Foundations? If I had to do it again, I'd find a good book and self-study, then just write the exam. Speaking as an IT guy, I came from organizations that aligned along ITIL guidelines, so for me it was mostly about learning the terminology and "architecture" of ITIL (along with lots of "a ha" moments where I recognized how/why we did things the way we did). Some of the project manager types found the material more challenging, I guess because it was an entirely new concept, whereas I'd worked inside it for some time.
The exam itself is quite easy if you've got the concepts and terminology down.
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-Scott
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