* 1. Does your program have at least one person with a valid Food Safety Certificate on file?

* 2. Choose a Food Safety Training Date: (Training is held at the Mid-Ohio Foodbank)

* 3. Name of Attendees: (Only 2 per training)

* 5. Agency Name:

* 6. Agency ID Number:

* 7. County:

* 8. Contact Phone Number:

* 9. Contact Email:

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