Application for Admission

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Page 1

About You

First Name

As listed on a valid government ID

Last Name

As listed on a valid government ID

Preferred Name

Preferred Pronouns

Date of Birth

Format must be MM/DD/YYYY

Legal Sex

As listed on a valid government ID

Email Address

Phone Number

Mailing Address

Street Address

Apartment/ Unit Number

Apartment/Unit information Only

City

State

2-digit U.S. State Code or NA for international

Country

Zip Code / Postal Code

Citizenship

Are you Hispanic or Latino?

Ethnicity

Previous High School Education

High School Graduation Year

Highest Level of Education

How Did You Hear About Us?

Minor

Yes

Are you currently working in the culinary or hospitality industry?

Please list your Employer

We will not contact your employer. This is for our records only.

Emergency Contact Information

Contact Name

Relationship

Emergency Phone Number

Refer a Friend or Family Member

First Name

Last Name

Email

Phone Number

Parent/Guardian Information

Parent Name

Parent Email

Parent Phone

Page 3

Release of Education Record Information

As a future student, your student record privacy is protected by federal law (FERPA, the Family Education Rights and Privacy Act). FERPA gives you the right to limit the release of student record information to a third party without written consent and specify limits on the type of information Escoffier can release. Escoffier does not automatically provide your information to a third party without your written authorization
An official document requiring your signature will be provided upon enrollment, and you can revoke your consent at any time.

Check the appropriate box below.

I do NOT wish to release any of my educational record information, except directory information (click "Next Page")I do NOT wish to release any of my educational record information including any directory information (click "Next Page")I do wish to release my student educational records and directory information

I Authorize Release of Educational Record Information To:
(someone other than yourself)

Release Information to Person 1 (Full Name):

Relationship to Student

Release Information to Person 2 (Full Name):

Relationship to Student

Please check the appropriate selection(s)

To select more than one option hold the Ctrl key and select

Specific Information to be shared

Page 4

Previous Education Information

As a part of the application process, we must verify the highest degree that you completed. You may provide proof of graduation or have the school contact your previous educational institution to collect a transcript

Transcript Request Details

Name Used While Attending Previous High School/Testing Location If Different

High School Education Completed

As selected on Page 1

Graduation Year (YYYY)

As selected on Page 1

School / Location Name

School / Location Street Address

School / Location City

School / Location State

2-digit U.S. State Code or NA for international

School / Location Zip Code / Postal Code

School / Location Country

Student Id If Different Than Social Security Number

You may upload proof of completion below. This may include a diploma or official transcript.

Finish & Review

I understand that my applications and all supplemental materials will be held in strictest confidence and is for internal use by the Auguste Escoffier School of Culinary Arts only. The school’s Privacy Policy can be found at Privacy Policy - Escoffier. I give permission to the Auguste Escoffier School of Culinary Arts to verify, if necessary, any information provided on this application. In the event of any misrepresentation, the school may disqualify me after admission. I have read this application thoroughly and certify that the information provided is true and accurate.

Yes, I Agree

By checking 'Yes I Agree' and clicking the submit button, my application will be sent to the school and I authorize the charge to the credit card provided for the Application Fee.

Auguste Escoffier School of Culinary Arts does not discriminate on the basis of: race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity, status as a parent, marital status or political affiliation in the administration of its educational or admissions policies, financial assistance programs, job placement services, or any other school sponsored program. Applicants must meet admissions requirements to be accepted into the school. Once accepted, students work towards completing program requirements in their chosen program. Admissions requirements, fees and program requirements are published in the school catalog available at the campus or on the school website at https://www.escoffier.edu/download-a-catalog/.

Step 1: Pay Application Fee

Application Fee Total: $25.00

Credit Card Number

Exp. Month (MM)

Exp. Year (YYYY)

CVV

Billing First Name

Billing Last Name

Billing Email Address

Billing Phone Number

Billing Street

Billing City

Billing State

Two-Digit State Code

Billing Zip Code

Billing Country

Authorize.net Description

Step 1: Application Fee Waived

Application Fee Total: $0.00 (Pending receipt of waiver)

Step 2: Receive Your Enrollment Agreement Packet for Signature

You are almost there! The Enrollment Agreement packet will be sent via DocuSign. Select your preference for receiving your Enrollment Packet below and click Submit.

I would like to receive my Enrollment Agreement Packet via

Valid Mobile Phone Number

I confirm this is a valid moible phone on which I can receive text messages.

Yes, This is a Valid Number

Authnet_Hidden_Fields

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