Name*
Date of Birth*
Are you a citizen of the United States?*
If not are you Authorized to work in the U.S?*
Have you ever been a Miami Dade College Student?*
Do you owe any fees or balances to Miami Dade College?*
Do you have a criminal record?*
Have you been arrested/convicted of a felony?*
Please indicate your native language*
Do you speak any other languages?*

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Were you referred by Miami-Dade County Public School's Parent Academy?*
Were you referred to The Hospitality Institute by an agency or organization?*
Name of case manager who referred you*

High School

Did you attend High school or Received GED?*
Did you Graduate?*
What month and year did you graduate?*

Employment

Are you currently working?*

Disclaimer


I certify that my answers are true and complete to the best of my knowledge. It is my understanding that if this application leads to employment that false or misleading information in my application, interview and/or information provided may result and could cause immediate dismissal. I will contact The Hospitality Institute should my address and/or contact information changes after graduation.

I also understand that if I become employed after graduating from The Hospitality Institute, I authorize verification of employment by providing relevant employment information: Employer name, address, supervisor name and contact information, start date, position and salary information. I also authorize The Hospitality Institute to contact me to follow up with my employment progress.


Acknowledgement*
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