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Culinary Program Application
Applicant Information
Please select the program dates that you are interested in
*
select one
January 31, 2022 - April 22, 2022
May 31st, 2022-August 26th, 2022
September 19th, 2022- December 16th, 2022
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone Number:
*
Email Address:
Verify Email
Are you a veteran?
*
Yes
No
How many children under 18 live in your household?
*
If you are under 18, please include yourself in this total.
select one
0
1
2
3
4
5
6
How many adults between 19-64 live in your household?
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If you are between 19-64, please include yourself in this total.
select one
0
1
2
3
4
5
6
How many seniors 65 or older live in your household?
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If you are over 65, please include yourself in this total.
select one
0
1
2
3
4
5
6
Do you currently recieve other services at FeedNC?
*
Pantry
Food Movers
Daily Meals
Community Connections
I currently do not participate in any FeedNC programs
What is your household's MONTHLY gross income?
*
Do you have a reliable mode of transportation?
*
Yes
No
If answered yes to "Do you have a reliable mode of transportation?", please specify (ex. own car, family, bus, walk, etc.)
How did you hear about the Culinary Training Program?
Education
High School: Name of School
High School: Location of School (City, State)
High School
Diploma
GED
Did not complete
College: Name of School
College: Location of School (City, State)
College: Major/ Minor Couse of Study
College: Did you graduate?
Yes
No
Currently enrolled
College: Type of degree earned
select one
Associate
Bachelor's
Graduate
Master
Doctoral
Other
Job Related Training or Course Work: Name of School
Job Related Training or Course Work: Location of School (City, State)
Job Related Training or Course Work: Course of Study
Job Related Training or Course Work: Training Completed?
Yes
No
Currently enrolled
Work History
Please provide information on your current or most recent jobs. (Note: Food service experience is not a requirement for admission to the program.)
Are you currently employed?
*
Yes
No
How far would you be willing to commute to work?
*
Have you ever been convicted of a misdemeanor or felony?
*
Yes
No
Culinary Program Questions
Why are you interested in the Culinary Training Program?
*
What are you hoping to accomplish through this program?
*
How did you hear about this program?
*
select one
Family/ Friend
Newspaper/ News
Social Media
Social Worker
Staff Agency
At FeedNC Site
Other
By typing my name below, I verify that to the best of my knowledge all of the information provided is correct and I authorize the FeedNC staff to confirm the information above (which may include contacting people mentioned in this application)
*
First Name
Last Name
Date
*
(mm/dd/yyyy)
Dropdown
select one
Option 1
Option 2
