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Kitchen Cook Application
Kitchen Cook Application
All fields marked * must be completed before the form can be submitted. IMPORTANT: In order to submit this form you will be required to attach a resume, so please have your resume as a Word or PDF document available for attachment when requested near the end of the form. You will not be able to submit the form without attaching your resume.
Kitchen Cook positions run from March 21st through November 16th, 2012.
Name
*
First
Last
Email
*
Phone (Day)
*
Phone (Evening)
Address
*
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Date of Birth
*
MM
DD
YYYY
Gender
*
[Select]
Female
Male
Citizenship
*
Have you previously resided at either The Salt Spring Centre of Yoga or Mount Madonna Centre? If yes, please indicate approximate dates and areas in which you were involved:
*
Have you previously lived in an intentional community? If yes, please briefly describe your experience:
*
Are you a trained yoga teacher? This is not essential, but if you have completed a teacher training please tell us where you trained, in what style, and for how many hours (e.g. 200, 500). Please also provide details of your teaching experience to date.
*
Please tell us why you are applying:
*
How would you describe yourself? What are your strengths and weaknesses?
*
Describe briefly your previous experience related to cooking and catering, indicating numbers of people served and any experience with vegetarian cuisine.
*
Kitchen work requires some heavy lifting and standing for extended periods of time. Do you have any physical limitations that might affect your ability to do this work? If yes, please describe in detail:
*
Do you foresee any difficulty in adopting the lacto-vegetarian diet described in the Centre guidelines?
*
Do you currently smoke cigarettes?
*
Smoking is not permitted on the Centre property.
Please list any allergies, indicating the severity of the allergy and any precautionary measures you take (If none, state "N/A":
*
Do you have any special dietary needs?
Emergency Contact Information
Name
*
First
Last
Relationship to applicant
*
Email
*
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
How did you hear about the Kitchen Cook position?
*
[Select]
Friend/Relative
Yoga teacher
Internet search
Brochure/Flyer
Mount Madonna Center
Goodworks website
Other
Please provide any further details or comments that might clarify how you came to know about the Centre:
Are there any other comments you'd like to add to your application?
Medical History
Please answer the following as accurately as you can. All information is confidential.
Please check any of the following conditions that apply (past or present)
*
Diabetes - Type 1
Diabetes - Type 2
Coronary Heart Disease
Epilepsy
Chronic Fatigue Syndrome
Neurological Disorders & Symptoms (nerve pain, numbness, tingling)
Cancer
Depression
Bipolar Disorder
OCD or other anxiety disorder
Seizures
Chemical Dependency (nicotine, alcohol or other drugs)
Eating Disorders (anorexia, bulimia)
None of the above
Are there any other mental or physical health issues we should be aware of?
If you do have a medical condition, please describe how it is being managed including forms of treatment and all prescribed medication:
Please attach your resume as a Word document or PDF file
*
Please make sure you have read the
Centre Guidelines.
*
I have read the Centre Guidelines and agree to their terms.
Captcha
Copyright Salt Spring Centre of Yoga 2012