STUDENT APPLICATION. Requirements for submitting this application

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Dedicated To Improving Lives Through Cooking A non-profit and multi-cultural school - Cape Town, South Africa Today s date: STUDENT APPLICATION FOR OFFICE USE ONLY Phoned for 1 st Interview Y / N by Phoned for 2 nd Interview Y / N by 1 st Int. date & time 2 nd Int. date & time Notes: Your Name: Surname: Filling out this application does not guarantee your acceptance to Infinity Culinary Training. We thank you for filling out this application and wish you the best for your future. Requirements for submitting this application 1) You must be at least 18 years of age to be admitted to Infinity Culinary Training. 2) You must provide answers to all of the questions on this application truthfully and in your own handwriting. 3) You must provide a certified copy of your South African ID along with your application, or a copy of your international ID and proof of legal South African residence and work visa. There are only two ways to submit this application 1) By email: applications@ictchefs.org Emailed applications will receive an email confirmation of receipt 2) By post: Infinity Culinary Training, PO Box 96, Sea Point 8060, Cape Town Posted applications will receive no confirmation of receipt Once your application has been processed, we will phone you to arrange for a personal interview. *** VERY IMPORTANT NOTE *** In Section 3, question 9, of this application, you will be asked if you have any criminal history. You must supply every detail of any criminal act (if any). Everyone accepted to Infinity Culinary Training must undergo a criminal record check upon acceptance. Any inconsistencies discovered in your background check versus the information you have provided on this application will be grounds for immediate dismissal from the school. Having a criminal record does not automatically disqualify you from being admitted to the school. Each person will be judged on an individual, case-by-case basis. We encourage you to apply even if you have a criminal record.

Page 1 SECTION 1 BASIC INFORMATION 1) ID Number: 2) Date of Birth: / / Age: 3) I am: Female / Male 4) Height Weight 5) Shoe size Jacket size Pants Size (NOTE: Please give UK sizes, numbers such as 30, 32, 34, etc. Do not give sizes such as small, medium or large.) 6) Place of Birth: 7) Current address: 8) Cell phone number: 9) Second cell phone number (a relative or friend): 10) Email address: 11) Are you a South African citizen?: YES / NO Are you a legal resident of South Africa? YES / NO (if YES, attach proof of legal residence) 12) Home Language: Xhosa / Afrikaans / English / Other: 13) Do you know how to use a computer? YES / NO Do you have access to the internet? YES / NO 14) Have you ever applied to Infinity Culinary Training in the past? YES / NO 15) How did you hear of Infinity Culinary Training? If someone told you about us, please give that person s full name and your relationship to that person.

Page 2 SECTION 2 EDUCATION AND WORK HISTORY 1) Did you pass matric? YES / NO. If NO, what is your highest grade completed? 2) How well do you speak, understand, read and write English? 3) Apart from your standard education, do you have any additional skills training? YES / NO. If YES, describe the programmes, when you attended, how long you attended and whether you completed the programme. 4) Do you have any learning disabilities or history of difficulty in school? YES / NO 5) Do you or any members of your family have a job or any source of income? YES / NO. A) Who earns the salary? B) What job does he/she have? C) How long has he/she had that job? D) How much salary does he/she earn per month? 6) Describe your current and/or past work experience. Include the names of your employer(s), your duties, how long you worked and why you left. Provide the name(s) and phone number(s) of your past or current employer(s). 7) Can you: A) Promise to be in class Monday through Friday, 8:00 am to 4:00 pm, and work one day each weekend, either Saturday or Sunday? YES / NO B) Work days, nights, weekends and public holidays? YES / NO. C) Promise to be available to work in a Cape Town restaurant for a minimum of one year after graduation? YES / NO. 10) You will earn no money for 12 weeks while attending ICT. You must always have train and taxi fare to and from class. You must always have airtime on your phone. Explain how you will pay for transport and airtime, and how you will support yourself during the training.

Page 3 SECTION 3 FAMILY AND PERSONAL INFORMATION 1) Are you married? YES / NO. Do you have children? YES / NO. If YES, what are the NAMES and AGES of your children? Do they live with you? How often do you see them? 2) Describe your current living situation, including the number of people you live with and their relationship to you. 3) Do you have any medical conditions or disabilities that could limit or influence your participation or attendance in class? YES / NO. If YES, please explain. 4) List any medications you are currently taking and the reasons. 5) How would you describe your eyesight? EXCELLENT / GOOD / FAIR / POOR 6) Describe the type and amount of food you consume in an average day. 7) Describe the type and amount of physical exercise you get in an average day. 8) How much television do you watch in an average day? What kind of shows do you watch? 9) Have you ever been convicted of a crime? YES / NO. If YES, please provide the complete details, reasons and circumstances of your crime(s) and conviction(s). 10) Provide the names and phone numbers of THREE FAMILY MEMBERS and state your relationship to them.

Page 4 SECTION 4 YOUR LIFESTYLE AND SENSITIVE INFORMATION All answers in this application are kept confidential among the staff and Board of Directors of Infinity Culinary Training. Please tell the truth while answering the following personally sensitive questions. No answer will necessarily disqualify you from admission to ICT. 1) Do you currently drink alcohol? YES / NO. 2) Have you ever drunk alcohol in your life? YES / NO. 3) If your answer is yes to either of the above, explain WHEN and WHY you drink. 4) Do any of your friends and/or family members drink alcohol? YES / NO. 5) Do you smoke dagga? YES / NO. 6) Have you ever smoked dagga in your life? YES / NO. 7) If your answer is yes to either of the above, explain WHEN and WHY you smoke. 8) Do any of your friends and/or family members smoke dagga? YES / NO. 9) List any other recreational drugs you have taken in your life (ie: tik, mandrax) and tell us WHEN WAS THE LAST TIME you took any of them. 10) At any time in your life, have you experienced any abuse or violence at home? YES / NO. If yes, please explain: A) WHEN you experienced it, B) is it still going on? C) explain what kind of abuse or violence you experience, or have experienced, D) explain what, if anything, you have done to stop it, E) has the abuse or violence stopped?

Page 5 SECTION 5 YOUR PERSONALITY AND PHILOSOPHY 1) Name the three things you value most in life. 2) What are your three greatest strengths? 3) Which parts of your personality or personal habits would you most like to improve? 4) What makes you happy? 5) What makes you angry? 6) What do you do when you are angry? 7) Describe a recent situation you found stressful and how you handled it. 8) When was the last time you cried and why? 9) What scares you the most? 10) What is the proudest accomplishment of your life?

Page 6 SECTION 5 (CONTINUED) YOUR PERSONALITY AND PHILOSOPHY 1) Name three people you admire and why. 12) Name one person you dislike and why. 13) Describe three things you think are necessary to make a successful person. 14) Describe three things you think will cause a person to lose a job or fail in life. 15) Define what the following words or terms mean to you: A) Courage B) Dedication C) Sacrifice D) Initiative E) Perseverance F) Patience G) Responsibility H) Work ethic

Page 7 SECTION 6 COOKING AND YOUR FUTURE 1) What interests you about learning how to cook? 2) What do you imagine it is like to work in a restaurant? 3) Is there anything in your religion or personal beliefs that will stop you from working with and/or tasting any particular kind of food? YES / NO. If YES, please explain. 4) Why is attending ICT important to you and what do you expect to gain from the experience? 5) What are your plans after receiving your certificate from ICT? 6) Where do you imagine yourself in five years time? 7) What will you do if you are not accepted to ICT? 8) If you could receive free training in any job or profession aside from cooking, what would it be and why? 9) If you had all the money in the world and could do anything you wanted all day long, what would it be and why? 10) What do you believe are the qualities that make a good teacher?

SECTION 7 SELF-EVALUATION Page 8 Complete the following sentences by circling the answer(s) that are closest to the truth about you. In some cases, there may be more than one accurate answer. 1) I am: A leader / A follower / neither / A little of both depending on the situation 2) I see myself as: Intelligent / Not very intelligent / Very intelligent / Sometimes intelligent / Never intelligent 3) I think my body is: Perfect / Too fat / Too thin / A little too fat / A little too thin / Strong / Weak 4) In whatever I do, I try my hardest: Never / Sometimes / Most of the time / Always 5) I feel I am a victim of life: Often / Sometimes / Never 6) When someone makes me angry, it is best to: Ignore it / Discuss it with that person / Discuss it with someone else / Fight back 7) When I make a mistake, I: Get angry at myself / Am embarrassed / Don t worry about it / Fix it / Hide it 8) When a person is a different colour, culture or religion from me, I: Don t like them / Respect them / Have an interest in them / Make fun of them 9) I would rather: Watch TV / Work 14 hours per day / Sing and dance / Be with friends / Be alone 10) It s okay to lie when: It makes someone feel good / It makes me feel good / Never / It covers up a mistake

Page 9 Below are some of the requirements for attending Infinity Culinary Training. Please read and make sure you understand each one. Place your initials after each requirement to indicate your agreement and promise to uphold each one. I understand that daily attendance in class is required. I will be on time and ready to work every single day with no excuses. I understand that I must give 100% of my energy and attention to the class. I must try my hardest each day and complete all tasks with a positive attitude. I understand that I must be honest, respectful and outgoing, and that I must communicate in a friendly manner with my instructors and classmates. I understand that attending Infinity Culinary Training is a personal decision to uplift myself and to change my life for the better. I understand that the programme may be difficult at times and that I will face many personal challenges in order to grow. I understand that confronting my fears, personal barriers and overcoming negative habits will be required to succeed. I understand that I might encounter jealousy or anger from people in my community as I attempt to uplift myself. I am willing to deal with those people and circumstances in a mature and constructive manner. I understand that I must be drug-free and sober at all times. I understand that ICT is not a quick fix to my personal or financial problems. ICT provides training for entry-level positions in the professional food-service industry. I understand that it takes many years of hard work and dedication to become a respected chef. I know that I will be starting at the bottom in any job and that I must be willing to be patient and always do my best in order to work my way up. I understand that attending ICT comes with responsibility. I must become a respected member of my class and community. I must set a positive example for other people. I certify that the information provided in this document is true to the best of my knowledge and will be used to determine my eligibility to attend Infinity Culinary Training. I understand that this application DOES NOT guarantee my enrollment into any class and that, if I am accepted, any intentionally false statements made by me in this document may result in my permanent termination from Infinity Culinary Training. Signature: Date: / / You must supply a CERTIFIED COPY OF YOUR SOUTH AFRICAN ID, or proof of legal residence and work visa along with this application. Your application will not be considered without that document. You must supply a CERTIFIED CRIMINAL BACKGROUND CHECK along with this application. Your application will not be considered without that document. For further information, please visit our website: www.ictchefs.org