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* 1. Please Provide the Following.

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* 2. Has your supervisor approved you to attend this course?

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* 3. Have you taken an instructor skills or similar type training? 

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* 4. If yes, what training(s) have you attended?

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* 5. Do you have any experience with Lean, Six Sigma, or other quality improvement models?

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* 6. If yes, please indicate your experience.

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* 7. Are there projects your agency is currently working on or looking at that could benefit from you attending this Process Improvement Course?

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* 8. If yes, please list them. 

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* 9. Is your agency currently using USAFoodSafety or USAPlants as part of your inspection or licensing software?

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* 10. If no, does your agency plan on considering moving to the SAFHER platform?

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* 11. Does your computer have microphone and camera capabilities?

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