Faculty Advisor. The faculty advisor meets with his/her advisee every month to discuss performance evaluations. If serious deficits are identified in the resident’s performance, meetings with the faculty advisor will be more frequent. Failure to meet with his/her Advisor will result in a report to the Program Director from the advisor. Attending Physician The resident should receive timely feedback and be advised of deficits in performance by each attending with whom he/she works to allow an opportunity for remediation. It is recommended that the attending physician apprise the resident(s) whom he/she is supervising of his/her performance at the midpoint of the rotation, and more frequently as needed. (See Attending Notification of Resident Rotation, Attachment 2).
Faculty Advisor. The Faculty Advisor is a member of the Department of Urban Planning at UCLA and will serve as the academic representative for the Student. He/she will provide assistance, advisement and direction and be responsible for ensuring the quality of the report.
Faculty Advisor. Physician will be assigned a faculty advisor who will be available for consultation during the term of this Agreement. Resident shall comply with all reasonable requests, instructions and requirements of the Resident’s faculty advisor and the program director.
Faculty Advisor. By providing my initials, I am confirming the completion and submission of the following five (5) documents to the Program Office. Save each document as a .pdf and the team photo as a .jpg with the following titles: Award Acceptance Letter – FNL16_ Team Name Award Acceptance W9 – FNL16_ Last Name, First Name, W9 Media Release Form – FNL16_ Last Name, First Name Media Release One-paragraph Team Biography – FNL16_ Team Name Bio Team Photo – FNL16_ Team Name Photo By providing my initials, I am confirming the following document will be submitted to the National Space Grant Foundation no later than March 11, 2016 for initial reimbursement payments and May 9, 2016 for final reimbursement payments. Travel Reimbursement Form - FNL16_ Team Name Reimbursement Payout/Reimbursement To initiate payout, please complete and mail the FNL Travel Summary Expense Form and/or the FNL Team Funded Program Expense Reimbursement Form to the NSGF Program Office. NSGF will process reimbursement requests twice during the program duration. Please submit all documentation on or before March 11, 2016 for the first payout and May 9, 2016 for the final payout, allowing 60 days for payment. Original receipts must accompany the FNL Travel Summary Expense and the FNL Team Funded Program Expense Reimbursement Form. Receipts and forms may be submitted electronically to xxxxxxxx@xxxxxxxxxx.xxx. Receipts postmarked after May 9, 2016 will not be eligible for reimbursement. Mentor Stipend Mentors will receive a $1,000 stipend for each team of students competing at the First Nations Launch competition. Final team rosters must be submitted to WSGC Program Office by April 4, 2016. Note: In order to qualify for two $1,000 stipends, participants cannot be listed on both AISES and Tribal teams. Important Tax Information Award recipients assume the responsibility for any and all income tax liabilities. WSGC recommends that you document all expenditures, and maintain a record of all original receipts. Please contact your tax accountant. STUDENTS
Faculty Advisor. As Faculty advisor for the Course and Project, I agree to the terms in this agreement. To provide Students and Teaching Assistants sufficient time to review and execute the agreement, I further agree to provide each Student and Teaching Assistant with a copy of this agreement no later than ten days prior to commencement of the Project. Date: Signature Printed Name COMPANY SAMPLE Accepted and agreed to this ______ day of ________________, 20____. Date: Signature Printed Name & Title EXHIBIT B SPECIAL INTELLECTUAL PROPERTY ASSIGNMENT AND CONFIDENTIALITY AGREEMENT for Students Enrolled in Course # [COURSE NUMBER] Projects (sample) General Representations I am a student at the University of Illinois at Urbana-Champaign, an academic unit under the Board of Trustees of the University of Illinois (“Illinois”), enrolled in the for-credit course [COURSE NAME] (“Course”) for the [SEMESTER AND YEAR] term under the direction of [PROFESSOR NAME] (“Faculty”) in the Xxxx College of Business’ Action Learning Program. I make the following representations: I understand that a company (“Company”) has agreed to provide me an opportunity to participate in a Course project designed to give me experience in solving real-world product and market development problems (“Project”), as further described in the associated Project Proposal signed between the Company and Xxxx College of Business for this semester. I am not an employee of Company, and I understand that I do not become an employee of Company by participating in the Project or by signing this agreement. SAMPLE My participation in the Project is for academic credit and is of considerable value to me in furthering my education, training, and research goals. I represent that I am at least 18 years of age and that I am voluntarily signing this agreement with full understanding of its contents. I understand that this is a legal document that is binding on me, my heirs, and my representatives. I represent that I will not plagiarize or knowingly infringe on the rights of third parties, including but not limited to those of my fellow students and my instructors, in my performance of the Project. I represent that I will not use Illinois-owned intellectual property including inventions, software, or copyrightable materials in the development of Project. In consideration for the opportunity to participate in the Project, I agree to the following.
Faculty Advisor. The Chapter Advisor must meet with chapter officers at least once per semester to plan upcoming activities and review completed activities, and submit a 1-2 paragraph chapter review and plan of action to Unite for Sight management through the online form (xxx.xxxxxxxxxxxxx.xxx/xxxxxxx/xxxxxxxxxxxxxx.xxx) after the meeting. The Chapter Advisor does not provide any services or programs in the community related to Unite For Sight; they serve exclusively to provide guidance and assistance to the Unite For Sight chapter. By signing this document, the Chapter Advisor confirms that s/he has reviewed the Coordinator Manual (xxxx://xxx.xxxxxxxxxxxxx.xxx/start-a-chapter/chapter-manual-high-school/). The Chapter Advisor confirms understanding that Chapter volunteers are prohibited from activities that could constitute the unauthorized practice of medicine, including diagnosing any eye condition or other disease, or providing any eye test. Each Chapter volunteer is required to submit the following: Volunteer Ethics and Professionalism Online Course, Cultural Competency Online Course, Evidence-Based Community Eye Health Online Course, Global Health Online Course, Evidence Based Public Health Program Description, view the Unite For Sight in Ghana film, Online Eye Health Course final exam; Code of Conduct; and $12 Donation. Name: Address: Phone: Email: Affiliation: Signature CORRESPONDENCE ADDRESS Please forward Chapter correspondence, until otherwise advised, to (Name of Chapter Leader) (Address) (Phone) (e-mail) Approval of Unite for Sight DATE:
Faculty Advisor. The faculty advisor meets with the resident at least monthly to discuss performance evaluation. If serious deficits are identified in the resident's performance, meetings with the faculty advisor will be more frequent. Attending Physician The resident should receive timely feedback and be advised of deficits in performance by each attending with whom he/she works to allow an opportunity for remediation. It is recommended that the attending physician apprise the resident(s) whom he/she is supervising ofhisn1er performance at the midpoint of the rotation. (See Attending Notification of Resident Rotation, Attachment 2). Standards that apply to all residents
Faculty Advisor. By providing my initials, I am confirming the completion and submission of the following five (5) documents to the Program Office. Save each document as a .pdf and the professional photo as a .jpg with the following titles: Award Acceptance Letter – OPP16_SP NASA Competition Last Name, First Name Award Acceptance W9 (Institution) – OPP16_SP NASA Competition Last Name, First Name, W9 Media Release Form – OPP16_SP NASA Competition Last Name, First Name Media Release One-paragraph Biography – OPP16_SP NASA Competition Last Name, First Name Bio Professional Photo – OPP16_SP NASA Competition Last Name, First Name Photo By providing my initials, I am confirming the following three (3) documents will be submitted to the Program Office within 60 days of accepting the award. Save each document as a .pdf with the following titles: Payment Information – OPPP16_ SP NASA Competition Last Name, First Name Payment Information Invoice – OPP16_ SP NASA Competition Last Name, First Name Invoice Program Verified Match – OPP16_ SP NASA Competition Last Name, First Name Program Verified Match Payout/Reimbursement The NASA Competition award will be issued to your institution within 60 days of WSGC’s receipt of Payment Information form, invoice, and Program Verified Match documentation. Please submit the three (3) documents within 60 days of accepting your award. Cost Sharing/Match Award recipient’ institution will share in providing the resources necessary to perform this agreement. WSGC funding and non-cash contributions (personnel, equipment, facilities, etc.) and the dollar value of the awardee’s cash and/or non-cash contribution requires a minimum 25% match. Please review the Quick Reference Guide for allowable and unallowable costs set forth by the cost principles for Educational Institutions (2CFR 220). STUDENTS By providing my initials, I am confirming the completion and submission of the following three (3) documents to the Program Office. Save each document as a .pdf and the professional photo as a .jpg with the following titles: Media Release Form – OPP16_SP NASA Competition Last Name, First Name, Media Release One-paragraph Biography – OPP16_SP NASA Competition Last Name, First Name, Bio Professional Photo – OPP16_SP NASA Competition Last Name, First Name, Photo Additional Requirements The acceptance of this award also confirms the student’s commitment to the completion and submission of the following: Submit a Proceedings Paper for the Wisconsin Space Conference o...
Faculty Advisor. Approval for registration of academic credit for the course code and number of credit assigned in Section 3. Faculty Advisor and Date
Faculty Advisor. As Faculty advisor for the Course and Project, I agree to the confidentiality terms in Section 3 of this Agreement. Date: Signature Printed Name TEACHING ASSISTANTS As a teaching assistant appointed to assist in reviewing and grading the Course, I agree to the confidentiality terms set forth in Section 3 of this Agreement. Date: Signature Printed Name [INSERT COMPANY NAME] _______________________________________ Signature Date Name:__________________________________ Title:___________________________________
