Michigan Restaurant Association

ProStart School Profile for 2010 - 2011

Please complete the information as accurately as possible and return no later than October 8.

Educator Name: *

E-mail: *

School Name: *

Address:

City:

State:

Zip Code:

School Phone Number:

Fax Number:

Educator Alternate Phone Number (Home):

Cell Number

Para-pro Name:

Principal Name:

Counselor Name:

Chef Mentor Name:

Chef Mentor Company:

Management Mentor Name:

Management Mentor Company:

2010 - 2011 Enrollment Information

Classroom Schedule - Days/Times Class Meets: *

Number of students in year 1: *

Number of students in year 2: *

Number of students working in jobs/internships/worksites:

Are you planning to participate in the Michigan ProStart Competition?

Do you have any student success stories to share?

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