Culinary Skill Development and Employment Program 2016

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Christian Horizons in partnership with Humber College introduces Culinary Skill Development and Employment Program 2016 Are you looking for an exciting opportunity to expand on your passion for the culinary arts? Our partnership with Humber College provides you with the opportunity to learn hands on skills under the guidance of industry professionals in the state of the art kitchen at Humber College. Course Highlights Eligibility Employment readiness through classroom training Unpaid placements in various food services establishments Hands on training from professional chefs Humber College certification when completed 3 semesters Opportunity to attend our 1 week intro to the kitchen course over the summer! 18 years of age or over Developmental Disability Desire to work in food services Ability to provide own transportation daily Can attend placements independently Available September to June Committed to attend Tuesday through to Saturday every week Flexibility with hours Weekly Schedule Sunday Monday Tuesday Wednesday Thursday Friday Saturday OFF OFF Soft Skills Training at Humber Community Placement Community Placement Community Placement Culinary Skills at Humber 1

About the Program Employment Soft Skill learning every Tuesday: Examples of some sessions: WHIMS First Aid Smart Serve Health and Safety Safe Food Handling Workplace Attitudes, Boundaries and Behaviours Resume Writing Interview Skills Placement Opportunities Wednesday to Friday in restaurants such as Montana s, Moxie s, Swiss Chalet, etc. Hands-on Kitchen Training Saturdays at Humber College. Fees: $600 a semester, 3 semesters all together. Additional costs include the Humber Culinary uniform and knife kit. Contact Information How to Apply: Fax or email application to Shannon Buller, Employment Coordinator Fax: 416-630-2579 Email: culinaryapplication@christian-horizons.org You can get more information about the program at www.christian-horizons.org Check out our documentary of the program at abettersliceoflife.com 2

Application for Culinary Skill Development and Employment Program A Partnership between Christian Horizons and Humber College PLEASE HAVE APPLICATIONS IN BY JUNE 17th THERE ARE 15 SPACES AVAILABLE Application Eligibility: 18 years of age or older and a Canadian citizen or landed immigrant Have a developmental disability Desire to work full time, part time or be self-employed in the food industry Ability to work semi-independently Ability to obtain or have access to transportation (to work placements, Humber College North Campus and 155 Deerhide Cres.) All information on this form will be held in confidence. Please print clearly. Date: LAST NAME: FIRST NAME: DATE OF BIRTH: / / AGE: ( ) dd / mm / yyyy ADDRESS: APT #: CITY: PROVINCE: POSTAL CODE: - PHONE #: ( ) - CELL PHONE #: ( ) - WORK PHONE #: ( ) - Ext. E-mail address: SIN #: - - Are you legally eligible to work in Canada? Yes No If not eligible, please provide details: EMERGENCY CONTACT: RELATIONSHIP: EMERGENCY PHONE #: ( ) - Ext. FIRST LANGUAGE: OTHER LANGUAGES: 3

CITIZENSHIP STATUS: RELIABLE TRANSPORTATION: Yes No How will you be getting to/from program? PRIMARY CAREGIVER: Parent Self Other Specify: CURRENT RESIDENTIAL SITUATION: Family Home Own Home Relatives Group Home Other Specify: Lives with: MEDICAL INFORMATION Developmental Diagnosis?: Yes No If YES, indicate diagnosis: Do you have a Dual Diagnosis?: Yes No If YES, indicate diagnosis: (Example: development delay/schizophrenia) Taking Medication?: Yes No If YES can you: Self-administer your medications? Yes No Work with equipment/kitchen utensils while taking those medications??: Yes No List any side effects that you may experience: Please check off and describe which apply to you: Allergies Diabetes Epilepsy Hepitatis B History of behavioural concerns; please check off and briefly describe (triggers, what it may look like, etc.): Physical Aggression/Violent Verbal Aggression Self Harm Threats/Weapon Use 4

Can the applicant work safely in a professional kitchen (gas stoves, fryers, knives)?: Yes No Please provide relevant information: SOCIAL SUPPORT Current Support Past and Present Type of Support: Home/self Agency Name (family/friend): Tel: Ext. How long? Address: Permission to contact? Yes No Name of Agency: Tel: Ext. How long? Address: Contact: Permission to contact? Yes No Receiving Income Support? Yes No Please indicate as applicable: 1. ODSP 2. Ontario Works 3. Employment Insurance 4. Workplace Safety and Insurance 5. Canada Pension Plan 6. Accident, Sickness, Disability Insurance 7. Self 8. Support from family 9. Other; Please describe: EDUCATION Name of school and level of education completed Completed Elementary School Yes No Completed Secondary School Yes No Completed College Yes No Post-Secondary Yes No 5

Other Training or Programs Completed: CO-OP/VOLUNTEER EXPERIENCE (Unpaid Work Experience) Dates Job Title/Duties Company Reason for Leaving WORK HISTORY (Paid Work Experience) Dates Job Title/Duties Company Reason for Leaving 6

ADDITIONAL INFORMATION Do you require any accommodations while in the workplace? Please specify. Can you do an interview independently? Or do you require support? (If so, what kind of support)? Are you available for the full 9 months that the program runs? (Excluding Christmas Break and Reading Week). Can you attend every Tuesday to Saturday? Are you flexible in your hours of availability to attend class and placement? For example, placements may occur at a different start and finish time than classroom sessions. How did you hear about this program? (referral source name, organization, etc.) Why do you want to attend this program? 7

We will contact you after the deadline and initial screening process. Those who pass the screening process will be contacted for interviews thereafter. Name of Person Completing this Application: (Please print) Signature of Applicant: If you are called for an interview, who should be contacted to arrange the interview? Name: Relationship: Best way to reach the person: Phone Email 8