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Culinary Application Form

by Greg Dietrich | Jul 14, 2021

"*" indicates required fields

Name*
Session Applying For*

Contact & Demographic Information

Gender*
Date of Birth*
Address*
Have you ever served in the US Military?*
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.

Disability Information

Please list and describe your disabilities, beginning with your primary disability.
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
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?*
Are you currently a student, intern or in training, or volunteering?*
Do you have a current or previous IEP that you would be willing to provide?*

Transportation

Is your current address more than 40 miles from Chesapeake Church?*
Do you have a valid driver's license?*
Does your driver's license reflect your current address?*
Do you have a reliable vehicle?*

Physical Health History

Are you able to lift at least 30 pounds?*
Are you able to stand for at least 2 consecutive hours at a time?*
Do you have allergies?*

Goals & Future Employment

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

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

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    Mailing:
    PO Box 758
    Huntingtown MD 20639

    Office:
    6201 Solomons Island Road
    Huntingtown MD 20639

    Warehouse:
    5351 Ketch Road
    Prince Frederick MD 20678

    Phone: 410-257-5672
    Email: info@endhungercalvert.org

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    End Hunger In Calvert County is a registered 501 (c)(3). © Copyright 2021. Tax ID # 80-0456174.

    ×

    "*" indicates required fields

    Name*
    Session Applying For*

    Contact & Demographic Information

    Gender*
    Date of Birth*
    Address*
    Have you ever served in the US Military?*
    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.

    Disability Information

    Please list and describe your disabilities, beginning with your primary disability.
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    MM slash DD slash YYYY
    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?*
    Are you currently a student, intern or in training, or volunteering?*
    Do you have a current or previous IEP that you would be willing to provide?*

    Transportation

    Is your current address more than 40 miles from Chesapeake Church?*
    Do you have a valid driver's license?*
    Does your driver's license reflect your current address?*
    Do you have a reliable vehicle?*

    Physical Health History

    Are you able to lift at least 30 pounds?*
    Are you able to stand for at least 2 consecutive hours at a time?*
    Do you have allergies?*

    Goals & Future Employment

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

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