* 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. Attendee Name (2 person limit):

* 4. Agency Name:

* 5. Agency ID Number:

* 7. County:

* 8. Contact Phone Number:

* 9. Contact Email:

T