Culinary Program Application

Applicant Name*

First Middle Last

Session Apply For:*

Spring 2024

Fall 2024

Spring 2025

Applicant 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 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 background check on all applicants.)

Yes

If yes, please explain:

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 and understand the program expectations.

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Name

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Culinary Program of End Hunger Application

Applicant Contact & Demographic Information

Disability Information

Disability #1

Disability #2 (if applicable)

Disability #3 (if applicable)

Education & Employment History

Transportation

Physical Health History

Goals & Future Employment

Applicant Agreement