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* 1. Please fill out the entire application from start to finish. No answers to any of the questions in the application will deny you from the program. An application will not be turned down for the CCFB Culinary Job Training Program solely because of a conviction of a crime unless it is a crime against children or a crime of sexual circumstances.

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* 2. Please enter your full legal name.

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* 3. Please enter your date of birth.

Date

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* 4. Please enter your full address.

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* 5. What is your T-Shirt size?

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* 6. Where did you hear about the program?

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* 7. Phone Number

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* 8. Please enter a valid email address

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* 9. What is the best method to reach you?

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* 10. How do you identify?

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* 11. Are you currently a U.S Citizen?

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* 12. What is your preferred language?

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* 13. What is your Race/Ethnicity?

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* 14. What is your age?

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* 15. How many adults live in your household (individuals aged 18 or older, please include yourself)

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* 16. How many children live in your household (individuals aged 17 or younger)

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* 17. Are you a veteran or active military?

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* 18. Do you have any food allergies?

T