Matthew G. Bevin Secretary

Hal Heiner Matthew G. Bevin Secretary Governor Education and Workforce Development Cabinet

Stephen L. Pruitt, Ph.D. Commissioner of Education

KENTUCKY DEPARTMENT OF EDUCATION Capital Plaza Tower  500 Mero Street  Frankfort, Kentucky 40601 Phone: (502) 564-4770  www.education.ky.gov

Child and Adult Care Food Program Utilizing Caterers Training Certification For Sponsors

Instructions: After completing online training, insert your initials below next to the appropriate online training module(s) completed. When you have finished your required module(s), complete the signature section and make a copy of this form for your records and submit this form to the State Agency. This should be emailed to [email protected] or faxed with attention to Christina Schenk at (502) 564-5519.

Catered Meal Service Training: (initial next to the training you completed)

______Part 1- Overview Catered Meal Service (Required)

______Part 2- Informal Competitive Procedure (Required for projected catered costs of below $150,000)

______Part 3- Formal Competitive Procedure (Required for projected catered costs of $150,000 or more)

By signing below, I certify that I have received training materials and completed the online training modules initialed above.

Signature of Person Responsible & Title Printed Name Date

Name of Site(s) and Sponsor CNIPS ID#

Organization’s Address, City, State

KentuckyUnbridledSpirit.com An Equal Opportunity Employer M/F/D