Applicant Signature Date Sample Clauses
Applicant Signature Date. I hereby approve and authorize the permittee use of the stated government facilities as described in this permit, during the period stated above to use the National Great Rivers Museum facilities for the purposes stated above.
Applicant Signature Date. This applicant is recommended for appointment as a Distributor assigned to my jurisdiction, subject to the terms of my contract with Medico and/or Medico Corp. I certify to the best of my knowledge the applicant is of good personal and business reputation, trustworthy, and competent to act in the capacity of an insurance agent.
Applicant Signature Date. Please note: For further details please refer to your Collective Agreement. If you are sending this request electronically, address to H.R. Department at ▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇.▇▇.▇▇. If you are sending your request by mail/courier, please address to H.R. Department – Leave Request. Appendix B RETURN ADDRESS: Date: Mr. ▇▇▇▇▇ ▇▇▇▇▇▇, Superintendent of Human Resources c/o Human Resources Department Renfrew County District School Board ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇ ▇▇▇ Form Letter #3 Extended Parental Leave Request May 2008 Dear ▇▇. ▇▇▇▇▇▇: I am employed as a with the Board, (employee type i.e. secondary teacher) assigned to . (school/department name) I am currently on maternity leave for the period to I would like to extend my leave as provided for in the Collective Agreement* to , returning to my position effective . I understand that I must give notice of my intentions for the following school year by the March 1 deadline as explained in my Collective Agreement. I have sent a copy of this letter to my Principal/Supervisor, Superintendent and Union President (where applicable). Yours truly, Signature Name (Please print) cc. Superintendent of Schools, Principal/Supervisor, Union President Please note: Please refer to your Collective Agreement for timing of return from extended parental leave. Page 2 of this request is to be submitted to the Human Resources Department only. If you are sending this request electronically, please address to H.R. Department at ▇▇▇▇▇▇@▇▇▇▇▇▇▇.▇▇▇.▇▇.▇▇. If you are sending your request by mail/courier, please address to H.R. Department – Leave Request. H.R. is not responsible for sending the copies. Name Form Letter #3 Extended Parental Leave Request May 2008 Extended parental leave dates: to . I understand that, while on an extended parental leave of absence, I am responsible for the full cost of benefits maintained and that there is no Board contribution. I further understand that, any benefits I did not maintain while on pregnancy/parental leave, I may not have those coverages for my extended parental leave.
Applicant Signature Date. If you are not selected for this year’s class, would you like your application kept on file? □ yes □ no