Culinary Interest Form

Isaacs Education and Workforce: Culinary Interest Form

Help us make sure we are the right fit for you by completing this quick survey!
What is your name?*

First NameLast Name
What are your pronouns?

She/HerHe/HisThey/ThemOther
When is your birthday?*

MonthDayYear
Date
What is the best number to reach you?*
Please enter a valid phone number.
How old are you?
What is your email address?*
example@example.com
Are you a resident of one of the five boroughs?

ManhattanBrooklynBronxStaten IslandQueensNone of the above
Are you currently employed?

YesNo
We are sorry to inform you that you are not eligible to participate in our program at this time.

If you feel that you have recieved this message in error, please reach out to khemphill@isaacscenter.org or call us at (646) 628-6636‬
If you are 17 or younger, do you have your working permit ("salmon colored" working papers)?

YesNo
Are you eligible for employment in the United States?

YesNo
How did you find out about our program? *
Referral Program Name
Please share the name of the staff/person that referred you from the program you named above
Do you already have a diploma?
We have a team of success coaches who are qualified to get our participants access to resources that best fit their needs. Are you a parent, or are you and/or your partner expecting?

YesNo
Most restaurants require staff to be willing and able to lift 25 pounds and work for 8 hours standing up. Will you be able to meet this requirement if accepted into the program? If you require any special accommodations, please list them below.
Our program requires a full-time commitment of 25 hours of training for 6–8-weeks prior to internship placement, with Mondays and Fridays reserved as virtual training days. For in-person days, we provide free Metro Cards for transportation.
Do you currently have any obligations that may prevent you from attending class? If so, what are they?
Do you currently or will you need access to a device to access virtual training?
Review the items listed below and indicate which items you have access to and the items you may need help getting access to/creating.
Valid Photo ID

I have thisI don't have this and need help getting thisN/A
Passport

I have thisI don't have this and need help getting thisN/A
Social Security Card

I have thisI don't have this and need help getting thisN/A
Birth Certificate

I have thisI don't have this and need help getting thisN/A
High School Transcript

I have thisI don't have this and need help getting thisN/A
Proof of Address - (Utility Bill, Bank Statement, Letter from a City of Government Agency, etc)

I have thisI don't have this and need help getting thisN/A
Resume

I have thisI don't have this and need help getting thisN/A
In addition to industry standards, our current program space has a vaccination mandate in place requiring our students to be fully vaccinated to ensure placement. Which of the following applies to you?
SSN
Company
Form Type
Age - Days
Age
Date

MonthDayYear
Date
Should be Empty:

Isaacs Education and Workforce: Culinary Interest Form