KEEP FOR YOUR RECORDS. The Arizona ETV Program is administered by Foster Care to Xxxxxxs 23811 Chagrin Bxxx., Xxxxx 000, Xxxxxxxxx, XX 00000 ▪ xxx.xx0xxxxxss.xxx Xxxx: Xxxx: YOUR Budget - a Tool For Success This document is to be completed by the student. Budget responsibly and remember to be realistic and reasonable. A budget is telling your money where to go instead of wondering where it went! Income Per Month Education Related Expenses Per Semester Work (Net income - after taxes) $ Tuition and Fees $ Other (IL Subsidy, State aid) $ Housing $ Other (Child support, food stamps, housing voucher, etc.) $ Meal Plan $ Total Income $ 0 Books $ Living Expenses Per Month School Supplies (Lab kits, uniforms, calculators, subscription services, etc.) $ Rent $ Total Education Related Expenses $ 0 Child Care $ School Related Funding Per Semester Phone $ Pell Grant $ Cable / Internet $ Other Grants / Scholarships $ Streaming Services (Netflix, Amazon Prime, Hulu, Apple TV, Disney Plus etc.) $ Student Loans $ Electric $ ETV Funding (OFFICE USE ONLY) $ Natural Gas $ Total Financial Aid $ 0 Water $ ETV funding may be used to pay: -Tuition -Outstanding school balance (current term only) -On-campus room and board or rent -Meal card or groceries -Books and school supplies (such as uniforms, tools, equipment) -One computer package (ETV ONE TIME ONLY) -Study abroad through qualifying schools Once these expenses have been covered, funds may be used for other expenses up to your school's published cost of attendance (COA) -Transportation -Health insurance -Disability Service -Dependent child care expenses to licensed providers Dining out, Movies, Etc. $ Clothing $ Groceries $ Credit Card Bills/Debt $ Car Payment $ Gas $ Auto Insurance $ Car Maintenance $ Public Transportation $ Personal Care (Medications, Braces, etc.) $ Health Insurance $ Savings $ Other $ LAPTOP REQUEST (1 time only) Yes No Total Living Expenses $ 0
KEEP FOR YOUR RECORDS. The Father’s House Counseling Agreement Today(s) Date: Name(s): Military Yes No Name(s): Referred by: Who is seeking counseling? Male Female Couple Family Under 18 19-30 31-40 41-50 Over 50 Regularly Attending Service: Vacaville Campus Saturday Sunday 9:00 Sunday 11:00 Encounter Foundry Napa Campus Saturday Sunday 9:00 Sunday 11:00 Weekday East Bay Campus Sunday 9:00 Sunday 11:00 Small Group: Small Group Leader: Children’s Ages: City Live In: Cell Phone #: Evening Phone #: Will you accept text messages Yes No
KEEP FOR YOUR RECORDS. This Synovus Connections Visa Prepaid Card Cardholder Agreement, including the Electronic Funds Transfer Disclosure and Agreement and the Schedule of Fees and Charges , which is provided in a separate document within your Cardholder packet, and provided to you at account opening (this “Agreement”), sets forth the terms of your Synovus Connections Visa Prepaid Card (“Card”). This Agreement covers both the temporary, non-personalized Visa Card that is provided to you, as the primary accountholder for the Card Account (the “Primary Holder”), when you open your Card Account (“Temporary Card”), the personalized Visa Card(s) that you will receive in the future (“Personalized Card”), and any Companion Card that the Primary Holder requests and that we agree to provide to one or more Companion Cardholders. Unless stated otherwise in this Agreement, the term “Card” refers to the Temporary Card, the Personalized Card(s), and all Companion Cards. Your Card is issued by Synovus Bank (the “Bank”). NOTICE: THIS AGREEMENT REQUIRES ALL DISPUTES TO BE RESOLVED BY WAY OF BINDING ARBITRATION. By applying for and accepting the Card, you agree to the terms of this Agreement. Your Card Account will be opened only after our approval.
KEEP FOR YOUR RECORDS. As a student, I agree to …. ● Store and manage my work so that it is always available at school. ● Charge my device at home and ensure it has enough charge to last the entire day at school. ● Use only learning apps and websites. Personal apps including games are for home use only. ● Communicate using kind words and images that support my own and others’ learning. ● Respect the guidelines of the Digital Citizenship - Student Responsible Use Agreement. ● Store my device in the locked area in my class during break times. Devices are not to be used during break times. ● Care for and take responsibility for my device and any damages to it. ● Understand that I will still be expected to use pen and paper as part of my learning. Signed: Student Name: As parent(s)/caregiver(s), I/we agree to …. • Assist and encourage my child to meet the responsibilities of their BYOD agreement. • Support the development of my child’s personal responsibility towards the Digital Citizenship - Student Responsible Use Agreement. • Discuss with my child how they are using their device to assist their learning, view the current learning, and provide oral and digital feedback where possible. • Support the concept of collaborative learning and understand that at times my child will share their screen with others. My child, however, is in charge of his/her own device. • Purchase and load any required apps onto my child’s device and ensure anti-virus software is kept up to date. • Accept responsibility for insurance of my child’s device. I understand that the school holds no responsibility for any loss or damage that might occur. Signed: Parent(s)/Caregiver(s) At Warkworth School, we agree to…. ● Provide reliable access to the school network and the internet. ● Provide approved website filtering protection (N4L). ● Provide a lockable space for students to store their devices during break times. ● Provide education to students and their families on matters related to digital citizenship. ● Plan for and implement digital learning activities where the student’s device can be utilised to enhance their learning. ● Notify parent/caregiver of any issues arising where the student struggles to meet the responsibilities of their BYOD agreement. Room: Date:
KEEP FOR YOUR RECORDS. Merchant Processing Agreement This document, “Merchant Processing Agreement” (the “Agreement”), accompanies the document “Merchant Application” (“Merchant Application”) and includes the Terms and Conditions set forth below (the “Terms and Conditions”) together with the terms and conditions of the Merchant Application. The bank (“Bank”) identified in this Agreement is a member of Visa USA, Inc. (“Visa”) and MasterCard International, Inc. (“MasterCard”), and is Deutsche Bank AG, New York branch. EVO Merchant Services, LLC d/b/a EVO (“EVO”) is a registered independent sales organization of Visa and a member service provider of MasterCard. This Agreement is between EVO, Bank, and the merchant (or “you”) identified in the Merchant Application (“Merchant”). Merchant and EVO agree that the rights and obligations contained in this Agreement do not apply to Bank with respect to Discover transactions. To the extent Merchant accepts Discover cards, the provisions in this Agreement with respect to Discover apply if Merchant does not have a separate agreement with Discover. In such case, Merchant will also be enabled to accept JCB and Diner’s Club cards under the Discover network and such transactions will be processed at the same fee rate as Merchant’s Discover transactions are processed. Any references to the Debit Sponsor shall refer to the debit sponsors identified below.
KEEP FOR YOUR RECORDS. Xxxxxxx Trail High School Cheerleading 2022-2023 Contract I have read and understand the BTHS Cheerleading Contract. I agree to adhere to all the rules and regulations set forth for the team. Please check that you read and understand each section of the constitution. € Organization € Eligibility € Practice/Games € Attendance € Tardiness € Uniform € Medical € Character € Parent Involvement € Finances € Fundraising/Sponsorship € Tryouts Parent (Guardian) Signature Date
