First Name *

Last Name *

Email *

Phone *

SNA/M Member Number

Are you SNA Certified or Credentialed? *

Select all of the courses you prefer to teach. *

#100 — School Nutrition Basics (10hrs.)

#105 — School Nutrition Basics/Nutrition Overview (4hrs.)

#130 — Sanitation and Food Safety (10hrs.)

#132 — ServSafe® (12hrs.)

#143 — Conflict Resolution (3hrs.)

#151 — Weights, Measures, and Meal Production Records (3hrs.)

#152 — Skills for Preparing Quality Meals (3hrs.)

#153 — Standardized Recipes (3hrs.)

#154/5 — Culinary Techniques I & II (3hrs.)

#160 — Michigan Farm Fresh Skills (4hrs.)

#161 — Knife Skills (3hrs.)

#180 — Nutrition 1 (10hrs.)

#190 — Meeting Children’s Special Dietary Needs in Child Nutrition Programs (3hrs.)

#265 — Marketing School Meals (10hrs.)

#268 — Developing a Marketing Plan (3hrs.)

#415 — Practical Solutions for Financial Management Success (4hrs.)

#480 — Menu Planning (8hrs.)

How many courses are you willing to teach per year? *

Enter required value 1-5 6-10 11-15 16-20

Identify approximate location or geographic area where you wish to teach:

How far are you willing to travel? *

Enter required value up to 50 Miles roundtrip up to 100 Miles roundtrip up to 200 Miles roundtrip up to 300 Miles roundtrip up to 400 Miles roundtrip

Education History

Please attach files as necessary

20MB max

Highest education level completed

High School College Business Trade Other

Name and Location

Date Completed, Major/Minor, Degree

Employment History

Please attach pages as necessary.

20MB max

Present Employment *

Location Name and Dates of Employment

Supervisor’s Name and Title *

Present employment information

Supervisor’s email and phone number *

Present employment information

Briefly describe your current position and responsibilities.

Prior Work History

Location Name and Dates of Employment

Supervisor’s Name and Title

Previous Supervisor’s email and phone number

Briefly describe your position and responsibilities

Additional experience or information

Please describe any additional experience or information that you feel would be helpful in evaluating your qualifications as an instructor. Discuss your interest in teaching food service courses.

Agreement *

By submitting this application, I certify that the answers in this application are true to the best of my knowledge. I hereby authorize the ASSOCIATION to inquire and verify any information contained on this application for employment, and the ASSOCIATION shall not be liable for any damages which may result from such inquiry or verification. In this connection, I authorize all previous employers to cooperate with the ASSOCIATION and to release on a confidential basis any information they may have concerning me.