SFZC City Center Application Form

Work Practice Apprentice (WPA), Zen Kitchen Apprentice (ZKA), and Mindful Activity Apprentice (MAA)

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Page 1

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Personal Information
Fields marked with an asterisk (*) are required. 








MM/DD/YYYY







Address





Emergency Contact Information











Medical Contact Information






Covid 







Page 2

Please answer the following questions. This information will remain confidential.
Q & A
It is a prerequisite to do at least 2 week guest student at City Center to do any of the apprenticeship programs.





Note: No applicant will be denied residency solely on the grounds of conviction of a criminal offense.
Housing


Page 3

Medication

Health Record
Yes No


Personal Statement










Application Fee
Payment of $30 may be paid here. Visa/MC only.