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Culinary Training Academy Application Form
Please complete this form to apply for The Salvation Army Culinary Training Academy (CTA) San Francisco. For any questions, please contact Chef Timothy Tucker at timothy.tucker@usw.salvationarmy.org.
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Email
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Your email
Today's Date:
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Full Name
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Your answer
Address
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Your answer
Date of birth
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Best phone number to reach you
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Your answer
Can you receive text messages at this phone number?
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Yes, please feel free to text this number for updates related to the CTA
No, please do not text me at this number
Are you clean and sober? (Required to attend the program.)
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Yes, I am clean and sober.
No, I am not clean and sober.
Are you currently in a drug treatment program (residential or outpatient) program, OR have you completed a drug treatment program?
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Yes, I am currently in treatment.
Yes, I have completed a treatment program.
No, I am not currently in treatment, but have entered but NOT COMPLETED a treatment program in the past.
No, I am not currently in treatment and have never participated in a treatment program.
If you are currently in treatment or have completed a treatment program, what is the name and location of the program?
Your answer
If you HAVE COMPLETED a treatment program, what was your completion date?
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Best email to reach if you (if not the email used in this application):
Your answer
Case manager name and contact (if applicable):
Your answer
If you were referred to the program, who referred you?
Your answer
What is the highest education level you have obtained?
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Some high school
High school diploma
GED
Some college
College degree
Are you a veteran?
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Yes
No
What is the last or most relevant place you worked and your title?
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Your answer
Name and contact information for one reference:
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Your answer
Daytime phone number for reference:
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Your answer
Do you have any health conditions/ allergies that the CTA should be aware of?
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Your answer
What are your goals if admitted to the CTA program?
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Your answer
Is there anything else the CTA should know in order to consider your application?
Your answer
Send me a copy of my responses.
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