Bright Apron Academy Application

Bright Apron Academy Application

Please complete all sections.
Accessibility
At Keshet, we want applications to be accessible to everyone. If you need support completing this application or would like it in a different format, please reach out to brightapron@keshet.org. We are happy to help.

Save & Continue
You do not have to complete this application all at once. At the bottom, there is a button to Save. If you click this button, you will save your application to be completed at a later date. You will get an email with instructions about how to find your saved application.
Applicant & Contact Info
Applicant Name*

First NameLast Name
Applicant Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Phone - Type*

CellHome
Applicant Email*
example@example.com
Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Gender*

FemaleMaleNon-binaryOther identityPrefer not to say
Applicant Gender - Other identity (please specify)
Applicant’s Date of Birth*

MonthDayYear
Who is completing this application?*

SelfGuardianOther
Who is completing this application? - Other (please specify)
Parent/Guardian/Caregiver Name
Parent/Guardian/Caregiver Email
example@example.com
Which session are you applying for?*
Background & Interests
What interests you in Bright Apron Academy? Choose from the list or write your own response in the space below.

I enjoy cooking.I want to learn new skills.I want to be more independent.I want a job in food service or hospitality.I want to build confidence.I like working as part of a team.I want to try something new.I want to gain skills I can use in everyday life.Other
Write your own response. What interests you in Bright Apron Academy?
How will you get to the program?*

FamilySelf (public transit or driving)Support staffNot sure yet
How do you prefer others communicate with you?*

Verbal (spoken instructions)Visual supports (pictures, schedules, demonstrations)Written (lists, notes, recipes)Other
How do you prefer others communicate with you? - Other (please specify)
References
Please provide three references. At least two should be professional references from School Teacher or Paraprofessional, Job Site Supervisor, Day Program Staff, Social/Therapeutic Activity Leader, Special Olympics Coach, Case Manager, etc. Please provide only one personal reference.
Reference #1
Reference #1: Name*
Reference #1: Title*
Reference #1: Relationship to Applicant*
Reference #1: Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Reference #1: Email*
example@example.com
Reference #2
Reference #2: Name*
Reference #2: Title*
Reference #2: Relationship to Applicant*
Reference #2: Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2: Email*
example@example.com
Reference #3
Reference #3: Name*
Reference #3: Title*
Reference #3: Relationship to Applicant*
Reference #3: Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Reference #3: Email*
example@example.com
Support & Needs
Please share any diagnoses, support needs or behavioral considerations that would help us support you.*
Please provide any documents you feel better explain or support your behaviors and abilities.

Cancelof
Which of the following support needs or assistance options apply to you?
Do you need support to follow multi-step directions?*

YesNo
Do you need support with behavior or emotional regulation?*

YesNoSometimes
Do you need support with activities of daily living (toileting, bathing, eating, etc.)?*

YesNo
Do you require 1:1 support?*

YesNoNot sure
Are you interested in applying for financial assistance?*

YesNo
Consents & Signatures
- I certify that the information provided is accurate and may be verified by Keshet.
- I give permission for Keshet to contact the listed references.
- I understand that this application does not guarantee acceptance into the program.
- I understand that participation requires following program expectations and safety procedures.
- I understand that Bright Apron Academy includes hands-on kitchen training in 24 sessions that I must attend to successfully complete the program.
By signing below, I agree to all of the above.
Applicant Signature - Typed Name *
Date for Applicant's Signature*

MonthDayYear
Signature of Person Completing the Application (if not the applicant) - Typed Name
Date for Person Completing Application's Signature

MonthDayYear
Should be Empty:

Bright Apron Academy Application

Applicant & Contact Info

Background & Interests

References

Reference #1

Reference #2

Reference #3

Support & Needs

Consents & Signatures