The Floured Apron Student Application
Thank you for your interest in The Floured Apron.

To be eligible to participate in The Floured Apron program, applicants must:

* Be over 18 years old
* Be legally authorized to work
* Be able to pass a drug test upon acceptance into the program
* Be available during our training hours: 9:30am - 2:30pm, Monday through Friday
* Approach new situations with curiosity and a desire to learn
* Work well as a member of a team

GENERAL INFORMATION
First Name: *
Your answer
Last Name: *
Your answer
Phone Number: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Race: *
Current Address:
Your answer
Mailing Address (if different):
Your answer
Email: *
Your answer
Are you a US Citizen? *
If no, are you legally entitled to work in the US?
REFFERING AGENCY
Contact Person's Name: *
Your answer
Agency: *
Your answer
Relationship: (for example, case manager, sponsor, friend) *
Your answer
Agency Contact's Work Phone: *
Your answer
Agency Contact's Email: *
Your answer
HOUSING
What is your current living situation (where, with whom)? *
Your answer
Do you have a secure place to live for the next 6 months? *
If staying in a residential program or shelter, when is your move-out date? *
Your answer
What is your plan for securing housing afterwards? *
Your answer
CHILDREN/DEPENDENT DETAILS
Do you have children/dependents? *
If yes, how many children do you have?
Your answer
What are their names and ages?
Your answer
Do you currently have childcare arrangements during the day?
EDUCATION
What is the highest level of education you have completed? *
Other training or certification received:
Your answer
TRANSPORTATION
What is your current mode of transportation? *
Do you receive transportation assistance through government, community, or faith based organizations? *
If yes, how much per month?
Your answer
LEGAL HISTORY
Have you ever been convicted of a felony? *
If yes, please explain.
Your answer
EMPLOYMENT HISTORY
Most recent employer: *
Your answer
Most recent position: *
Your answer
Dates employed: *
Your answer
Reason for leaving: *
Your answer
Job 2: Employer: *
Your answer
Job 2: Position: *
Your answer
Job 2: Dates employed: *
Your answer
Job 2: Reason for leaving: *
Your answer
REFERENCES
Personal reference 1: *
Please list name, relationship to you, phone number, and email address
Your answer
Personal reference 2: *
Please list name, relationship to you, phone number, and email.
Your answer
STRENGTHS ASSESMENT
What do you see as your personal strengths? What skills will you bring to the training program? *
Your answer
What have been the main challenges in your life recently and how have you dealt with them? *
Your answer
GOALS/EXPECTATIONS
Why are you interested in The Floured Apron? *
Your answer
Do you have any previous baking or cooking experience or other skills that relate to the program? *
Your answer
Please list any other special knowledge, skills, or qualifications:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service