Dairy Lab Analyst Training First Name Last Name Company Job Title Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code If you are a New York State employee, please indicate which NY County you work in: - Select -AlbanyAlleganyBronxBroomeCattaraugusCayugaChautauquaChemungChenangoClintonColumbiaCortlandDelawareDutchessErieEssexFranklinFultonGeneseeGreeneHamiltonHerkimerJeffersonKingsLewisLivingstonMadisonMonroeMontgomeryNassauNew YorkNiagraOneidaOnondagaOntarioOrangeOrleansOswegoOtsegoPutnamQueensRensselaerRichmondRocklandSt. LawrenceSaratogaSchenectadySchoharieSchuylerSenecaSteubenSuffolkSullivanTiogaTompkinsUlsterWarrenWashingtonWayneWestchesterWyomingYates Phone Number Email Email Confirm email How did you hear about our workshop(s)? How did you hear about our workshop(s)? - Select -CatalogCheese Market NewsCheese ReporterCornell University websiteCourse announcementDair-E-NewsDairy Foods Extension websiteDairy Foods MagazineFood Quality MagazineFrom my company or coworkerIDFANewsletterNortheast Dairy Foods AssociationWord of mouthOther… Enter other… Please choose the business sector that best describes your role: - Select -Federal regulatoryState regulatoryIndustryEducation Select course date: - Select -January 9-11, 2024 (In-person, Cornell campus) Payment Type Credit Card Invoiced Payment* *Invoiced payment are for special circumstances only. Please contact Louise Felker at lmf226@cornell.edu. Course Registration Fee NYS Early Fee (prior to December 13, 2023): $725 Out-of-State Early Fee (prior to December 13, 2023): $880 NYS Late Fee (after December 13, 2023): $880 Out-of-State Late Fee (After December 13, 2023): $1,100 Payment is completed on the confirmation page. Received and accepted registrations imply commitment to fees and to limited space. Status message In order to best customize this training for participants, please review the list of procedures and equipment listed below and check all items that you work with. Cultural Procedures (check all that apply): Use of glass pipets Use of plastic pipets Use of pipettors Use pre-made dilution bottles Make your own dilution bottles Use of autoclave Make your own agar/broth Other… Enter other… Bacteria Testing Methods Used (Check all that apply): Standard Plate Count Coliform Count Petrifilm Charm Peel Plate Bactoscan Other Other… Enter other… Drug Residue Testing Methods Used (Check all that apply): Charm SL Charm 3 SL3 Idexx Snap Delvo 5p Other Other… Enter other… DMC/SCC (Check all that apply): Direct Microscopic Count Direct Microscopic Somatic Cell Count Electronic Somatic Cell Count Other… Enter other…