Fillable Culinary Arts Tech Prep/College in the HS (Capital Region BOCES)

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Culinary Arts Tech Prep/College in the HS (Capital Region BOCES)

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Zi
p:
Home Phone:
Home School:
Culinary Arts Tech Prep/College in the HS
Offered through the Capital Region BOCES Career & Technical School
Student Application Form
Name :
Current Grade Level:
Home Address:
City/To wn/State:
Guidance Counselor:
Parent/Guardian Name:
Parent/Guardian Work Phone:
Date of Birth:
Qualifications for Culinary Arts Tech Prep/College in the High School:
• High school senior, academically on track.
• Communicates sincere interest in the field of culinary arts &hospitality.
• Positive attendance and behavior patterns.
• Ability to work independently and cooperatively.
• Good communication skills (i.e. writing, speaking, listening).
Requirements for consideration:
1. Completion of this application.
2. Submission of high school transcript including grades of courses currently in progress.
3. Submission of a recommendation by a school official such as a guidance counselor, principal,
teacher or administrator.
4. Most recent I.E.P. if applicable.
5. Selected students may be contacted for an interview to clarify their application.
Completed application should be sent to:
Capital Region Career & Technical School
Career Center
1015 Watervliet-Shaker Road
Albany, NY 12205
(518) 862-4816
Fax (518) 862-4818
Home high school guidance counselor’s approval:
Counselor’s name: Signature: Date:
Page 1 of 3
CulArtsTPprep1011.indd
Student’s Name:
Program Applied For:
Please indicate why you are interested in this program, including your ambitions and long-
term plans.
Please list volunteer, work and/or extracurricular activities.
Student’s signature Date
Page 2 of 3
Is the student receiving special education services? Yes ____ No_____
Student’s Nam
e:
Program Applied For:
School Official’s Recommendation/ Discipline & Attendance Records
Please rate the applicant in the following areas. Keep in mind that the student will be compared with other
capable students, and if accepted into the program, will be working closely with a variety of individuals in a
professional environment.
Low
High
Rating scale:
No basis
to judge
1
2
3
4
5
6
Diploma goal: IEP ____ Local ____ Regents ____ Adv. Regents____
Please indicate the number of absences this student has had to-date during this academic
year: # of absences: ____________ Date of application: ______________
Please provide a narrative with supporting or clarifying information for any and all of the above
areas.Pleaseincludeinformationaboutdisciplinaryconcerns.Feelfree toaddanymaterialyoufeel
wouldbehelpfulinevaluatingthisapplicant.
School Official’s Name &Title
Date
Signature
The Capital Region BOCES does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs, activities, employment, and admissions; and
provides equal access to the Boy Scouts and other designated youth groups. The following person has been designated to handle inquiries regarding the non-discrimination
policies: Human Resources Director, compliance officer/coordinator at carol.ratigan@neric.org, (518) 862-4951 or 900 Watervliet-Shaker Road, Albany, NY 12205. Inquiries
concerning the application of the Capital Region BOCES non-discrimination policies may also be referred to the U.S. Department of Education, Office for Civil Rights (OCR),
32 Old Slip, 26th Floor, New York, NY 10005, telephone (646) 428-3800 (voice) or (800) 877-8339 (TTY).
made accessible 3/19
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Culinary Arts Tech PrepCollege in the HS (Capital Region BOCES)

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Completed 16 September 2021

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