2020 Food Handler Certification Program Registration Form · of Government issued photo...
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September 18 Simcoe 2020 Food Handler Certification Program Registration Form REGISTRATION INSTRUCTIONS: Submission of completed form and payment made in-person will reserve your spot in the chosen course/exam. Cheques are to be made payable to ‘Norfolk County’. Please do not mail or email registration forms and/or payment due to limited spots available. Please note we do not accept credit cards. Registration fees are non-refundable one week prior to the course/exam. The Food Handler Certification Program is taught in English only. Upon request, exams can be provided in French, Chinese (simplified), Spanish, Arabic and Greek. Upon successfully completing the exam, you will receive a Ministry of Health and Long Term Care approved certificate which is valid for five (5) years. The passing mark is 70%. If you are unsuccessful in achieving the minimum mark of 70%, you will be allowed one re-write free of charge. Please bring a piece of Government issued photo identification to the course/exam. Please bring a piece of Government issued photo identification to the course/exam If you require further assistance, contact the Haldimand-Norfolk Health Unit at 519-426-6170 or 905-318-6623 ext. 3231 or at [email protected]. Please note: Calendonia is closed for lunch. Caledonia and Dunnville accept cash and cheque only. Name: Email Address: Address: Postal Code: Phone Number: Option A - $54 1 Day Course – 9:30 a.m. to 4:30 p.m. (Tuesdays) Date Course Location February 4 Simcoe February 11 Caledonia April 21 Simcoe May 5 Caledonia June 16 Simcoe September 15 Simcoe October 6 Dunnville November 17 Caledonia December 8 Simcoe Option B - $25 (Exam Only-Includes Manual) Time: 9:30-10:30 a.m. (Fridays) Date Exam Location January 24 Simcoe March 27 Simcoe April 3 Dunnville April 24 Caledonia May 8 Simcoe June 5 Simcoe June 12 Caledonia Option C - $10 OPTION A (Course) Locations Caledonia: Caledonia Public Library 2-100 Haddington St.Caledonia, ON N3W 2N4 (Use Arena Entrance) Dunnville: Grandview Lodge 657 Lock St. W. Dunnville, ON N1A 1V9 Auditorium Simcoe: Health & Social Services Department 12 Gilbertson Dr. Simcoe, ON N3Y 4N5 OPTION B (Exam) Locations Caledonia: Caledonia Public Library 2-100 Haddington St.Caledonia, ON N3W 2N4 (Use Arena Entrance) Dunnville: Health & Social Services Department 117 Forest St. E. Dunnville, ON N1A 1B9 Simcoe: Health & Social Services Department 12 Gilbertson Dr. Simcoe, ON N3Y 4N5 OFFICE USE ONLY Receipt # Manual Issued by: Method of payment Cash Updated January 2020 Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act 1990. Any questions should be directed to the Supervisor, Information and Privacy, Norfolk County, at 519-426-5870 or at [email protected] City/Town: Simcoe July 10 July 17 Caledonia Simcoe August 14 August 21 Caledonia Caledonia November 20 Dunnville September 25 Exam Only - Choose from dates in Option B (initial) Cheque Debit Amount: Date: Simcoe October 20 PLEASE PRINT CLEARLY: Dunnville January 14 March 10 Dunnville
Transcript of 2020 Food Handler Certification Program Registration Form · of Government issued photo...
September 18 Simcoe
2020 Food Handler Certification Program Registration Form
REGISTRATION INSTRUCTIONS: Submission of completed form and payment made in-person will reserve your spot in the chosen course/exam. Cheques are to be made payable to ‘Norfolk County’. Please do not mail or email registration forms and/or payment due to limited spots available. Please note we do not accept credit cards. Registration fees are non-refundable one week prior to the course/exam.
The Food Handler Certification Program is taught in English only. Upon request, exams can be provided in French, Chinese (simplified), Spanish, Arabic and Greek. Upon successfully completing the exam, you will receive a Ministry of Health and Long Term Care approved certificate which is valid for five (5) years. The passing mark is 70%. If you are unsuccessful in achieving the minimum mark of 70%, you will be allowed one re-write free of charge. Please bring a piece of Government issued photo identification to the course/exam. Please bring a piece of Government issued photo identification to the course/exam
If you require further assistance, contact the Haldimand-Norfolk Health Unit at 519-426-6170 or 905-318-6623 ext. 3231 or at [email protected]. Please note: Calendonia is closed for lunch. Caledonia and Dunnville accept cash and cheque only.
Name:
Email Address:
Address:
Postal Code:
Phone Number:
Option A - $54 1 Day Course – 9:30 a.m. to
4:30 p.m. (Tuesdays)
Date Course Location
February 4 Simcoe
February 11 Caledonia
April 21 Simcoe
May 5 Caledonia
June 16 Simcoe
September 15 Simcoe
October 6 Dunnville
November 17 CaledoniaDecember 8 Simcoe
Option B - $25 (Exam Only-Includes Manual)
Time: 9:30-10:30 a.m. (Fridays)
Date Exam Location
January 24 SimcoeMarch 27 SimcoeApril 3 DunnvilleApril 24 Caledonia
May 8 Simcoe
June 5 Simcoe
June 12 Caledonia
Option C - $10
OPTION A (Course) LocationsCaledonia: Caledonia Public Library 2-100 Haddington St.Caledonia, ON N3W 2N4 (Use Arena Entrance)
Dunnville: Grandview Lodge 657 Lock St. W. Dunnville, ON N1A 1V9 Auditorium
Simcoe: Health & Social Services Department 12 Gilbertson Dr. Simcoe, ON N3Y 4N5
OPTION B (Exam) LocationsCaledonia: Caledonia Public Library 2-100 Haddington St.Caledonia, ON N3W 2N4 (Use Arena Entrance)
Dunnville: Health & Social Services Department 117 Forest St. E. Dunnville, ON N1A 1B9
Simcoe: Health & Social Services Department 12 Gilbertson Dr. Simcoe, ON N3Y 4N5
OFFICE USE ONLY
Receipt #
Manual Issued by:
Method of payment
Cash
Updated January 2020
Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act 1990. Any questions should be directed to the Supervisor, Information and Privacy, Norfolk County, at 519-426-5870 or at [email protected]
City/Town:
SimcoeJuly 10
July 17 CaledoniaSimcoeAugust 14
August 21 Caledonia
CaledoniaNovember 20 DunnvilleSeptember 25
Exam Only - Choose from dates in Option B
(initial)
Cheque Debit Amount:Date:
SimcoeOctober 20
PLEASE PRINT CLEARLY:
DunnvilleJanuary 14
March 10 Dunnville
