Test

First Name*
First
Last Name*
Last
Phone Number*
Email Address*
Street Address*
Apt. #
City, State, Zip*
Country*
Date of birth*
Have you ever been disciplined by an academic institution? If yes, please include a letter describing both the conduct and the disciplinary action taken.*
- Yes
- No
Have you been convicted of any crime (besides traffic violations) or sentenced to a corrective institution?*
- Yes
- No

All applicants must demonstrate their proficiency in the English language at a level adequate for success at CulinaryLab.
I understand that the courses at CulinaryLab are taught entirely in English and I will be required to understand all material, both verbal and written, in English.
*
Check this box to confirm

A critical success factor at CulinaryLab is regularly tasting and evaluating food as part of the coursework. If you are not able to participate in this portion of the coursework, you may not be able to fulfill the course requirements.
Do you have any health conditions or dietary restrictions/food allergies that would affect your ability to taste food as part of the program?*
- Yes
- No
If you answered yes, please explain

It is the applicant’s responsibility to respond truthfully and accurately to all questions on the application. Any applicant who furnishes either false or misleading information on the application can be disqualified as an applicant for admission. If CulinaryLab accepts the applicant and subsequently discovers that false or misleading information was furnished on the application, CulinaryLab may terminate the student’s privilege to continue his or her education at CulinaryLab without reimbursement.
*
I certify that all information on and enclosed with this application is true
*
I understand that this application and all supporting materials become the property of CulinaryLab once submitted, and will not be returned.
Date*

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