Content Release Form
Culinary Arts Program
Check the appropriate program:
Culinary Assistant Chef - Diploma
Culinary Assistant Baker - Diploma
Culinary Arts - AAS
Hotel & Restaurant Management - AAS
Consent: Release of Information:
I, ___________________________________, authorize Indian Hills Community College to release the following
information to food service facilities for potential employment evaluation purposes:
attendance record
grade point average
instructor evaluations of skills and abilities
Yes No
I also consent that Indian Hills Community College may release my name, home address, and telephone number to
employment recruiters.
Yes No
Name:
Signature: Date:
click to sign
signature
click to edit