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FoodSafetyGuyStudent Registration Form

Student Information Form

Student information is retained for five (5) years in accordance with the current MN Food Code.
1

Student Information

Name
First
Middle
Last

If you are expecting a FoodSafetyGuy-issued “MN CFPM Certificate of Re-Certification (4-CEUs),” please list your full legal name so your certificate prints correctly.

Please enter your first and last name.

Address
Home Street Address
Suite, Apt #
City
State / Region / Province
Postal / Zip Code

Please complete your street address, city, state, and zip.

Please enter a phone number.

Please enter a valid email address.

Uncheck if you do not want to receive monthly updates.

2

Work Life

Please enter your business or company name.

Describe your duties / title.

Please describe your title or duties.

Business Information
Business Street Address
Business Address Line 2
Business City
Business State / Region / Province
Business Postal / Zip Code

Please complete the business street address, city, state, and zip.

Please enter a valid work email address.

3

Please Contact Me

Please check any topic you would like further information about from FoodSafetyGuy. Thank you!

I am interested in learning more about…
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Registration received

Thanks, student — your student information has been submitted. Enjoy your food safety training!