Mentors Application

*Surname:

*Post Address:

*City:

*Post Code:

*Work Telephone:

Please add your area code.

Home Telephone:

Please add your area code.

Mobile:

*Email Address:

*Industry experience:

The number of years experience in a commercial kitchen (Include training years)

*Schooling:

Highest achieved educational / training qualification. You may select more than one.

*Practice:

Please only identify your highest position of responsibility. You may select more than one.

*Have you specialised in any one sector:

Please identify any sector that you have specialised in, or know most about.

*I accept the Mentor conditions:

I have read and accept the terms and conditions required to be appointed as a mentor by the board. The conditions are found at http://www.salonculinaire.com

*I adhere to the \Australian Culinary Code of Practices:

*shortcourse:

I agree to attend a short course of four hours. The course identifies the principles and practices required for a mentor. (A mentors certificate will be issued and mentors are not approved without this certificate).

Please provide two referees

*Referee One - Name and Title:

Please identify the name and title of the referee.

*Referee One - Telephone contact:

Please add area code.

*Referee Two - Name and Title:

Please identify the name and title of the referee.

*Referee Two - Telephone contact:

Please add area code.

*Verification:

Enter the code above.

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