CFC /CFPC Initial Certification Application

Certified Fundamentals Cook /Certified Fundamentals Pastry Cook

American Culinary Federation, Inc.  •  180 Center Place Way  •  St. Augustine, FL 32095  •  Toll-free: (800) 624-9458  •  Fax: (904) 940-0741  •  www.acfchefs.org

Once completed email to [email protected] or mail this form and payment to the address above.

Applying for:   Certified Fundamentals Cook (CFC)     Certified Fundamentals Pastry Cook (CFPC)    Both

Personal Information
First Name:   MI:    Last Name:    ACF #:  
Home Phone:    Cell Phone:    Email:  
Home Address:  
City:    State:   Zip: 
WY
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UT
TX
TN
SD
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RI
PW
PR
PA
OR
OK
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NH
NE
ND
NC
MT
MS
MP
MO
MN
MI
MH
ME
MD
MA
LA
KY
KS
IN
IL
ID
IA
HI
GU
GA
FM
FL
DE
CT
CO
CA
AZ
AS
AR
AP
AL
AK
AE
AA
Name (as it should appear on certificate):  
Sponsoring Program:  

Mandatory Requirements
Include proof of educational background and successful completion of exams with application. Acceptable documents include
transcripts, diplomas, certificates of completion, and exam score sheets. Do not send originals.
1. Education Date Completed Documentation Included
ACFEF Apprenticeship Program or
ACFEF Certificate Program Graduate or
High School Diploma /GED or
75 Continuing Education Hours
Courses
30-Hour Culinary Nutrition
30-Hour Food Safety & Sanitation
2. NOCTI Exams Passed (For more information about registering for your NOCTI exam,
please go to www.nocti.org/certificateprogram-acf.cfm)
  ACF Culinary Arts     ACF Retail Commercial Baking     ACFEF Certificate Program (NOCTI exams exempt)
Written (70%)
Performance (75%)
 CFC /CFPC Initial Certification Application
Certified Fundamentals Cook /Certified Fundamentals Pastry Cook

American Culinary Federation, Inc.  •  180 Center Place Way  •  St. Augustine, FL 32095  •  Toll-free: (800) 624-9458  •  Fax: (904) 940-0741  •  www.acfchefs.org

Payment Information
  $35.00 ACF Member Fee (fee is non-refundable)    $50.00 Non-Member Fee (fee is non-refundable)
  I have enclosed a check made payable to the American Culinary Federation (ACF).
  Please bill my:    Visa     MasterCard     Amex     Discover
Credit Card Number:    Exp Date:    CSC #:    Amount:  
Billing Address:  
City:    State:   Zip: 
WY
WV
WI
WA
VT
VI
VA
UT
TX
TN
SD
SC
RI
PW
PR
PA
OR
OK
OH
NY
NV
NM
NJ
NH
NE
ND
NC
MT
MS
MP
MO
MN
MI
MH
ME
MD
MA
LA
KY
KS
IN
IL
ID
IA
HI
GU
GA
FM
FL
DE
CT
CO
CA
AZ
AS
AR
AP
AL
AK
AE
AA
Name on Account:    Signature:  

Certification Agreement
With this application, I verify the information provided is truthful and accurate. I grant the ACF permission to investigate employment
and education, and I release from liability all persons and companies supplying such information. I agree to adhere to the ACF
Certification Code of Ethics, Designation Usage and policies of the certification program and agree to accept the ACF Certification
Commission's determination on all certification decisions. Certification is awarded for three years. I acknowledge that false statements
or misrepresentation may result in the revocation of this application and/or approved certification. I agree to allow ACF to share my
certification accomplishment in ACF communications and with local newspapers and industry publications.
  Check this box if you do not want your certification accomplishments included in ACF communications or shared with media.

Signature:    Date:  
Retention Policy: Certification documents will be retained for seven years after certification expiration.

Valid through 12 /31/2020. CFCCFPCICA010418