Food Service Acknowledgement Form
Please complete this form to acknowledge your understanding and agreement with food service policies and procedures.
Full Name
*
First Name
Last Name
Job Title/Position
*
Department/Location
*
Employee ID (if applicable)
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Acknowledgement
*
-
Month
-
Day
Year
Date
Please indicate which food safety trainings you have completed:
*
Food Handling Procedures
Personal Hygiene Standards
Allergen Management
Cleaning and Sanitizing Protocols
Temperature Control and Storage
Other (please specify)
How confident are you in your understanding of food safety procedures?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Please list any questions or concerns you have regarding food service policies:
Signature
*
Submit Acknowledgement
Submit Acknowledgement
Should be Empty: