Recommendation of Employer

Use this form when applying to the Continuing Education Dietary Managers program at Madison College.

TO BE COMPLETED BY EMPLOYER, ADMINISTRATOR AND/OR DIETITIAN.

Determine the number of candidates you wish to enroll in our Certificate Programs by considering the variety of potential positions you have available at your facility. Please complete this form for each applicant.

Number of employees in Food Service Personnel:

Work Ethics/Characteristics of Applicant

Registered Dietitian who will act as preceptor: