Please print and fill out and return by the date indicated.

Return by: _______

Name:____________________________________________

Position:___________________________________________

1) Please rate your culinary skill on a scale of 0 to 10: _______

2) Describe your culinary skills in 10 words:
______________________________________________________________________________

______________________________________________________________________________

3) Describe your food preferences:
______________________________________________________________________________

4) If you have any food allergies, or dietary restrictions, please list them: (we will do all we can to accommodate you, but we must know in advance)
______________________________________________________________________________

5) If you have any food aversions please list them:
______________________________________________________________________________

6) Rate your ability, based on experience to supervise other in the kitchen:
Not very good____ Good_____ Very Good______ Excellent _____

Important Health Notice
Food handling regulations prohibit anyone with any cold, flu or other contagious medical condition on the day of or immediately preceding the course to work in the kitchen. Please make sure that you advise your supervisor of any such problem. Anyone who comes to the course in such condition will not be permitted to participate.