Form - 2/2019
Please print clearly.
Name
Address
Employment Status
¨ Unemployed ¨ Employed
Location
MA State Resident
¨ Yes ¨ No Can you Provide Citizenship/Work Authorization? ¨ Yes ¨ No
Are you currently receiving assistance?
¨ SNAP ¨ TAFDC ¨ SSI ¨ Unemployment Insurance ¨ Other:
Highest Level of Education
¨ 9
th
-12
th
grade, no diploma ¨ High School Diploma ¨ GED/High School Equivalency ¨ Some college, no degree
¨ Associate degree:
Which training program(s) are you interested in? Please indicate order of preference if interested in more than 1 program.
¨ Certificate in Hospitality Core Skills ¨ Certificate in Culinary Core Skills
¨ Certificate in Hospitality Leadership (Rising Managers)
City
Title
¨ Not receiving assistance
¨ Bachelor degree or higher:
State Zip Code
Phone/Cell Email
Certificate Courses
Hospitality Core Skills for Front-of-the-House Operations
Introduction to Hospitality
Customer Engagement
Steps of Service
Intro to Wine
Culinary Core Skills for Back-of-the-House Operations
Introduction to Hospitality
ServSafe Certification
Knife Skills
Food Prep
Hospitality Leadership (Rising Managers)
Applicants for this certificate are required to submit one (1) letter of support
along with his/her application.
Introduction to Hospitality
Customer Engagement
Business Basics for Hospitality
Hospitality Leaders
HR for Hospitality