Step 1: Initial CC® Pre-Approval Application

Certified Culinarian®

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 either email to [email protected], mail this form and payment to the address above or fax to
number above.

Personal Information
First Name:   MI:    Last Name:    ACF #:  
Home Phone:    Cell Phone:   Email: 

Home Address:  
City:   State: 
 Zip: 
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Mandatory Requirements
Include proof of education, courses and work experience with application. Acceptable documents include copies of transcripts,
diplomas, certificates of completion and employment verification letters on company letterhead. Do not send originals.
1. Education Date Completed Documentation Included
High School Diploma /GED or
*100 Continuing Education Hours or
Culinary Arts Program Certificate or
Associate's Degree in Culinary Arts or
ACFEF Apprenticeship Program
Courses
30-Hour Culinary Nutrition
30-Hour Food Safety & Sanitation
30-Hour Culinary Supervisory Management
Eight hour refresher course required if initial 30-hour courses are older than five years.
8-Hour Refresher Culinary Nutrition
8-Hour Refresher Food Safety & Sanitation
8-Hour Refresher Supervisory Management
*30 hour courses in Nutrition, Food Safety and Sanitation, & Supervisory Management counts toward
continuing education.
2. Work Experience: Two years as an entry-level culinarian or one year with a Culinary Arts Program Certificate. The work
experience is exempt with an Associates Degree in Culinary Arts or graduating from the ACFEF Apprenticeship Program.
Work experience must be within the past 10 years.
Place of Employment Title mm/dd/yy mm/dd/yy Documentation Included
       
       
Note: Once application is approved you are eligible to take the written and practical exam.
Certification must be completed within three years of approval. If certification is not complete within three years, reapplication
will be required.
 Step 1: Initial CC® Pre-Approval Application
Certified Culinarian®

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
  $50.00 ACF Member Pre-Approval Fee (fee is non-refundable) 
  $100.00 Non-Member Pre-Approval 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 and recertification is required to maintain certification
designation. 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. ICCPCPAA010418