STUDENT APPLICATION FORM PROFESSIONAL RESTAURANT ...

1. Student/Applicant
STUDENT APPLICATION FORM
PROFESSIONAL RESTAURANT AND BAR SERVICE PROGRAMME
(DAY RELEASE)
Name of Establishment you work in: ______________________________________________________________
Surname: ________________________________________ First Name(s): ______________________________
Date of Birth: _______________________ Nationality: __________________ PPS Number: ________________
Address: ____________________________________________________________________________________
___________________________________________________________________________________________
Home Telephone: ______________________________ Mobile: _______________________________________
Email: _____________________________________________________________________________________
Employment History
From To Employer’s Name, Address & Tel No. Position and Duties Held
Education Details
From To Name of School/College Qualifications Obtained
Have you participated in any other CERT/Fáilte Ireland programmes Yes [ ] No [ ]
If yes, please specify: _________________________________________________________________________
Other achievements: __________________________________________________________________________
___________________________________________________________________________________________
Current Employer
Name of Establishment in which you are employed: _________________________________________________
Employer’s Name and Address: _________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Telephone: __________________________________________ Fax: ___________________________________
E-mail: _____________________________________________________________________________________

Please tick which modules you wish to complete:
Casual Dining [ ]
The Business of Customer Care in Professional Food and Beverage Service [ ]
Fine Dining [ ]
Bar Operations [ ]
Wine Studies [ ]
Students can complete the full programme for a FETAC Major Award
or
Select individual modules to receive Single Component Certificates.
Employer Agrees To:
• to release the employee for one day per week with pay while attending college
• to conduct a formal induction into their place of employment and
• to commit to an effective Mentoring System which will offer guidance and training to them by your
qualified trainers
Employer’s Name: ___________________________________________________________________________
(Please print)
Employer’s Signature _________________________________________________ Dated: _________________
(on behalf of establishment)
Employee’s Name: __________________________________________________________________________
(Please print)
Employee’s Signature: ________________________________________________ Dated: _________________
Please forward to:
Admissions, School of Tourism (LyIT), Shore Road, Killybegs, Co Donegal
Tel No (074) 9186600 Fax No (074) 9186601 Web Site www.lyit.ie