ANFP CE Program Application
This form must be submitted three weeks prior to your event to allow staff time to submit to ANFP on your behalf.
Program/Event Name
*
Program/Event Type
*
Archived Webinar
Book
Fieldtrip/Tour
Food Show
Inservice
IntraCompany Ongoing
IntraCompany Seminar
Ongoing Seminar/Meeting
Online Course
Seminar/Meeting
Video Course
Webinar
CE Hours - General
*
Enter 0 if this does not apply.
CE Hours - Sanitation
*
Enter 0 if this does not apply.
CE Hours - Food Show
*
Enter 0 if this does not apply.
CE Hours - Professional Ethics Hours
*
Enter 0 if this does not apply.
TOTAL CE HOURS
*
Add up all CE hours listed above
Speaker Name
*
Speaker Document - Bio, CV, Resume
*
Browse Files
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of
Objectives Document
*
Browse Files
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of
Agenda Document
*
Browse Files
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of
Evaluation Document
*
Browse Files
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of
Certificate Document
*
Browse Files
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of
Course Competency Level
*
Level I
Level II
Level III
Multiple Levels
Course Topic (can select more than one option)
*
Nutrition: Gather Data - Document nutrition information in the medical records
Nutrition: Gather Data - Interview for nutrition related information
Nutrition: Gather Data - Obtain routine nutrition screening data
Nutrition: Gather Data - Identify nutrition problems and client rights
Nutrition: Apply Data - Modify diet plans
Nutrition: Apply Data - Implement the written diet orders
Nutrition: Apply Data - Apply standard nutrition care
Nutrition: Apply Data - Review effectiveness of nutrition care
Nutrition: Apply Data - Manage special nourishments and supplemental feedings according to the written diet order
Nutrition: Provide Education - Assist clients with food selection based on the written diet order
Nutrition: Provide Education - Use nutrition education materials
Foodservice - Ensure effectiveness of Standardized recipes
Foodservice - Specify standards and procedures for preparing food
Foodservice - Supervise the production and distribution of food
Foodservice - Monitor meal service
Foodservice - Implement Continuous Quality Improvement Procedures for Foodservice Department
Foodservice - Modify standardized menus
Personnel and Communication - Define personnel needs and job functions
Personnel and Communication - Interview, select, and orient employees
Personnel and Communication - Provide ongoing education
Personnel and Communication - Develop and maintain employee time schedules and assignments
Personnel and Communication - Manage goals and priorities for department
Personnel and Communication - Manage department personnel
Personnel and Communication - Manage professional interactions
Personnel and Communication - Implement departmental changes
Sanitation and Safety - Manage personnel to ensure compliance with safety and sanitation regulations
Sanitation and Safety - Manage purchasing, receiving, storage, and distribution of food and supplies following established sanitation and quality standards
Sanitation and Safety - Protect Food in all phases of preparation using HACCP Guidelines
Sanitation and Safety - Manage physical facilities to ensure compliance with safety and sanitation guidelines
Business Operations - Manage a budget
Business Operations - Prepare specifications for capital purchases
Business Operations - Plan and budget for improvements in the department design and layout
Business Operations - Assist in the purchasing process
Business Operations - Manage revenue generating services
Business Operations - Implement cost effective procedures
Notes
Any additional information that is pertinent to the application.
Start Date
*
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Month
/
Day
Year
Date
End Date
*
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Month
/
Day
Year
Date
Address
Street Address Line 2
City
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
Florida
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Hawaii
Idaho
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Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
-
Area Code
Phone Number
Website URL
*
Chapter Site or where more information can be found.
Sponsor Name(s)
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