Culinary Training Application | End Hunger in Calvert County

Apply to the Culinary Training Program

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Name*

First Middle Last

Session Applying For*

Session 1: March 2023

Contact & Demographic Information

Gender*

Male

Female

Date of Birth*

Email*

Primary Phone*

Address*

Street Address Address Line 2 City State ZIP Code

How did you hear about the Culinary Training Program?*

Have you ever served in the US Military?*

Yes

Do you have a criminal record including any recent criminal activity?*

For the safety of our staff and other students, we conduct a criminal background check on all applicants. Recent criminal activity does not automatically disqualify you from the program but may affect your acceptance depending on the offense.

Yes

If yes, please explain:

Disability Information

Please list and describe your disabilities, beginning with your primary disability.

Disability #1: What is the disability?*

Disability #1: Date of onset*

Disability #1: This disability is a result of:*

Disability #1: How does this disability limit your ability to obtain employment, work or live independently?*

Disability #2: What is the disability?

Disability #2: Date of onset

Disability #2: This disability is a result of:

Disability #2: How does this disability limit your ability to obtain employment, work or live independently?

Disability #3: What is the disability?

Disability #3: Date of onset

Disability #3: This disability is a result of:

Disability #3: How does this disability limit your ability to obtain employment, work or live independently?

Please indicate below any programs or services with which you are involved at this time:*

Select all that apply

Education & Employment History

What is the highest level of education you completed?*

No Formal Schooling

Elementary or Secondary School Grade

High School Certificate of Completion

High School Diploma

GED

Post-Secondary Education

Vocational / Technical Certificate

Vocational / Technical License

Which elementary or secondary school grade have you completed?

Number of Credits earned toward degree:

Are you currently a student, intern or in training, or volunteering?*

Student

Intern/In Training

Volunteer

None of the above

If applicable, describe your current training /education.

Do you have a current or previous IEP that you would be willing to provide?*

Yes

Previous Employment*

Please describe any food service training or experience you have had in the past.*

Please describe a stressful workplace situation that you have experienced in the past as well as how you handled the situation.*

Transportation

Is your current address more than 40 miles from Chesapeake Church?*

Yes

Do you have a valid driver's license?*

Yes

Does your driver's license reflect your current address?*

Yes

Do you have a reliable vehicle?*

Yes

If someone else will be driving you to class, who will it be?

If someone other than you will be driving you to class, who will it be?

Physical Health History

Are you able to lift at least 30 pounds?*

Yes

Are you able to stand for at least 2 consecutive hours at a time?*

Yes

If no, please explain.

Do you have allergies?*

Yes

Please list allergies.

Goals & Future Employment

Do you desire employment after completion of the Culinary Training Program?*

Yes

If no, please explain:

Please describe your current career goals.*

What do you hope to gain from participating in The Culinary Training Program of End Hunger (i.e. the kind of work you want to do or your independent living goals)?*

Other comments, concerns or additional information

If you are chosen to participate in the Culinary Training Program, would you be willing to participate in brief monthly surveys regarding your employment status?*

Yes

Applicant Agreement

Student Attributes for Admission & Success*

Personal:
Self-care: Each student is responsible for their own self-care, including but not limited to personal hygiene and maintaining a clean uniform and professional appearance. (We will study this further in ServSafe Food Handling.); Self-control: The ability to self-monitor and self-regulate behavior, use appropriate language and actions as well as avoid inappropriate outbursts; Able to communicate with others and express needs; Able to handle changes in routine and can be flexible in fluctuating circumstances; Able to self-administer medications.

Social-Emotional:
Workplace appropriate behavior: Applicant must be able to appropriately self-regulate and be aware of his/her own actions in relation to those around them; Respect: Students must show respect for self and others; Able to work in a team as well as individually; Remain organized during tasks and classwork; Self-Management and motivation; Manage assigned tasks with limited reminders; Effectively manage mild stress. (e.g. time demands, constructive criticism and coaching)

Cognitive:
Cognitive skills sufficient to function in a kitchen and learning environment; Ability to understand basic instructions and carry out those instructions, consistently with low to moderate supervision; Comprehend written text at a 5th grade level; Read and follow basic recipes and directions, including the transfer to action; Ability to recognize a hazardous/unsafe situation/environment and act upon it appropriately; Reasoning sufficient to understand a critique and/or constructive criticism; Sustained attention to workload over time and goal achievement

Vocational:
The student has the desire and motivation to participate in a pre-vocational educational experience; Willing to learn about and use commercial kitchen equipment such as mixers, gas stoves, hoods, convection ovens, and dishwashers; Can use basic technology (cell phone, laptop, etc.)

I agree that I have read the Student Attributes for Admission and Success.

This field is for validation purposes and should be left unchanged.

Ending hunger is a community-wide effort.

We’re grateful for our Culinary Training Program sponsors:

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