4FF71KPPVCvv7m5y2/view?usp=sharing

By signing this application I understand and agree to the following: *

I have read, understand and agree to abide by the TrainCan Examination protocol (Form 202101)

I have read, understand and agree to abide by the TrainCan Mutual Confidentiality and Nondisclosure Agreement (Form 202102)

I am 19 years of age or over and will not be challenging a TrainCan exam in the next 6 months

I may not proctor family members or friends

I may not reproduce any exam or scantron, or brand/copy any TrainCan material without the express written permission of TrainCan Inc.

I understand that TrainCan Inc. reserves the right not to approve this application

I understand and agree that TrainCan Inc. reserves the right to revoke or suspend my Proctor/Trainer privileges at any time should this application be accepted

Required

Digital Signature (By typing your name you are agreeing to the above terms): *

What is today's date? *

YYYY

Please use the "submit" button below.

Thank you for submitting this application. You will be contacted by a TrainCan Team Member shortly. You will be required to provide supporting information to complete your application. If you have questions about this application process please email info@traincan.com.

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