Instructor / proctor network

Apply to work with Five Stars Food Safety.

Certified instructors and registered exam proctors can request an onboarding review to support Five Stars Food Safety sessions.

Full name *

Email *

Phone number *

Preferred contact

City and state *

Current employer

Job title

Today's date *

Instructor / Proctor certificate number *

Certificate expiration date *

Time certified as instructor / proctor

Estimated instruction hours

Most recent instructor / proctor passing score

Why did you become an instructor and proctor? *

Food-industry background and experience *

Availability for training sessions *

Instructor / Proctor certificate *PDF, PNG, or JPG. Maximum 5 MB.

Food Protection Manager certificate *PDF, PNG, or JPG. Maximum 5 MB.

Additional information

I certify that the information and credentials supplied are accurate and may be verified as part of the onboarding review.

Fields marked * are required.