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 course http://www.felchlin.com/de/condirama/aktuelle-kurse
Fish farming Lumare Cumbel, Switzerland practical experience http://www.lumare.ch/contact.php
Coffee Black&Blaze Zurich, Switzerland practical experience www.blackandblaze.com
Cultivation Kartoffelernte - Freddy Christandl Las Sorts, Switzerland practical experience http://www.bergkartoffeln.ch/ Hof Kunfermann Räz, Switzerland practical experience Biotisch Foffa Almens, Switzerland practical experience http://www.biotisch.ch/
Truffel Herbst Schweizerische Trüffelvereinigung Switzerland practical experience http://www.schweizertrueffel.ch/
Technics Prorest AG Sous-vide Verfahren, Molekulartechniken etc. practical experience http://prorest.ch/
Honey Imker Argovi, Switzerland academic course http://www.imkerschule.ch/
Dishes Bernardaud Paris, France practical experience http://www.bernardaud.com
Page 9 Incomplete application forms as well as application forms that are missing annexes or signatures will not be taken into consideration for the selection process
Motivation letter and curriculum
for repeated applications: report on progress
Latest tax return of the stipendiary
Copy of any other foundation applications
Completed application form
TO BE SENT AS ANNEX FOR ACADEMIC SCHOLARSHIPS
Payslip of the last two years
Confirmation of the acceptance to the academic program
Copy of the rent contract
Detailed expense report for travel costs
Detailed expense report for all other costs
Bank details
Page 10