I understand that. 1. While taking courses that count toward my selected degree program, I also must earn enough credits in designated courses to meet all remaining high school graduation requirements, Textbooks, support materials, lectures, and assignments in EFSC courses have been developed for adult students (typically age 18 and older) and will not be modified to accommodate younger students.
I understand that. INITIALS (Optional) if it is determined that I cannot reasonably be expected to be discharged from a medical institution, the State will file a lien against real property I own, including my home, unless any of the following individuals resides in my home: My spouse; My child who is under age 21, or who is blind or permanently and totally disabled; or My sibling who has an equity interest in the home and who was residing in the home for at least one year prior to my admission to the medical institution. if the State intends to file a lien on my real property, written notification will be sent to me and any other joint owner(s) and I will have an opportunity to appeal the lien placement. any lien placed on my home will be removed upon my discharge from a medical institution. I have read and understand my rights and responsibilities as explained on this Form and have had the opportunity to ask questions about this information. (Optional) Signature of Applicant/Parent (Optional) Signature of Spouse/Parent
I understand that. 1. Prior to reporting to work I must complete and submit a W-4 ( W-4
I understand that. A. The clubhouse is available for rental only by residents of Bermuda Bay.
I understand that. 1. Prior to reporting to work I must complete and submit a W-4 ( W-4 Employee's Withholding Allowance Certificate ) and NC-4 ( NC-4 Employee's Withholding Allowance Certificate ) tax forms, a complete Section 1 of the I-9 Employment Eligibility Verification (I-9 Employment Eligibility Verification) form, if required. Some positions may require a
I understand that. Cell phones can be “Isolating Technologies,” that distract me from participating in a group, interfere with building community, create obstacles to growth and renewal in an outdoor setting, and prevent me from being fully immersed in the camp experience. For these reasons cell phones are not permitted at Camp. Physical and/or verbal aggressiveness, harassment, bullying or violent behavior will not be tolerated. Engaging in sexual activity, public nudity, or stealing, and/or using or possessing alcohol, tobacco products, illegal drugs, fireworks or weapons will end my stay at camp and I will be sent home. Law enforcement officials may be also be contacted. If I choose not to abide by the expectations of this covenant or the policies of Camp Hanover, the consequences may include my being temporarily removed from a group or activity, a call home to inform my parents of my behavior and the choices I have made, or a shortened stay at camp with no refund of my camp fee.
I understand that. All capitalized terms shall have the meanings attributed to them under the Plan. - All payments will be net of any Applicable Withholding Taxes.
I understand that. ● The amount I agreed to above will be automatically deducted from my EBT account on the date that I receive my SNAP benefits. ● I will receive farm produce weekly from June-October, which will be available for pick up at the following sites: Just Roots, 00 Xxxxxxxxx Xx, Xxxxxxxxxx: Wednesdays 3pm-6pm and Saturdays 9am-1pm Mobile Market and Delivery Locations: Leyden Xxxxx, Xxxxxxxxxx Housing Authority and the Community Health Center of Franklin County: Thursday and varying times If I signed up for the Season Extension, I will receive farm produce on November 21 and December 12, which will be available for pick up at Just Roots, 00 Xxxxxxxxx Xx, Xxxxxxxxxx on Saturdays from 9-1. ● It is my responsibility to pick up or receive my share on my scheduled pick-up or delivery date, during the scheduled time. ● If I cannot pick up or receive my share, it is my responsibility to have someone to pick it up or receive it for me. ● If I do not pick up my share during my scheduled pick-up time, it will be delivered (if I live in a delivery neighborhood) or donated to a local food pantry, shelter or other institution that will make use of the produce and I will not get a refund. ● The types of produce in my share will change weekly. There is no guarantee on the exact amount of produce. Shares will vary in weight, size and type of produce. ● I cannot return my CSA Farm Share for a refund or exchange it for other produce. ● I can cancel my participation in the pilot at any time. If I no longer want to participate, I will ask Just Roots staff or call the DTA at 000-000-0000 for a cancellation form. ● I will complete and return the form to Just Roots at least 10 days before I receive my next monthly SNAP benefit. ● If I do not return the completed form at least 10 days before that date, my CSA Farm Share payment may automatically be deducted from my next SNAP benefit. In that case, the cancellation will take effect the following month. ● I understand that Just Roots and DTA will act on my request to cancel my payment as soon as possible. ● I understand that I will not receive a refund for CSA Farm Share payments that have already been deducted. ● I agree to participate in a brief survey about this SNAP CSA Pilot at the beginning and end of the Farm Share season. ● My copy of this agreement, and the notices I will receive each time a payment is deducted from my SNAP EBT account, will serve as receipt of payment. SNAP Client Signature Date
I understand that. 1) My child must maintain regular attendance in the program.
