JOHNSON COUNTY COMMUNITY COLLEGE
Application for Selection
Please return completed application to:
Johnson County Community College
Attention: Hospitality Program Director
12345 College Blvd.
Overland Park, Kansas 66210-1299
Personal Data [Please Print]
JCCC Student Identification Number: ______________________
Name ____________________________________________ _______________________ _______
Last First M.I.
Street Address _____________________________________________________________________
City _______________________________________________ State ____________ Zip _________
Day Phone ___________________________ Evening Phone _______________________________
E-Mail Address ____________________________________________
Application Deadlines: For Fall 2012 semester enrollment - 5:00 p.m. on March 1, 2012.
_____ _____ 1. Have you completed, or are you currently enrolled in HMGT 120 -
Yes No Foodservice Sanitation and HMGT 123 - Professional Cooking 1?
_____ _____ 2. Is your completed essay attached?
_____ _____ 3. Is your proof of hospitality industry employment in a commercial
Yes No kitchen attached? (letter from employer to verify time)
_____ _____ 4. Is proof of any additional criteria attached?
_____ _____ 5. Is your unofficial transcript and current class list attached?
I certify that the information given on this application is correct and complete.
Signature of Student ________________________________________ Date _______________
[For more information, call the Ona Ashley, Director, 913-469-8500 ext. 4160, or e-mail: firstname.lastname@example.org]