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Re Certification Form - Excel

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					                      APPLICATION FOR IFSEA CERTIFICATON - U. S. ARMY

Place an X                                     CFM                   CFE-RECERT

Name
Address:


E-Mail
Home Phone                                               Fax #
Work Phone
Date of Application                                   IFSEA Branch
Employer
Current Position
Commanding Officer's NAME, Title and Address - to be notified by IFSEA HQ upon certification:


                SUBMIT APPLICATION BY MAIL, WITH REQUIRED DOCUMENTATION, TO:
                   IFSEA Admin. Office, 304 W. Liberty St. Suite 201., Louisville, KY 40202.
                      If your total pages totals 15 or less you can fax docs to 502-589-3602.
                    Questions? Call 502-583-3783 or e-mail your questions to hq@ifsea.com.
                            Approval takes about 10 days from receipt by IFSEA HQ
                             NOTES FOR COMPLETION OF THIS ON-LINE FORM:
        1. Insert information in the yellow areas only. The rest are either information or automated entries.
                          *USE TAB TO GO FROM ONE YELLOW BLOCK TO THE NEXT!
                   *Red mark in upper right corner means info. is available - put cursor over that block.
                  2. Where it says "List place, dates, position" you type the information right there.
                        3. You also need to submit the required documents WITH this form.
               Army Documentation: Form 2-1 or 2-Alpha and/or ORB should document everything.
              Be sure something indicates when you made E-4 (Supervisor) if enlisted or prior enlisted.




                                                                                                   EARNED
                                                                                                    CREDIT
                                                                                                   POINTS




                                                                                                                TOTAL
A) INDUSTRY EXPERIENCE SECTION
NOTE: NUMBERS A1-A5 ARE TO BE USED FOR CFM ONLY!!
A1. Employment in non-supervisory Food Service positions. (20 pts/year)                            20             0
List place, dates, position!

A2. Intern Position while enrolled in an HRI or equivalent program.                                20             0
(10 pts. for 3-4 month intern program. 20 pts. for 6-12 month intern program)
List place, dates, position, duration!

A3. Participant in Culinary competition/Demonstration sponsored by approved                        10             0
culinary judging body. (10 pts. per entry. Max. 30 pts./year).
List place, dates, event sponsor!

A4. Facility member participating in Corporate/Service sponsored Best Facility                     30             0
Competition (i.e. Ney, Connelly, Hill) (30 pts. for Semi-Finalist Selection;                       40             0
40 pts. for Finalist Selection; 50 pts. for Best in Competition Category)                          50             0
List place, dates, event sponsor!
                                                                                                    EARNED
                                                                                                     CREDIT
                                                                                                    POINTS




                                                                                                              TOTAL
A5. Employee of Month/Quarter. 40 pts. per time selected)                                            40         0
Employee of Year (80 pts.) (Max. 80 pts. per year) (Hospitality industry only)                       80         0
List employer, dates, award name!

NOTE: NUMBERS A6-A13 ARE TO BE USED FOR CFE RECERT AND CFM
A6. Food Service: Supervisor/Educator/Sales Employment. (40 pts. per year)                           40         0
List company, position, dates!

A7. Military Evaluation Traveler (IFSEA member at the time). (50 pts. per year)                      50         0
10 pts. for Navy Ashore/Hospital Ney Accreditation)                                                  10         0
List year, service!

Note: Max. 100 pts. total for A8 & A9
A8. Lecturing. 10 points per speech/per subject - 5 points per industry panel)                       10         0
No extra points allowed for giving same topic more than once. (Describe)                              5         0
List place, dates, titles!

A9. Lecturing, Sales. (10 points per speech/per subject) - Food product sales                        10         0
training only goes here. Minimum 1 hour each. (Maximum 20 points)
List place, dates, titles!

A10. Publishing Articles. (1 point per 100 words per topic). No extra points                          1         0
allowed for writing more than one article on same subject. (Submit copy).
Submit the article!

A11. In-Store training of hospitality employees (daily and weekly formal and informal                 1         0
training, but not a lecture). 1 pt. per employee trained w/max. of 10 pts. per year). (Document).
List place, dates, position! That is normally sufficient proof. If Same as A-6 state so.

A12. Published Books: up to 100 points per book (150 if over 250 pg) Max. 2 books)                  100         0
(based upon Committee's review) (Submit copy or cover and index)                                    150         0
Submit documentation of title, you as author & number of pages.

A13. Part time college/tech school/high school HRI course instructor.                                 5         0
(5 points per different subject taught per quarter/semester)
List place, dates, school!

TOTAL EXPERIENCE POINTS TOWARDS       CFE                               0 CFM                 0
(MINIMUM REQUIRED FOR CFE RECERT 200, CFM 150)

B) EDUCATION SECTION
NOTE: NUMBER B1 IS TO BE USED FOR CFM ONLY!!
B1. High School Graduate/H.S. Equivalent (50 points)                                                 50         0
List school, date of graduation!
                                                                                           EARNED
                                                                                            CREDIT
                                                                                           POINTS




                                                                                                     TOTAL
NOTE: NUMBERS B2-B12 ARE TO BE USED FOR CFE RECERT AND CFM
B2. Degree: BS/BA in HRI, Food & Nutrition, Dietetics, etc. (400 points)                   400         0
List school, date of graduation!

B3. Degree: BS/BA NOT HRI, Food & Nutrition, Dietetics, etc. (300 points)                  300         0
List school, date of graduation!

B4. Degree: AAS in HRI or equivalent. (200 pts). Do not count if BS/BA earned.             200         0
List school, date of graduation!

B5. Degree: AAS NOT HRI or equivalent. (150 pts). Do not count if BS/BA earned.            150         0
List school, date of graduation!

B6. Degree: Graduate Degree, any field. (100 points)                                       100         0
List school, date of graduation!

B7. College Courses: 2 pts./credit hr. Quarter Course; 3 pts./credit hr.Semester Course,     3         0
from an accredited school) (Send transcript). (If no degree was earned, or extra credits     2         0
over degree requirement, or towards a Masters, those credits go here)
List school(s), credits earned at each school!

B8. Correspondence courses - food service or management oriented: by IFSEA, AH&MA,          50         0
NRA, CMAA, ACF, DMA, military, etc. (50 points per course) (max. 200 points)
List course, date(s) of completion!

Army Correspondence Courses                                             Level 10            50         0
Army Correspondence Courses                                             Level 20            50         0
Army Correspondence Courses                                             Level 30            50         0
Army Correspondence Courses                                             Level 40            50         0
Army Correspondence Courses                                             Level 50            50         0
Army Correspondence Courses                                      Logistics Management       50         0
Army Correspondence Courses                                             Pending             50         0
B9. Seminars and Education Programs at IFSEA International conferences.                      5         0
(5 points per class hour). Send proof of attendance at seminars.
List conference year, submit documentation!
                                                                                               EARNED
                                                                                                CREDIT
                                                                                               POINTS




                                                                                                         TOTAL
B10. Food Service/Management Seminars, education programs and courses
  (i.e. association meetings, military schools, company formal training, etc.)
  2 points per hour (proof must clearly state the NUMBER OF HOURS)
  For CFM min. of 3 hours in Sanitatin + 3 hours in Supervision required.
  NOTE: Maximum 60 points per course/seminar/school.
List course(s), hours for each! Insert total hours earned in Excel cell J93
 and total # of long courses in J94.




Points for B10 Section                                          1-29 hour programs               2         0
Points for B10 Section                                          30+ hour programs               60         0
Army schools                                                                  AIT               60         0
Army schools                                                                 BNOC               60         0
Army schools                                                                 ANOC               60         0
Army schools                                                                 PLDC               60         0
Army schools                                                      Contracting Representative    60         0
Army schools                                                          Equal Opportunity         60         0
Army schools                                                      Food Service Management       60         0
Army schools                                                      Food Service Tech WOBC        60         0
Army schools                                                        Sanitation Certification    60         0
Army schools                                                          Warrant Candidate         60         0
Army schools                                                     Warrant Officer Orientation    60         0
B11. Trade Shows: (1 pt. per show. Max. of 3 per year). (Send proof)                             1         0
List show sponsor, dates (ie NRA Show 1992-1999)!



B12. Dept. of Labor Approved Apprenticeship Program (or other similar programs                  75         0
subj. to committee approval): 75 points per 2000 hours (1 year). Max. 225 points.
List sponsoring company, dates!

B13. Passing Score on IFSEA Certification Test. 200 points.                                    200         0
(Required for First CFE only (not for Re-certification)

TOTAL EXPERIENCE POINTS TOWARDS                      CFE                 0 CFM             0
(Minimum for CFE RECERT 75, CFM 350.)
                                                                                        EARNED
                                                                                         CREDIT
                                                                                        POINTS




                                                                                                  TOTAL
C) IFSEA & OTHER ASSOCIATION MEMBERSHIP SECTION
C1. IFSEA Member __________years. If your membership has been in more than one           5          0
branch, state all branches. (You may include current year, if dues paid) (5 pts/year)

C2. International IFSEA Conferences attended. List dates/sites (15 pts/ea)              25          0
(1997 and later conferences count 25 points)                                            15          0
List place, dates!

C3. IFSEA Regional Conferences attended (List dates/sites (10 pts/ea)                   10          0
List place, dates!

C4. IFSEA Recruiting. For each new member as principal sponsor                           2          0
(2 points per member) (List names)
List name of members recruited and year!

C5 International Offices Held:
Chmn. of Bd/President DATES _______ 60 PER YR _____                                     60          0
Chairman Elect/VP     DATES _______ 50 PER YR _____                                     50          0
Treasurer/Secretary   DATES _______ 50 PER YR _____                                     50          0
Board of Directors    DATES _______ 30 PER YR _____                                     30          0
Committee Chmn.       DATES _______ 20 PER YR _____                                     20          0
C5 Branch Offices Held:
Chmn. of Bd/President DATES _______ 30 PER YR _____                                     30          0
Chairman Elect/VP     DATES _______ 25 PER YR _____                                     25          0
Treasurer/Secretary   DATES _______ 25 PER YR _____                                     25          0
Board of Directors    DATES _______ 15 PER YR _____                                     15          0
Student Advisor       DATES _______ 20 PER YR _____                                     20          0
Committee Chmn.       DATES _______ 10 PER YR _____                                     10          0
NOTE: When two offices are combined, count only the points for the highest office
held (such as Secretary/Treasurer or VP who is automatically Membershhip Chair.)
(Committee Members count 1/2 points of the Chairman - enter .5 for each year).
Elected Officer (President, VP, Treasurer and Secretary only) of other Major Food
Service Assn's at same point value as IFSEA (Must Document). Show points above.

Branch President's Signature for Branch activity:

C6. Included in C5 on Web certification form edition.

C7. Founder of New Senior or Student Branch (50 points) Charter Member (20 points)      50          0
(Max. 2 Founders per Branch) (List Name and Date)                                       20          0
List Branch, position (if any) and year!
C8. Member at Large Bonus. To compensate for unavailability of Branch
offices/activities (20 pts. Per year) May be applied here OR in B10 Education.               20             0
List years you have been/were not affiliated with a Branch!

C9. Participation in IFSEA Branch sponsored community activity-i.e.Special Olympics,         10             0
United Way, etc. (10 pts./event for leader; 5 pts./event for worker) Max. 20 pts/year.        5             0
List IFSEA Branch, activity, position, year(s)!

TOTAL ASSOCIATION POINTS TOWARDS                 CFE       0 CFM                         0
(NOTE - No minimum points required for Section C).
TOTAL POINTS ATTAINED                                                                                   TOTAL
TOTAL FOR CFE:             Experience          0 Education 0 Association                 0        CFE       0
TOTAL FOR CFM:             Experience          0 Education 0 Association                 0        CFM       0
TOTAL OF ALL POINTS (MINIMUM: CFE RECERT 700, CFM 900)




                                                                 SIGNATURE OF APPLICANT (REQUIRED)

				
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