Learn more about Epi-Ready and other trainings and resources

Thank you for your interest in Epi-Ready training! Please complete the form below to request information about receiving an Epi-Ready training.

Additional resources can be found at:

NEHA | Food Safety

Food Safety Centers of Excellence

Question Title

* 1. Applicant Information

Your Name:

Your Job Title:

Your Agency:

Your Agency's Physical Address:

City:

County:

State:

Zip Code:

Phone Number:

Email Address:

Question Title

* 2. Point of Contact Information, only if different than applicant.

Name:

Job Title:

Agency:

Phone Number:

Email Address:

Question Title

* 3. What is the population size served by your agency?

1,000-4,999

5,000-9,999

10,000-24,999

25,000-49,999

50,000-99,999

100,000-249,999

250,000-499,000

More than 500,000

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* 4. Which of the following best describes your agency type?

State

Tribal

Local

Territorial

Other (please specify)

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* 5. Which of the following best describes your agency’s governance structure?

Centralized or largely centralized structure: Local health units are primarily led by employees of the state.

Decentralized or largely decentralized structure: Local health units are primarily led by employees of local governments.

Mixed/Hybrid structure: Some local health units are led by employees of the state, and some are led by employees of local government. No single structure predominates.

Not sure

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* 6. Do you plan to invite others to the training, what type of agency are the others associated with? Select all that apply.

State

Tribal

Local

Territorial

None of the above

Other (please specify)

Question Title

* 7. How many attendees are expected to attend the Epi-Ready training? (Please note that 40 people is generally the maximum number)

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* 8. Have you reached out previously about the need for this training to NEHA, Food Safety Centers of Excellence, or the CDC?

Yes

If Yes, please identify the organization who was contacted:

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* 9. Has your agency previously received any Epi-Ready Training?

Yes

If Yes, what month/year was the Epi-ready Training provided and by what organization?

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* 10. Please describe who will be attending the training. Check all that apply. (Please note that generally a mix from all disciplines is most effective).

Epidemiologists

Environmental Health Specialists

Laboratory Specialists

Other, please provide job titles and/or agency names:

Question Title

* 11. Does your agency currently use a foodborne illness complaint system?

Yes

Not sure

If Yes, please provide type of complaint system:

Question Title

* 12. Does your agency currently possess a stool collection kit?

Yes

Not sure

If Yes, will someone in attendance at the Epi-Ready Training be willing to demonstrate proper use of the kit? Please provide name and email address.

Question Title

* 13. Please enter confirmation of the full physical street address, and any space details, of where the Epi-ready Training will take place.

Location Name

Physical Street Address

City

County

State

Zip Code

Provide any additional details of the space:

Learn more about Epi-Ready and other trainings and resources

Question Title

* 1. Applicant Information

Question Title

* 2. Point of Contact Information, only if different than applicant.

Question Title

* 3. What is the population size served by your agency?

Question Title

* 4. Which of the following best describes your agency type?

Question Title

* 5. Which of the following best describes your agency’s governance structure?

Question Title

* 6. Do you plan to invite others to the training, what type of agency are the others associated with? Select all that apply.

Question Title

* 7. How many attendees are expected to attend the Epi-Ready training? (Please note that 40 people is generally the maximum number)

Question Title

* 8. Have you reached out previously about the need for this training to NEHA, Food Safety Centers of Excellence, or the CDC?

Question Title

* 9. Has your agency previously received any Epi-Ready Training?

Question Title

* 10. Please describe who will be attending the training. Check all that apply. (Please note that generally a mix from all disciplines is most effective).

Question Title

* 11. Does your agency currently use a foodborne illness complaint system?

Question Title

* 12. Does your agency currently possess a stool collection kit?

Question Title

* 13. Please enter confirmation of the full physical street address, and any space details, of where the Epi-ready Training will take place.

Question Title

* 14. Please provide any additional comments or information we may need to know regarding this request for Epi-ready Training.