LiftUp Form

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LiftUp Form

Welcome to The Soup Kitchen LiftUP Program registration page. Once the information below has been submitted, the participant will receive a phone call from a member of our LiftUP team to schedule an appointment to meet in person. Please note, all responses are for internal purposes only.

Registration Form

Please provide the following information:

Legal First & Last Name

Preferred Name/Nickname

Birthdate

Current address

Mobile Phone

Email Address

Emergency Contact Name Number (Referring Organization or Family Member)

How did you hear about LiftUP?

Please answer YES or NO to the following questions:

Are you 18-29?
YESNO
Are you interested in employment in the culinary/hospitality field?
YESNO
Are you able & willing to commit to train for 6 weeks (1x/week) at TSK?
YESNO
Are you able to work independently with limited instruction?
YESNO
Are you able to work productively in teams?
YESNO
Do you possess general communication, employability, and self regulation skills?
YESNO
Do you have any physical or emotional limitations TSK should be aware of?
YESNO
If YES, please briefly explain below:

In a few sentences, please tell us why you want to be part of the LiftUP program:

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