ServSafe Registration
Food Safety Manager Training will held on 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!
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Name of Participant (First Name, Last Name, Middle Initial) *
Date of Birth *
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DD
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YYYY
Mailing Address *
Phone Number *
Email Address to be used for communication for this course *
Is your Employer sending you to this certification? *
If yes, please provide Employer's information: Name of Restaurant/Food Service
Employer's Contact Person and Phone Number
Employer's Address
Employer's Phone Number
Are you a YCCC Alumni? *
How will you be paying for this Certification? *
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