Click Here to Download the Scholarship application  

Application / Students

Scholarship Chairman
Willie L Lewis CEC

For 2012 & 2013

To be eligible for this award you must be a current member of the Professional Chef’s Association of South Jersey.  In addition to membership you must have worked on at least one community service project with us in the last two years and attended at least two meetings.

PERSONAL INFORMATION:

This Application must be in by January 24th 2012 to be consider for the February 2012 Scholarship.

Last Name: _____________________________

First: ______________________________

Street Address: _________________________________________

City: _________________________ State: _____ Zip: _______ Phone: ____________

Alternate Phone: __________________ Social Security Number: _________________
E-mail: __________________ Date of Birth: _____________

EDUCATIONAL Eligibility INFORMATION: YOU MUST BE ACCEPETED TO OR CURRENTLY ATTENDING A CULINARY SCHOOL OR CLASS AT THE TIME OF THE Scholarship AWARDS, or have completed one year in the Local 54’s Apprenticeship Program.   Are you currently attending a culinary school? ______ If so, provide below
Name: _________________________ Enrollment Date: ________ Address: ________________________________________________ City: ____________________State:_________Zip:___________ Contact Name: ______________________________ Contact's Phone: _______________ Your Major: ____________________ Degree You Are Pursuing: ________ GPA: ___
Expected Date of Graduation: ____________

Attending Full Time? Yes ( ) No ( )

If not in culinary school.

Have you been accepted? _____

If "Yes", provide the details below
School Name: __________________________________________ Address: ______________________________________________ Contact: ________________Contact's Phone: _____________
Expected Start Date:_______________________
Previous School(s) Attended:
Degrees Attained/Majors: Include High School and Graduation Dates _______________________________________________ _______________________________________________ _______________________________________________ FINANCIAL INFORMATION:
How much is your annual tuition?__________________________ How are you financing your education? (Be sure to identify the percentage of funding from each source.)

___________ Parents’ contribution
___________ scholarships
___________ work
___________ personal loans
___________ government loans
___________ saving other (explain) _____________________________________ EMPLOYMENT INFORMATION: Are you currently employed? Yes ( ) No ( ) If yes, hours per week:__________
Work Experience: List dates, place, title and number of hours per week worked Dates Place Job Title Hrs/Week _____________________________________
_____________________________________
Describe extra-curricular activities (community service, athletics, clubs, etc.) you have been involved in, and note awards or special recognition you have received. _____________________________________
REFERENCES: Your application MUST be accompanied by two letters of recommendation. One of these must be from a member of our association, the other from a supervisor, teacher, advisor or other culinary professional familiar with your skills. List your references below and include their letters with your application. If not included, your application is not complete. Name__________________________________ Name__________________________________ Title_________________________________ Title_________________________________ Company_______________________________ Company_______________________________ Address_______________________________ Address_______________________________
City, State, Zip______________________
City, State, Zip______________________
Phone ( ) _____________________________
Phone ( ) _____________________________

 Application / Students   To the best of my knowledge, all of the information I have provided is accurate and true. I understand that by my signature below, I am authorizing my attending school to provide The Professional Chef Association of South Jersey WWW.PCASJ.com any necessary information to verify my attendance and the accuracy of this application.  I understand that this application does not in any way guarantee the receipt of a Scholarship. It is an application that can be accepted or denied at our option. If my application is accepted for consideration in writing, it does not in any way guarantee the receipt of a Scholarship. I agree that I abide by your final decision and that I have no recourse to contest it. 

John Carbone Scholarship Application Essay

(Essay must be typed or neatly written and a minimum of 300 words telling us why the culinary field is one you wish to pursue and become a Chef/Pastry Chef and your goals in this field. Use additional pages if needed.

To help us in our planning, please tell us how you learned of this scholarship?

Signature:_________________________________________

Date:____________________

Mail this form to:

Professional Chef’s Association of South Jersey

P.O. Box 177

Absecon New Jersey 08201

Scholarship Chairperson

Willie L. Lewis CEC AAC

609-703-9912

wlewis1799@aol.com
                   

 7/4/11

Corporate Executive Chef

David Goldstein

President  ACF / PCASJ Chapter

Davidg@macgllc.com