Date Date for THE RECIPIENT for THE COMMUNITY Encl.
Date Date. Southwest Tennessee Community College, a Tennessee Board of Regents institution, is an affirmative action/equal opportunity college. 0111068 NEW 11083
Date Date. Financial Advisor and Branch Manager Use Only -------------------------------------------------------------------------------- o We, the undersigned Financial Advisor and Branch Manager, certify that the above signature(s) is/are true and correct. If the Subscriber's account is a participant-directed ERISA Plan or Individual Retirement Account for which Morgan Stanley & Co. Incorporated is custodian, the Branch Manager xxxx xxxxxxies that the representations set forth under the heading "Entity Subscription" of the Subscription Agreement(s) the Subscriber previously executed are still accurate. o We hereby confirm that at the time of any purchase of additional Units, the Subscriber received the Prospectus, any supplement to the Prospectus, and current monthly report at least five business days prior to the applicable monthly closing. o We hereby confirm that at the time of any purchase of additional Units, the Subscriber meets the applicable suitability standards under "State Suitability Requirements" on page 4 of the Subscription Agreement and any applicable supplement to the Prospectus.
Date Date. For Cabrillo Community College District For Cabrillo College Federation of Teachers
Date Date. Please check here if you are interested in advising in this position next year Advisor Signature Date APPENDIX I APPLICATION FOR CONTINUING CONTRACT STATUS My current limited contract is expiring at the end of this school year. I have completed the educational and length of service requirement for continuing contract eligibility and I wish to apply for a continuing contract this year. Name of Applicant Date Signature of Principal Date (indicating the form was received) This form must be turned in to the building principal on or before the first work day in February of the year in which the teacher is applying for a continuing contract. APPENDIX J Xxxxxx-Clearcreek School District Catastrophic Leave Request Information and Physician Statement for Sick Leave Bank Employee Statement Name of Recipient: Last Date Worked: Leave accrued as of Last Date Worked: Sick Leave hours I certify that I have read and understand the definition of “catastrophic illness/injury: as stated below. I further certify my condition meets the definition of “catastrophic” illness/injury. Signature of Recipient Date Physician’s Statement Diagnosis: Method of Treatment: Physician's Signature Date APPENDIX K Xxxxxx-Clearcreek Local Schools Supplemental Contract Compensation School Year - Employee Name: Contracted for: Date of Approval: CERTIFICATION: I certify that all duties and closing responsibilities related to the above supplemental contract have been completed for the indicated school year by the employee indicated above, and further request that the amount due for the above activity should be included as part of the employee’s next regular pay. List of all students participating in activity showing payment of pay to play fee Evaluation of advisor completed and on file in superintendent’s office Financial obligations met/resolved Certified by: Employee Building Principal Date Please return to the treasurer’s office for payment of services Date rec’d – treasurer’s office APPENDIX L LONGEVITY BENEFIT REQUEST FORM (updated language on 10-26-2020) I, , am requesting the payment of my longevity benefit per Article 35 Section A in the ACEA Union Agreement. At the end of the school year, I will have completed the longevity years marked below (Only one (1) category below should be marked): Completion of the employee's tenth (10th) year of teaching service with the Xxxxxx- Xxxxxxxxxx School District, the employee will receive a one-time payment of one thousand dollars ($1,000.00). *The Long...
Date Date. RECEIVING INSTITUTION: We hereby confirm the above-listed changes to the initially agreed program of study/learning agreement are approved. Departmental coordinator’s signature International coordinator’s signature .............................................................................................................................................................................. Date Date
Date Date for THE RECIPIENT for THE COMMUNITY Pal Xxxxx Xxxx xxx der Linden Deputy Prime Minister and NAC Head of Delegation Encl.
Date Date. DISCLAIMER: The undersigned Photographer remains independently liable for all claims, demands, proceedings, action and damages, including loss of equipment, arising directly or indirectly from his participation at the CHL Game according to this Agreement. [Explanatory Note (no interpretative value): this Agreement provides the Photographer with all editorial rights in all of his/her Photographs taken at the CHL Game, but prohibits the use of all his/her Photographs taken at CHL Games for commercial purposes without the CHL’s prior written approval.] Champions Hockey League AG Phone +00 00 000 00 00
Date Date. It may be terminated by notice in writing by either party at least 30 days prior to the date of termination. Signature of Board of Education Official Signature of CACFP Institution Official Title Date Title Date A copy of the signed agreement must be forwarded to the school food service director and the CSDE. In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (000) 000-0000. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (000) 000-0000. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 0000 Xxxxxxxxxxxx Xxxxxx, XX Xxxxxxxxxx, X.X. 00000-0000; (2) fax: (000) 000-0000; or (3) email: xxxxxxx.xxxxxx@xxxx.xxx. This institution is an equal opportunity provider. The Connecticut State Department of Education is committed to a policy of equal opportunity/affirmative action for all qualified persons. The Connecticut Department of Education does not discriminate in any employment practice, education program, or educational activity on the basis of age, ancestry, color, criminal record (in state employment and licensing), gender identity or expression, genetic information, intellectual disability, learning disability, marital status, mental disability (past or present), national origin, physical disability (including blindness), race, religious creed, retaliat...
Date Date for THE RECIPIENT for THE COMMUNITY National Aid Coordinator Deputy Minister of Finance Lyubomir Datzov Head of EC Representation in Bulgaria Xxxxxxx Xxxxxxxxx Encl.
