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California Conservation Corps Culinary Registration

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*Name

Student ID

*Date of Birth

*Phone Number

Gender

*Mailing Address

*Email Address

How long have you been with the CCC?

How much time have you spent working in a commercial kitchen?

Citizenship

Did you attend high school in California?

Hispanic or Latino

Session (select one or both)

December 3 - December 7, 2018

Lake Tahoe Community College