Kentucky SFS Certification Program SFS Level One Certification SCN Submission Form District: _______________________________________ School Food Service Director: ___________________________ Date: ________________________ SCN Use Only Employee Name Type of First Day Date Date SCN Employee Employee Temporary Assessment Staff Worked for Certificate Completed Initials District Issued Sub Full
Kentucky SFS Certification Program SFS Level One Certification SCN Submission Form District: _______________________________________ School Food Service Director: ___________________________ Date: ________________________ SCN Use Only Employee Name Type of Employee First Day Employee Worked for District Date Temporary Certificate Issued Date Assessment Completed SCN Staff Initials Sub Full