Choose the semester you wish to start:
Spring February 2013 Summer May 2013 Fall August 2013 Winter November 2013

Please identify and describe yourself:

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Day Phone
Evening Phone
FAX
E-mail
Social Security  Number

You are applying for admission as a :
Resident Students attending classes at the school
        Full Time        Part Time

In which of the following programs:
    Food Service Training/Professional Cooking (Diploma Program)
    Culinary Arts/Restaurant Management (Associate in Specialized Technology Program)
    Individual Courses (non-matriculated)

Most recent High School attended:
 

        High School diploma Awarded
        GED
        Still in high school, will graduate

 

List the last college, vocational, and/or trade school you attended:

Mark the highest degree earned (if applicable):
Diploma  Associate  Bachelor  Other 

It is recommend that you submit an educational/professional and a personal reference. Check here if we should be expecting these documents.

Check here if you have requested that your high school and/or any previous schools send a transcript

List any work experience you have had (most recent first)
Name & Address of Employer Duties
Name & Address of Employer Duties
Name & Address of Employer Duties
Name & Address of Employer Duties

Short Essay Questions
What about you makes you perfect for the hospitality/food service industry?

Why have you chosen to pursue a career in the hospitality/food service industry?

How did you learn about JNA Institute of Culinary Arts?

Authorization: "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if accepted for training, falsified statements on this application shall be ground for dismissal. I authorize investigation of all statements contained herein and authorize all concerned parties to give you any and all information concerning any pertinent information they may have, personal or otherwise, and release the school from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the school has any authority to enter into any agreement for acceptance for any period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized school representative. JNA does not discriminate on the grounds of race, color, national origin, sex, age, religion, handicap, or sexual preference in the administration of any of its educational programs, activities, or employment."

Place your initials here as an agreement to the above statement    Date:

This section is optional. The following information is being requested for statistical purposes only. It will be kept confidential. It will not affect your admission to the school. Please check all that apply:

Date of Birth		Black/Afro American  White American Indian  Asian or Pacific Islander Hispanic Other
Sex	Male Female