Dietary Manager
Registration Form

Please return the completed form with tuition payment at least one week prior to the first class day to: Blinn College–Schulenburg Campus ATWED
100 Ranger Drive, Schulenburg, TX 78956 Phone: (979) 743-5237 | Email: LORELLANA@blinn.edu

You are enrolling for all three semesters. Please check the semester in which you will begin.

1 (Jan–Apr) 2 (May–Aug) 3 (Sept–Dec)

Student Information

Date

Gender

Male Female

County of Residence

Social Security Number

Date of BirthMONTH DAY YEAR

NameLAST FIRST MIDDLE

Mailing Address

City

State

Zip Code

Primary Telephone

Work Telephone

Email

Demographic Information
The following questions are used by the state to help provide support for our programs. Although not required, your responses are appreciated.

Ethnicity

Are you Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.)

Yes No

Race (check all that apply)

Black White American Indian/Alaskan Native Asian Hispanic or Latino Native Hawaiian/Pacific Islander

Applicant Agreement

As an applicant, it is my understanding that I am agreeing to:

Attend class sessions and complete the required assignments for class. Missing more than two class sessions will require the student to repeat and pay for that trimester the first time it is available.
Obtain signatures from the consulting dietitian and administrator agreeing to provide the required On-the-Job Training and supervision for the course.

SIGNATURE OF DIETARY MANAGERS' APPLICANT

DATE

Consulting Dietitian Information – Your Preceptor

NameLAST FIRST MIDDLE

AddressSTREET CITY STATE ZIP CODE

Primary Telephone Number

Business Telephone Number

Email

Preceptor license numbers required:

RD #

LD #

State Approved Consultant

Administrator Information

NameLAST FIRST MIDDLE

Facility Address

City, State, Zip Code

Business Telephone Number

Email

Tuition and Fees

ALL FEES MUST BE PAID PRIOR TO THE FIRST DAY OF CLASS

Tuition: $1,200.00

The issuance of the Dietary Managers' Certificate by Blinn College District Applied Technology, Workforce & Economic Development requires completion of Fall, Spring, and Summer sessions with no more than two absences for the entire course.

Checks/Money Orders payable to:
Blinn College District ATWED
100 Ranger Drive, Schulenburg, TX 78956

Refund Policy

For classes that meet more than eight times:

To receive a full refund, the student must notify Applied Technology, Workforce & Economic Development 48 business hours (two business days) before the course start date.
An 80% refund will be given before the second class.
A 50% refund will be given before the third class.
No refund will be given after the third class.

Dietary Manager Program Schedule

Classes are scheduled to meet two days per month for one year. Class meets on Thursday and Friday, from 9 a.m. to 4 p.m., at 100 Ranger Drive, Schulenburg, Texas.

Please follow the schedule below based on the month in which you begin the course:

January 2026 Start	May 2026 Start	September 2026 Start
Semester 1	Semester 2	Semester 3
Jan. 8–9	May 7–8	Sept. 3–4
Feb. 5–6	June 4–5	Oct. 8–9
Mar. 5–6	July 16–17	Nov. 5–6
Apr. 9–10	Aug. 6–7	Dec. 3–4
Semester 2	Semester 3	Semester 1, 2027
May 7–8	Sept. 3–4	Jan. TBD
June 4–5	Oct. 8–9	Feb. TBD
July 16–17	Nov. 5–6	Mar. TBD
Aug. 6–7	Dec. 3–4	Apr. TBD
Semester 3	Semester 1, 2027	Semester 2, 2027
Sept. 3–4	Jan. TBD	May TBD
Oct. 8–9	Feb. TBD	June TBD
Nov. 5–6	Mar. TBD	July TBD
Dec. 3–4	Apr. TBD	Aug. TBD

Note: These dates are tentative and may be subject to change.

Textbooks

Textbooks are required for class and are available from ANFP at ANFPonline.org or by calling 800-323-1908.

Order your books well in advance and allow time to receive them before your first class.

You will need the following two books for the first day of class:

Nutrition Fundamentals and Medical Nutrition Therapy, 4th ed. — TXT501
Foodservice Management by Design, 4th ed. — TXT502

Go to www.anfponline.org. Under the Education tab, select Student Resource Center, scroll to Student Textbooks, read the directions, and select the Order Textbooks button.

You can receive a reduced price by becoming a Pre-Professional ANFP member.