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Application Form APPLICATION FORM First time application Stipendiary Nr. (please leave this space empty) Repeated application PERSONAL DATA First name Last Name Sex Female Male Address Postal Code/City Phone/Mobile Nr. Date of birth Nr. of children Civil status E-Mail Place of residence Place of birth Nationality Residence permit Family background First name and last name of the father Date of birth Profession First and last name of the mother Date of birth Profession Address of the legal parent Siblings (first and last name, date of birth, profession or school education) Financial Background (please indicate the currency ie. CHF, USD etc.) Gross income of the stipendiary Assets of the stipendiary Assets are invested in Company House Securities Cash Other: please state Page 1 Professional background and education Schools completed yes no Apprenticeships yes no Higher Education yes no Professional background Page 2 1. APPLICATION FOR AN ACADEMIC SCHOLARSHIP (only needs to be completed if a scholarship for an academic education is requested. Otherwise please proceed with point 2.) Name of the program for which the scholarship is requested for Degree status Full address of the instituation/university Duration of the acadmic program Start of the academic program Comment of the parents Page 3 Financing Program costs CHF Food and accommodation CHF School material CHF Various (please explain) CHF Various (please explain) CHF Various (please explain) CHF Various (please explain) CHF Total Expenses CHF Revenues Contribution from the parents CHF Salary of the applicant CHF Other grants CHF Loans CHF Other contributions CHF Total Revenues CHF Authorization By signing this application form the signer gives authorisation to the foundation "Fundaziun Uccelin" that all information provided in this document can be verified with the appropriate services (scholarship office, local authority, etc.). Moreover, the Fundaziun Ucclein is allowed to exchange information and forward this application form to other foundations. The signer confirms that this application form is complete and has been filled out truthfully Date Signature parents Signature applicant Page 4 2. FOUNDATION PROGRAM Foundation program for SWISS applicants Please fill out the spaces coloured in grey with your chosen chef or producer - Please note that the stays labeled "Castle Schauenstein" are compulsory and can not be replaced with a chef or producer of your choice. - The stays which can be chosen are coloured in grey. Please state in each space the chef or procuder of your choice. - Please choose the chefs and procuders of your choice from the lists following the program section. - The two consecutive stays that are marked with "Choice Chef Europe/Overseas" must both be choosen within the same continent. MODULAR STRUCTURE OF THE PROGRAM Chef, Swiss Stipendiary Place Name of the chef/producer → Castle Schauenstein Week 1 Gardemanger → Castle Schauenstein Week 2 Entremetier → Week 3 Choice Producer → Week 4 Choice Producer → Choice Chef Switzerland Week 5 Gardemanger → Choice Chef Switzerland Week 6 Entremetier → Choice Chef Switzerland Week 7 Saucier → Choice Chef Switzerland Week 8 Patisserie → Choice Chef Europe/Overseas Week 9 Gardemanger → Choice Chef Europe/Overseas Week 10 Entremetier → Choice Chef Europe/Overseas Week 11 Saucier → Choice Chef Europe/Overseas Week 12 Patisserie → Choice Chef Europe/Overseas Week 13 Gardemanger → Choice Chef Europe/Overseas Week 14 Entremetier → Choice Chef Europe/Overseas Week 15 Saucier → Choice Chef Europe/Overseas Week 16 Patisserie → Choice Producer Week 17 → Choice Producer Week 18 → Castle Schauenstein Week 19 Testkitchen - Product → Castle Schauenstein Week 20 Testkitchen Product creation & Final Report Page 5 List - Chefs/Restaurants Name Restaurant Hotel City Website Switzerland Tanja Grandits Restaurant Stucki Basel www.stuckibasel.ch/ Heiko Nieder The Restaurant Grand Hotel Dolder Zurich www.thedoldergrand.com/geniessen/the-restaurant/ Franck Giovanni Restaurant de l'Hotel de Ville Crissier https://www.restaurantcrissier.com/de/restaurant Sven Wassmer Silver 7132 Vals http://7132.com/de/gastronomie Philippe Chevrier Domaine de Châteauvieux Domaine de Châteauvieux Satigny www.chateauvieux.ch/fr/ Christian Kuchler Taverne zum Schäfli Wigoltingen schaefli-wigoltingen.ch Silvio Germann IGNIV by Andreas Caminada Grand Resort Bad Ragaz Bad Ragaz www.igniv.com Austria Thomas Dorfer Landhaus Bacher Wachau www.landhaus-bacher.at/home/ Heinz Reitbaur Restaurant Steirereck Vienna www.steirereck.at/ Germany Christian Bau Victor's Residenz Hotel Victor's Residenz Hotel Perl-Nennig www.christian-bau.de/restaurant-hotel/ Bobby Bräuer EssZimmer Munich www.esszimmer-muenchen.de/ Sven Elverfeld The Ritz Carlton /Restaurant Aqua The Ritz Carlton Wolfsburg www.restaurant-aqua.com/ Joachim Wissler Restaurant Vendôme Bergisch Gladbach www.schlossbensberg.com/de/kulinarik/restaurant-vendome Jan Hartwig Atelier - Hotel Bayerischer Hof Munich www.bayerischerhof.de Douce Steiner Hotel Restaurant Hirschen Salzburg www.hirschen-sulzburg.de Claus-Peter Lumpp Restaurant Bareiss Hotel Bareiss Baiersbronn-Mitteltal www.bareiss.com/hotel-bareiss.html?gclid=CJHP_oqOzcwCFfYy0wod6koJWg Italy Enrico Crippa Piazza Duomo Alba www.piazzaduomoalba.it/it/ Massimo Bottura Osteria Francescana Modena www.osteriafrancescana.it/ Viviana Varese Alice Ristorante Milan www.aliceristorante.it/it Norbert Niederkofler Rosa Alpin Hôtel Badia www.rosalpina.it/italy-michelin-star-restaurants.htm France Mauro Colacrego Restaurant Mirazur Menton www.mirazur.fr/ Yannick Alléno Alléno Paris at the Pavillon Ledoyen Paris http://www.yannick-alleno.com/en/restaurants-reservation/alleno/restaurant-3-etoiles-paris.html Belgium Peter Goossens Restaurant Hof van Cleve Kruishoutem BEL www.hofvancleve.com/ The Netherlands Sergio Herman AIRrepublic Cadzand https://www.air-republic.com/ Sergio Herman The Purce C Cadzand https://www.pure-c.nl/ Sergio Herman Blueness Cadzand https://www.strandhotel.eu/de/blueness/ Jonnie Boer De Librije Zwolle www.librije.com/ Scandinavia Denmark Rasmus Kofoed Geranium Copenhagen www.geranium.dk/ Sweden Titti Qvarnström Bloom in the park Malmö www.bloominthepark.se/ Norway Esben Holmboe Bang Maaemo Oslo www.maaemo.no Slowenia Ana Ros Hiša Franko Kobarid www.hisafranko.com/ Spain/Portugal Spanien Fina Puigdevall Les Cols OLOT (Girona) www.lescols.com/ Spanien Quique Dacosta Quique Dacosta Restaurante Dénia www.quiquedacosta.es/ Spanien Josean Alija Nerua Bilbao www.neruaguggenheimbilbao.com/ Spanien Elena Arzak Restaurante Arzak Donostia-San Sebastián https://www.arzak.info/index.php Spanien Eneko Atxa Restaurant Azurmendi Bizkaia www.azurmendi.biz/ Portugal Dieter Koschina Villa Joya Albufeira http://www.vilajoya.com Portugal Hans Neuner Ocean Restaurant Villa Vita Park Hotel Algarve http://www.restauranteocean.com UK/ Irland Ireland Jess Murphy Kai Galway www.kaicaferestaurant.com/ UK Heston Blumenthal Dinner by Heston Blumenthal London www.dinnerbyheston.com Turkey Kemal Demirasal Restaurant Alancha Istanbul tr.alancha.com/ North America Dan Barber Blue Hill at Stone Barns New York www.bluehillfarm.com/ Daniel Humm Restaurant Eleven Madison Park New York www.elevenmadisonpark.com/ Thomas Keller Per Se New York https://www.thomaskeller.com/perseny Thomas Keller French Laudnry Napa Valley www.thomaskeller.com Anita Lo Annisa Restaurant New York www.annisarestaurant.com/ Christopher Kostow The Restaurant at Meadowood Napa Valley www.therestaurantatmeadowood.com South America Colombia Leonor Espinosa Leo Bogota www.restauranteleo.com/ Peru Virgilio Martinez Restaurant Central Lima centralrestaurante.com.pe/ Chile Carolina Bazan Ambrosioa Santiago www.ambrosia.cl Mexico Jorge Vallejo Quintonil Mexico City www.quintonil.com Page 8 List - Producers Month Producer Country, City Education Website Viticulture Weingut Donatsch Malans Malans, Switzerland practical experience http://www.donatsch.info Weingut Gantenbein Fläsch, Switzerland practical experience https://www.gantenbeinwein.com Weinbereitung Landquart, Switzerland practical experience http://www.metalogic.ch/x/2/kurs_detailView.asp?ID=451 Sensorikkurs Wädenswil, Switzerland academic course https://weiterbildung.zhaw.ch Drinks Dirk Hany / Bar P.B.C. Professional Bartending Company Zurich, Switzerland practical experience — Brewery Bieraria Tschlin Martina, Switzerland practical experience http://www.bieraria.ch Butcher Metzgerei Peduzzi Savognin, Switzerland practical experience http://www.metzgerei.ch/de/mitglieder/data/P25800.php HolzenFleisch / Stefan Mathis Ennetbürgen, Switzerland practical experience http://www.holzenfleisch.ch/ Kellenberger Metzgerei Bad Ragaz, Switzerland practical experience — Cheese making Martin Bienerth Andeer, Switzerland practical experience http://www.sennerei-andeer.ch/portrait/floh.php Willy Schmid Lichtensteig, Switzerland practical experience http://www.willischmid.ch/web/Home.html Milchverarbeitung Landquart, Switzerland academic course https://www.gr.ch/DE/institutionen/verwaltung Bakery Brot ist nicht gleich Brot verschiedene Orte academic course http://www.richemont.cc John Baker Zurich, Switzerland practical experience http://www.johnbaker.ch Daniel Amrein - Einsiedler Wauwil, Switzerland practical experience https://eigenbroetler.info/ Bäckerei Casa Caminada Fürstenau, Switzerland practical experience www.casacaminada.com Patisserie Rolf Mürner Switzerland academic course http://www.chocolate-academy.com/ch/de/22 Pâtisserie – Zwischen Moderne und Tradition / Felchlin Switzerland academic
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