Applicant Info Name(Required)
First
Middle
Last
Address(Required)
Course Info Choose course(Required) I acknowledge that I have completely read and fully understand the policies and guidelines outlined in the Protocol(Required) I will ensure that all participants have a CCN Email from Cornell University dated within 9 months of my scheduled Segment Two course date(Required) NOTE: Starting April 1, 2023 the Seafood HACCP Alliance protocol will require completion of a Segment Two training within 9 months of completing the Segment One course. Those enrolled after April 1, 2023 must meet this training requirement. For those enrolled prior to April 1, 2023, the previously recommended 6 months and no more than 2 years policy will be honored.
FAILURE TO ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THE POLICIES OUTLINED WITHIN THE PROTOCOL WILL PREVENT YOU FROM BEING ABLE TO REGISTER A COURSE USING THIS FORM!
Course Time Zone(Required) Course Location(Required)
Explain why you will need to exceed the maximum allowed participants?(Required)
This course is (choose one):(Required)
Trainers and Qualifying Credentials Attach brief vitae for all Assistant Trainers without an AFDO “current” certificate number.
Minimum of 1 qualified Trainer for every 8 participants and 1 technical administrator. Note: for classes over 8, the second qualified trainer can serve as technical administrator (list as both below, if applicable).
Attach brief vitae for all Assistant Trainers without an AFDO “current” certificate number.
Minimum of 1 qualified Trainer for every 10 participants and 1 technical administrator. Note: for classes over 10, the second qualified trainer can serve as technical administrator (list as both below, if applicable).
Attach brief vitae for all Assistant Trainers without an AFDO “current” certificate number. Required 1 trainer per 5 participants.
Attach brief vitae for all Assistant Trainers without an AFDO “current” certificate number. Required 1 trainer per 15 participants.
Attach brief vitae for all Assistant Trainers without an AFDO “current” certificate number. Required 1 trainer for per 5 participants.
Supervisory Trainer(Required) (Only 1 Supervisory Trainer is allowed)
*Supervisory Trainer* must be AFDO “qualified” according to the SHA/AFDO Seafood HACCP and SCP Training Protocol and be present for the duration of the course.
Technical Administrator(Required) (A maximum of 5 Technical Administrators are allowed)
Will you have any assistant trainers?(Required) Assistant Trainer (OPTIONAL) (A maximum of 20 Assistant Trainers are allowed)
How many CV or qualification documents would you like to upload? This field is hidden when viewing the form
I certify that I have taught at least 2 in-person Basic HACCP courses:(Required) The virtual training option is only available for instructors who have taught at least 2 in-person Basic HACCP courses (Section 3.8.1).
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Please provide the following course specific details to verify your eligibility status:(Required)
AFDO Liaison (Optional — See Section 8.6 of the HACCP and SCP Training Protocol) I will be using the appropriate AFDO Affiliate to help facilitate my course:(Required) (i.e., registration, purchase manuals, and course certificates)
Choose which affiliate:
Course Agenda Attach a copy of the course agenda you will be using for this course. Course agenda must meet the requirements as outlined in the Protocol, Appendix I, II and III. Assure all topics are covered, and minimum contact times are met . Be advised the protocol and training manuals provide example agendas that may include a range of times. You will need to PROVIDE ACTUAL PROPOSED TIMES AND SHOW THAT THE COUSE IS A MINIMUM OF 16 CONTACT HOURS (HACCP) or 6.5 CONTACT HOURS (SCP AND SEGMENT II). NOTE: If you plan to teach the course agenda in less than the specified minimum contact hours you will need to justify your decision in writing before approval can be considered.
Attach a copy of the Agenda you will be using for this course. Course agenda must meet the requirements as outlined in the Protocol for SHA Virtual Basic HACCP Trainings. Assure all topics are covered, and minimum contact times are met by completing and submitting an SHA Hours Verification form . You will need to PROVIDE ACTUAL PROPOSED TIMES AND SHOW THAT THE COURSE IS A MINIMUM 16.5 CONTACT HOURS NOTE: If you plan to teach the course agenda in less than the specified minimum contact hours, you will need to justify your decision in writing before approval can be considered.
Attach a copy of the course agenda you will be using for this course. Course agenda must meet the requirements as outlined in the Protocol for SHA Virtual SCP Trainings. Assure all topics are covered, and minimum contact times are met. You will need to PROVIDE ACTUAL PROPOSED TIMES AND SHOW THAT THE COURSE IS A MINIMUM of 6.5 CONTACT HOURS. NOTE: If you plan to teach the course agenda in less than the specified minimum contact hours you will need to justify your decision in writing before approval can be considered.
Attach a copy of the course agenda you will be using for this course. Course agenda must meet the requirements as outlined in the Protocol for SHA Virtual Segment Two Trainings. Assure all topics are covered, and minimum contact times are met. You will need to PROVIDE ACTUAL PROPOSED TIMES AND SHOW THAT THE COURSE IS A MINIMUM 6.5 CONTACT HOURS. NOTE: If you plan to teach the course agenda in less than the specified minimum contact hours you will need to justify your decision in writing before approval can be considered.
How many 'Virtual' Course Agenda files would you like to attach?(Required) How many 'In-Person' Course Agenda files would you like to attach?(Required) I certify that the Course Agenda meets the topic requirements and satisfies the required Contact Hours(Required) Are you planning LESS than the required contact hours?(Required) Provide justification for why you are planning less than required contact hours:(Required)
How many 'SHA Hours Verification Sheet' files would you like to attach?(Required) Virtual Basic HACCP requirements acknowledgment:(Required) Yes, I certify that both the Course Agenda and SHA Hours Verification Excel Sheet meet the topic requirements and satisfy the required 16.5 Contact Hours.
In-Person Basic HACCP Contact Hours Acknowledgment:(Required) Yes, I certify that both the Course Agenda and SHA Hours Verification Excel Sheet meet the topic requirements and satisfy the required 16 Contact Hours.
Training Models Which approved Training Model(s) do you plan to use during your course?(Required) (Select all that apply)
Training Materials I certify that all training materials used are the approved SHA/AFDO Training Materials as outlined by the Protocols(Required) (i.e., including guides/manuals, slide sets, and training models)
Explain the answer provided above:(Required)
Trainer Acknowledgment Statement(Required) I confirm that I have read, understood, and agree to comply with the October 2025 SHA Training Protocol and Requirements.
As a Seafood HACCP Alliance (SHA) Trainer, I acknowledge that I have reviewed and am familiar with the October 2025 updated SHA Training Protocol and Requirements . I understand that adherence to these protocols is essential to maintaining the integrity and consistency of SHA training programs.
I further acknowledge that failure to comply with the updated protocol requirements may result in the revocation of my Qualified Trainer status . I accept full responsibility for ensuring that all SHA training activities I conduct are in alignment with the current standards and expectations outlined by the SHA training protocol.
HACCP In-Person Training Acknowledgements (Required) I will facilitate and ensure interactions between participants. This includes group discussions or collaborative activities.
(Required) I will facilitate and ensure interactions between the Trainer and participants. This includes live discussions, Q&A sessions, and direct responses to participant inquiries.
(Required) I will ensure participants interact with course materials, including the FDA Hazards Guide. This includes guided reviews, exercises, and reference to the materials during instruction.
(Required) I will monitor and ensure participant attendance for the entirety of the training. This includes verifying and addressing prolonged absences.
(Required) I will organize group activities to facilitate group work among participants. This includes assigning participants to groups in a structured manner that supports collaboration and engagement.
(Required) I will actively monitor and ensure that all participants are engaged in group activities. This includes checking in during group activities, reviewing group outputs, and encouraging equal participation.
(Required) I will ensure participants collaborate effectively on developing the Product Description Form, Hazard Analysis Form, and HACCP Plans. This includes providing clear instructions, templates, and guidance to support group-based development of these documents.
(Required) I will ensure that video and audio are live and functional for all participants throughout the entire training. This includes verifying connectivity, troubleshooting issues promptly, and maintaining continuous engagement.
HACCP Virtual Training Acknowledgements (Required) I will coordinate and ensure group presentations are conducted to share outcomes of collaborative work. This includes providing technical support, constructive evaluation, and ensuring each group can present their work.
(Required) I will facilitate and ensure interactions between participants. This includes group discussions, breakout sessions, or collaborative activities.
(Required) I will facilitate and ensure interactions between the Trainer and participants. This includes live discussions, Q&A sessions, and direct responses to participant inquiries.
(Required) I will ensure participants interact with course materials, including the FDA Hazards Guide. This includes guided reviews, exercises, and reference to materials during instruction.
(Required) I will monitor and ensure participant attendance and visual contact throughout the training. This includes verifying presence via webcam, tracking engagement, and addressing absences.
(Required) I will organize breakout sessions to facilitate group work among participants. This includes assigning participants to breakout rooms or virtual groups in a structured manner that supports collaboration and engagement.
(Required) I will actively monitor and ensure that all participants are engaged in group activities. This includes checking in during breakout sessions, reviewing group outputs, and encouraging equal participation.
(Required) I will ensure participants collaborate effectively on developing the Product Description Form, Hazard Analysis Form, and HACCP Plans. This includes providing clear instructions, templates, and guidance to support group-based development of these documents.
(Required) I will coordinate and ensure group presentations are conducted to share outcomes of collaborative work. This includes providing technical support, constructive evaluation, and ensuring each group can present their work.
Segment Two Training Acknowledgements (Required) I understand that participants must submit a valid Notice of Segment One Completion before the start of Segment Two. This excludes participants taking Segment Two as a refresher, who may submit a valid SHA certificate as their prerequisite instead of retaking Segment One.
(Required) I will ensure that each notice includes a completion date that is both prior to the start of the Segment Two course and no more than nine months before the training date. This ensures that participants complete Segment One before beginning Segment Two, and that no more than nine months pass between the completion of Segment One and the start of Segment Two, in accordance with training protocol.
(Required) I will verify that the notice is issued in the name of the participant (not an email address or company name). This helps confirm that the individual attending Segment Two is the same person who completed Segment One.
(Required) I will confirm that the notice is issued by Cornell University/New York Sea Grant, the approved Segment One provider. Only Corell/NY Sea Grant-issued notices meet the requirement for Segment One completion.
(Required) I acknowledge that submitting invalid proof of segment one completion may delay certificate issuance and will take responsibility for collecting and verifying valid documents. Ensuring documents are valid and complete helps avoid processing delays after the course.
SCP In-Person Training Acknowledgements (Required) I will facilitate and ensure interactions between the Trainer and participants. This includes live discussions, Q&A sessions, and direct responses to participant inquiries.
(Required) I will facilitate and ensure interactions between participants. This includes group discussions or collaborative activities.
(Required) I will ensure participants interact with course materials, including the SCP Training manual. This includes guided reviews, exercises, and reference to the materials during instruction.
(Required) I will monitor and ensure participant attendance for the entirety of the training. This includes verifying and addressing prolonged absences.
(Required) I will organize group activities to facilitate group work among participants. This includes assigning participants to groups in a structured manner that supports collaboration and engagement.
(Required) I will actively monitor and ensure that all participants are engaged in group activities. This includes checking in during group activities, reviewing group outputs, and encouraging equal participation.
(Required) I will ensure participants collaborate effectively on developing the Product Description Form, Hazard Analysis Form, and HACCP Plans. This includes providing clear instructions, templates, and guidance to support group-based development of these documents.
(Required) I will coordinate and ensure group presentations are conducted to share outcomes of collaborative work. This includes providing technical support, constructive evaluation, and ensuring each group can present their work.
SCP Virtual Training Acknowledgements (Required) I will facilitate and ensure interactions between the Trainer and participants. This includes live discussions, Q&A sessions, and direct responses to participant inquiries.
(Required) I will ensure that video and audio are live and functional for all participants throughout the entire training. This includes verifying connectivity, troubleshooting issues promptly, and maintaining continuous engagement.
(Required) I will facilitate and ensure interactions between participants. This includes group discussions or collaborative activities.
(Required) I will ensure participants interact with course materials, including the SCP training manual. This includes guided reviews, exercises, and reference to materials during instruction.
(Required) I will monitor and ensure participant attendance and visual contact throughout the training. This includes verifying presence via webcam, tracking engagement, and addressing absences.
(Required) I will organize breakout sessions to facilitate group work among participants. This includes assigning participants to breakout rooms or virtual groups in a structured manner that supports collaboration and engagement.
(Required) I will actively monitor and ensure that all participants are engaged in group activities. This includes checking in during breakout sessions, reviewing group outputs, and encouraging equal participation.
(Required) I will ensure participants collaborate effectively on developing the Product Description Form, Hazard Analysis Form, and HACCP Plans. This includes providing clear instructions, templates, and guidance to support group-based development of these documents.
(Required) I will coordinate and ensure group presentations are conducted to share outcomes of collaborative work. This includes providing technical support, constructive evaluation, and ensuring each group can present their work.
Explain why course is $0:(Required)
NOTE: The total cost per participant should be reasonable for necessary Trainer(s), travel, facilities, equipment, and related materials. If the cost per participant is over $600.00, please itemize below. The Alliance does not specify any specific limit for the cost per participant, but the course approval process can question any apparently excessive costs in order to encourage access to affordable education that advances seafood safety. All approved open courses with the respective costs per participant will be posted on Alliance maintained websites.
Itemized costs(Required) (A maximum of 10 are allowed)
Section 3.2 & 3.3 of the SHA Virtual Segment Two Training Protocol. Provide ample details for the following questions:
Section 3.2 & 3.3 of the SHA Virtual SCP Training Protocol. Provide ample details for the following questions.
Section 3.2 & 3.3 of the SHA Seafood HACCP Basic Virtual Training Course Protocol. Provide ample details for the following questions:
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Explain how you will ensure video and audio is live and functional for all participants during the entire training:(Required)
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How will you ensure interactions take place between Trainer and participants?(Required)
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How will you ensure interactions take place between Participants and other Participants?(Required)
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How will you ensure interactions take place between Participants and Course Materials?(Required)
(i.e. FDA Hazards Guide)
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Will you ensure active participation through use of knowledge assessments and roll-call?(Required) This field is hidden when viewing the form
If no, explain how will you ensure active participation and learning are taking place:(Required)
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Explain how you will ensure participant attendance and visual contact throughout the training:(Required)
Section 3.5 of the SHA Virtual Segment Two Training Protocol
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Explain how you will breakout participants for group work:(Required)
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Explain how you will ensure all participants are participating in group activities:(Required)
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Explain how participants will collaborate on developing the product description form, hazard analysis form, and HACCP plans:(Required)
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Will a file sharing platform such as Google Documents be used?(Required) This field is hidden when viewing the form
If no, explain how the product description form, hazard analysis form, and HACCP plans will be shared with participants:(Required)
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Explain how group presentations will be conducted:(Required)
Course Evaluation Will you be using the SHA Digital Course Evaluation, or your own evaluation tool?(Required) If you are using your own evaluation, do you acknowledge that you will ask all required SHA evaluation questions and submit the completed evaluation spreadsheet with your course closeout paperwork (if applicable)?(Required) (Required) I acknowledge that I have been informed that course evaluations are used as part of the organization’s quality assurance process. I understand that if evaluations indicate significant issues—such as missing required content or serious concerns about training delivery—a course audit may be conducted. I agree to adhere to the established curriculum and training standards.
Miscellaneous Information Specify any additional information you would like to be included when the course is posted to the Upcoming Courses on the AFDO website:
(i.e. registration website, any cost differences, etc.)
Signature Signature of the applicant and/or Supervisory Trainer denotes agreement to conduct the described training in accordance with the SHA/AFDO Seafood HACCP and SCP Training Protocol and to be responsible for all fees.
Consent(Required) I acknowledge that the Seafood HACCP Alliance reserves the right to audit courses at any time and failure to follow the training Protocol may result in revocation of Trainer qualifications.