ServSafe Registration
Food Safety Manager Training will held on Tuesday, May 21st, from 8-3pm OR Tuesday, June 11th, from 8-3pm. Cost is $160 per person and includes materials, online exam voucher, and lunch. You will complete the exam before leaving the class and will receive your results immediately.

York County Community College is located at 112 College Dr., Wells, Maine 04090. For more information, please see our website at www.yccc.edu/servsafe.

If you do not receive a confirmation email within 24 hours or have any issues with submitting this form, please contact Kristen at 207-216-4491, kwiegand@yccc.edu. Thank you! We look forward to seeing you! Thank you!

Name of Participant (First Name, Last Name, Middle Initial) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Mailing Address *
Your answer
Phone Number *
Your answer
Email Address to be used for communication for this course *
Your answer
Which day would you like to register for the ServSafe certification? *
Is your Employer sending you to this certification? *
If yes, please provide Employer's information: Name of Restaurant/Food Service
Your answer
Employer's Contact Person and Phone Number
Your answer
Employer's Address
Your answer
Employer's Phone Number
Your answer
Are you a YCCC Alumni? *
How will you be paying for this Certification? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service