Train-the-Trainer Course NY-250218-TRRD Trainer Registration Form

Welcome to the Produce Safety Alliance Remote Train-the-Trainer Course February 18-21, 2025.

Please fill out the Trainer Registration Form below.

The last question in this webform will record your preference for appearing in our online Trainer directory. Those that opt in will appear in the online directory within a few days of course completion. 

If you have more than one last name please place both names above in the desired order, using a space or hyphen between names as desired.

Please enter as XXX-XXX-XXXX. Include country code for phone numbers outside of the US.
Course Certificate Desired
 
 
Certificate Options
 
 
Preferred Mailing Address
Occupation
 
 
 
 
 
 
 
 
List any previous employment that is relevant to produce safety, if applicable
Languages Spoken - select languages you would be comfortable using to teach a Grower Training Course
 
 
 
 
 
 
 
 
Please list other languages that you speak.
Do you want to be listed as a PSA Trainer on the PSA website?
 
 
Your name, affiliation, city, state, country, phone number, email, languages spoken, and Trainer/Lead Trainer status will be shared. This will help other trainers or collaborators contact you to host trainings for growers or answer questions related to the FSMA Produce Safety Rule. At any time, you can contact the PSA if you would like to be removed from this listing or need to update your contact information.