Culinary Arts Academy Admission Application

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1 Culinary Arts Academy Admission Application Institute for Hospitality & Tourism Education and Research 3000 N.E. 151st Street, KCC 3RD FL North Miami, FL Please download, complete and save the application. Your application will not be processed if your non-refundable application fee of $20US is not included, as indicated in the attached Terms and Conditions, or if incomplete. NOTE: This application should be utilized by students who intend to take courses at Florida International University as a non degree seeking student. This is not an application for Admission to a degree program at the university. Students desiring admission to a degree program should contact the Office of Admissions (Undergraduate or Graduate) for further instruction. 1. Last Name First Name Middle Name 3. Gender: Male Female Jr., III, etc. 2. Date of birth: / / Mo. Day Yr. 2A. Social Security Number: If your high school transcripts, test scores, etc. might arrive under any name(s) other than those listed above, enter that name here: 5. Current Mailing Address: Street & Number City State Zip Country Permanent Mailing Address: Street & Number City State Zip Country Phone Number: ( ) Cell Number: ( ) Address: 6. In case of an emergency, indicate the person you request the university to contact: Last Name First Name M.I. Home Address City State Zip code Phone: Relationship: 7. United States Citizen and Residents only: A. Are you a USA Citizen? Yes (go to section 8) No (answer question B) B. Are you a permanent resident alien? Yes. Upload a copy of both sides of your permanent resident alien card. No 8. Coat Size: Please indicate your coat size below XS S M L XL 2X 3X 9. Resume Required Document Please upload a copy of your resume to your application. All applications without a resume will not be considered as it is required. Page 1

2 10. Transcripts or GED Required Document Please upload a copy of the applicant s official transcripts or GED test scores and certificate to your application. All applications without transcript(s) or GED test scores and certificate will not be considered as it is required. 11. Student waiver Required Document Please include the dated and initialed student waiver, located on the last page of the application. All applications without a completed student waiver will not be considered as it is required. 12. Recommendation Letter Required Document Please upload two letters of recommendation by two different individuals who can attest to the applicant s ability to succeed in the program. All applications without two letters of recommendation will not be considered as it is required. 13. A copy of official transcript from each postsecondary school you have attended must be provided. Please list in chronological order every postsecondary institution you have attended or will attend prior to entering this university. For multi-campus institutions, indicate the specific campus. Failure to list all institutions could result in your application being denied or your admission being rescinded. Use a separate sheet if necessary. Enter dates of attendance (including present enrollment) and diplomas earned or expected before attending this Institute. Include certificates or diplomas. Enter credit earned or expected from each institution attended. Dates of Attendance Degree/Date Credit Hours From To Earned/Expected Earned/Expected School (Please do not abbreviate) City, State or Nation Mo. Yr. Mo. Yr. Type Mo. Yr. Number (S) Semester (Q) Quarter 14. Are you fluent in English? Yes No English fluency is required for admission. 15. If you answer yes to any of the following questions, submit a full statement of the relevant facts and attach to this form. You may be required to furnish the Institute with copies of all official documents explaining the final disposition of the proceedings. Have you ever been charged with or subject to disciplinary action for scholastic or any other type of misconduct at any educational institution? Yes No Have you ever been charged with a violation of the law which resulted in probation, community service, a jail sentence or the revocation or suspension of your driver s license (including traffic violations which resulted in a fine of $200 or more)? Yes No If your records have been expunged pursuant to applicable law, you are not required to answer yes to these questions. If you are unsure, we strongly suggest that you answer yes and disclose all incidents fully to avoid any risk of disciplinary action or revocation of your admission offer. I understand that this application is for admission to the Institute for Hospitality & Tourism Education and Research, and is valid only at the beginning of the enrolled cohort. I also understand and agree that I will be bound by the Institute s regulations concerning application deadline dates, attached Terms and Conditions, and admission requirements, which are incorporated in this application by reference. I further agree to the release of any transcript, student record, and test score(s) to the Institute for Hospitality & Tourism Education and Research. I certify that the information given in this application is complete and accurate, and I understand that to make false or fraudulent statements within this application may result in disciplinary action, denial of admission and invalidation of non-credit certificate earned. If admitted, I hereby agree to abide by the regulations and policy of the Institute for Hospitality & Tourism Education and Research. Should any of the information I have given change prior to my entry to the Institute, I shall immediately notify the Institute for Hospitality & Tourism Education and Research. I understand and reviewed the refund policy for the Institute for Hospitality & Tourism Education and Research. Date Applicant s Electronic Signature Page 2

3 Applications must include the following: Terms and Conditions 1. Application Fee ($20 US - non-refundable) 2. Completed application 3. Resume 4. Completed student waiver 5. Copy of two (2) reference letters 6. Copy of High School Diploma or GED test scores and certificate Application Deadline: Applications must be received at least twenty (20) business days prior to cohort start dates as posted on the Culinary Arts Academy webpage under schedule. The application must include the non-refundable application fee of $20US which is in addition to tuition/late fee dues. Please review the Refund Policy. Program Duration: The program consists of ten (10) classes, which are held on consecutive Saturdays except for a few Saturdays; please refer to the cohort schedule. The ten (10) week course period begins on the cohort start date. Classes begin promptly at 9:00 a.m. and run until 5:00 p.m. A lunch break of one hour is provided (lunch will not be provided). Upon successful completion of the program and full payment of the program, the student will be awarded a Level I Certificate in Culinary Arts. Location of all Classes: All classes will take place at the below location: Florida International University Chaplin School of Hospitality and Tourism Management 3000 NE 151 Street North Miami, Florida Tuition Cost: $1,950 Forms of Payment: Payment can be made with credit card (VISA, MasterCard, Discover and American Express), debit card, and check or money order made payable to the Florida International University - IHTER. There are two preferred ways to remit payment: By credit or debit card online, or By check or money order Please note that a check, money order, debit card, or credit card may be accepted in person by the Institute for Hospitality and Tourism Education and Research staff directly. The authorized user must be present for credit card and debit card payments. No cash will be accepted. Page 3

4 Payment Method: Payment may be made in full upon acceptance into the program, or through a Pay Plan (PP). These options are as follows: Payment Option 1: Full payment upon acceptance into the program - $1,950 Payment Option 2: First payment is due upon acceptance into the program- $975 Second payment is due before the start of the second (2) class week of the program - $675 Third payment is due before the start of the fourth (4) class week of the program - $300 A Pay Plan allows you to pay your tuition in installments. It may be set up in person at the Institute for Hospitality and Tourism Education and Research or online through IHTER ecommerce. The following conditions apply: When you initiate the plan, you must pay fifty (50) percent of the tuition due. Course access, certificate and graduation attendance may be denied if payment in full (including any late fees) has not been made before the start of the fourth (4) class week of the program. The program must be paid in full even if courses are dropped except as provided under the Refund Policy (see below). A $10 late fee is applied to all late payment (maximum of $20 per pay plan). Reminder will be sent out via to all students. Financial Assistance: Students are responsible for payment of the full amount of tuition and/or late fees charged by the Institute for Hospitality and Tourism Education and Research. No financial-aid assistance is available for this program. Program Withdrawal: Students who find it necessary to withdraw, may do so by ing the Coordinator of Administrative Services or the Institute for Hospitality and Tourism Education and Research at with the subject line Withdrawal request: Culinary Arts Academy. The date of withdrawal will be the date the student s request to withdraw is received. Refund Request: Students who request a refund (see refund policy), may do so by ing the Coordinator of Administrative Services or the Institute for Hospitality and Tourism Education and Research at with the subject line Refund request: Culinary Arts Academy. The date of request, will be the date we receive the student s request of a refund. Refund Policy: 50% of the program fee is refundable: If the participant submits a written request to drop the program five (5) business days prior to the start date. Program fee is nonrefundable, if the participant is a no-show or after participant has attended the program. Page 4

5 Culinary Arts Academy Student Waiver AGREEMENT FOR STUDENT, INCLUDING RELEASE OF LIABILITIES I the undersigned, am of legal age (18 years or older) do understand and agree to the following terms and conditions in consideration for my participation in the Florida International University s Institute for Hospitality & Tourism Education and Research Culinary Arts Academy and associated field activities. I understand and agree that my participation is completely voluntary. I acknowledge that my participation is not as an employee, independent contractor nor agent of the State of Florida, The Florida International University Board of Trustees, the Florida Board of Governors, Florida International University, and all of their respective officers, directors, employees and agents. ELIGIBLE STUDENT I understand and agree that I am only enrolled in the Culinary Arts Academy of the Institute for Hospitality & Tourism Education and Research certificate program during the fiscal year and that I am not a degree seeking student earning credits at FIU. RELEASE, WAIVER AND HOLD HARMLESS OF LIABILITIES I understand and agree that in the course of the performance of assignments associated with my participation, which I have voluntarily agreed to perform during my enrollment, including all field activities off the actual premises of the campus, I may be exposed to risks of personal injury, death, or loss or damage to my personal property. These risks include, but are not limited to, travel to and from the mentioned location, eating and drinking food and beverages prepared by the location and/or cohort, and all activities associated with the Culinary Arts Academy and its field participation, including preparatory and subsequent activities, whether on the campus or elsewhere. I, for myself, my heirs, executors, administrators, subrogees and assigns, agree to release, waive, discharge and relinquish, and to hold harmless from liability, the state of Florida, the Florida International University Board of Trustees, the Florida Board of Governors, Florida International University, the Institute for Hospitality & Tourism Education and Research and all of their respective officers, directors, employees and agents, from and for all claims and causes of action which may arise from my participation in the fiscal year, program and all related activities and participation, and from all personal unrelated activities which i may undertake during my participation in this program, including all injuries, death or damages caused by ordinary negligence of anyone organizing, supporting or participating in the activities, whether on the campus premises or elsewhere, and i hereby agree to waive all claims for myself, and by anyone acting on my behalf, including by subrogation, arising from personal or bodily injury, wrongful death, and loss or damage to personal property. Page 5

6 ORIENTATION AND ATTENDANCE VERIFICATION I understand and agree that by becoming a student for in the Culinary Arts Academy, I agree to attend the required orientations and/or scheduled class sessions. I understand my failure to attend the orientation or scheduled c lass session may render me ineligible to graduate. NO DISCRIMINATION OR HARASSMENT ALLOWED I understand and agree that any acts which may be construed by others as discrimination or harassment on the basis of gender, sex, sexual orientation, race, color, national origin, religion, marital status and disability, by any persons associated with the Culinary Arts Academy, whether on the premises or elsewhere, whether during hours or at any other time, will not be tolerated. Persons who feel they have been discriminated against or harassed should promptly notify the Program Coordinator or Executive Director. ALCOHOL CONSUMPTION PROHIBITION I understand and agree that as a participant of the Culinary Arts Academy, you may not consume any alcoholic beverages during the program, including preparatory and subsequent activities, whether on the campus or elsewhere, whether during hours or at any other time. Violation of this requirement is grounds for immediate dismissal from the program, even if the student is of legal drinking age. ADVERTISING AND PROMOTIONS I acknowledge that any and all video, sound recordings and photographs in which I may be seen or recorded during my participation in the Culinary Arts Academy fiscal year and aware that all recordings are property of the Institute for Hospitality & Tourism Education and Research and may be used for any promotional purposes without compensation to the student. PHOTOGRAPHS I am aware that I may be seen or recorded in which I may be seen or recorded during my participation in the Culinary Arts Academy fiscal year and aware that all recordings are the property of the Institute for Hospitality & Tourism Education and Research and may be used for any promotional purposes without compensation to the student. Date Print Name Initials Page 6

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