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Educational Record

High School:*
City/State:*
Last Grade Completed:*
Graduation Date:*
Vocational School:
City/State:
Last Grade Completed:
Graduation Date:
Degree/Major:
College or University:
City/State:
Last Grade Completed:
Graduation Date:
Degree/Major:

Employment Record

Attach Resume/CV
OR List current or most recent employer first.
Employer:*
City/State:*
Position Held:*
Dates Employed:*
Hours per Week:*
Duties:*
Employer:
City/State:
Position Held:
Dates Employed:
Hours per Week:
Duties:

CHECKLIST FOR REQUIRED APPLICATION MATERIALS

Completed Application
Essay/Personal Statement*
Official high school and/or college transcripts*
Two letters of recommendation from someone you have known for more than two years, not including family members*

*You can mail these items to:
Cook Street School of Culinary Arts
Attn: Admissions
1937 Market Street, Denver, CO 80202
Or Fax: 303-308-9400

It is the applicant's responsibility to respond truthfully and accurately to all questions on the application for admission. Any applicant who furnishes either false or misleading information on the application can be disqualified as an applicant for admission. If Cook Street accepts the applicant and subsequently discovers that false or misleading information was furnished on the application, Cook Street may terminate the student's privilege to continue his or her education without reimbursement.

I understand that is is my responsibility to forward the necessary materials to complete my file for review and will inform the Admissions Department in writing of any changes of information regarding my file, especially concerning employment. I have read the terms and conditions of acceptance in the enrollment package and catalog and agree to abide by them if admitted.

eSignature:*
Date:*	/ / (mm/dd/yyyy)

Enter the code

Cook Street School of Culinary Arts does not discriminate on the basis of age, color, creed, disability, marital status, veteran status, nationality, race, sex or sexual preference. This policy is followed with respect to programs, services, activities, admission of students, hiring of faculty and staff, and the admittance to functions and activities. Admission to Cook Street School of Culinary Arts, graduations, and certifications are administered in full compliance with applicable law.

First Name:*
Last Name:*
Address:*
City:*
State:*
Zip Code:*
Daytime Phone (xxx-xxx-xxxx):*
Evening Phone (xxx-xxx-xxxx):*
Cell Phone (xxx-xxx-xxxx):
Email Address:*
Date of Birth:*	(mm/dd/yyyy)
Social Security Number:*	(Please enter your SSN without dashes)
Gender:*	Male Female
US Citizen/Permanent Resident:*	Yes No Other:
If permanent immigrant,
you must provide copy of resident alien card. Alien registration number from immigration form I-551:

Do you have any food allegies? (Check one)	Yes No
If yes, please list:

Have you applied for Financial Aid?(Check one)	Yes No
If no, do you intend to apply? (Check one)	Yes No
Do you have a valid U.S. Passport? (Check one)	Yes No
Have you ever been convicted of, or is a charge pending against you, for any felony or misdemeanor?
(Check one)	Yes No
If yes, please explain:

Hobbies & Interests:

If you have applied to any other schools, please identify them:

Please tell us how you heard of Cook Street School of Culinary Arts:
Google Other Search Engine (please specify) CookingSchools.com CulinaryEd.com PostNews.com 5280 Magazine Westword Rocky Mountain News/Denver Post TV (please specify) Other (please specify)

Name:*
Relationship:*
Address:
City:
State:
Zip Code:
Daytime Phone:*
Evening Phone:*
Cell Phone:
Email Address:

Desired Enrollment Date

Desired Elective Programs

Educational Record

Employment Record

Additional Information

Emergency Contact

CHECKLIST FOR REQUIRED APPLICATION MATERIALS