PLEASE CHECK ONE OF THE FOLLOWING Sample Clauses

PLEASE CHECK ONE OF THE FOLLOWING. Undergraduate/Graduate Credit Reimbursement towards degree/certification and/or additional college credits.
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PLEASE CHECK ONE OF THE FOLLOWING. 🞏 English Statement only. Pursuant to Elections Code §13307 and 13308, I am filing my Candidate’s Statement of Qualifications for printing in the County Voter Information Guide. 🞏 English and Spanish. I submit my Candidate’s Statement of Qualifications for printing in the County Voter Information Guide and wish to have my statement translated and printed in Spanish in addition to English at an additional cost.
PLEASE CHECK ONE OF THE FOLLOWING. 🞏 English Statement only. Pursuant to Elections Code §13307 and 13308, I am filing my Candidate’s Statement of Qualifications for printing in the County Voter Information Guide.
PLEASE CHECK ONE OF THE FOLLOWING. Graduate Credit Reimbursement towards a new Certification, BA+30, MA or a MA+30 “Credit Only” towards an Assignment Certification that may lead to a BA+30, MA or a MA+30 or any course exceeding the amount permitted by contract in a given school year. TO: Administrators/District Manager for Personnel/Asst. Superintendent/Superintendent of Schools FROM: (Name) (School) (Grade Level/Subject Taught) I hereby request approval of the following course for reimbursement or credit only: Course # Institution: # of Credits Title: Purpose: To be taken: Summer, 2023/2024/2025 ; Fall,2023/2024/2025 ; Spring, 2024/2025/2026 ; Begins: Ends: Credit to be applied to: Certification, After Administration Approval Only: Field: 30 Credits beyond B.A. Master’s Degree 30 Credits beyond M.A. CHECK ONE: This course is my first course in a new program of studies. Attached is a complete description of the entire program, including a description of this specific course. This course is part of a previously approved program of studies. Attached is a description of this specific course. A complete description of the entire course of study has been previously submitted. Number of Credits Previously Submitted/Approved (including this one) for Reimbursement/Credit Only
PLEASE CHECK ONE OF THE FOLLOWING. I hereby authorize Greater Gardendale Water Supply Corporation to send all xxxxxxxx on my account to the person(s) and address below until further written notice and I understand I am responsible for this xxxx. NO, I want to continue to receive my xxxx and I will be responsible for this xxxx. However the information listed below is the complete information of the occupant of this residence. This information is needed for any emergency contact. O CCUPANT’S INFO----OCCUPANT’S INFO----OCCUPANT’S INFO OCCUPANT’S INFO Phone # NAME: Cell # DL # I understand that under this agreement that I will be given notice by the Corporation of all delinquencies on this account prior to disconnection of service. A notification fee shall be charged to the account in accordance with the provisions of the Corporation's Tariff. I understand that if I request that my membership be cancelled at this location, thereby discontinuing service to an occupied rental property, that the Corporation will provide the above listed person with written notice of disconnection five (5) days prior to the scheduled disconnection date. I also understand that I am responsible to see that this account balance is kept current, as is any other account in the Corporation. This account shall not be reinstated until all debt on the account has been retired. OWNER’S SIGNATURE Signature Date
PLEASE CHECK ONE OF THE FOLLOWING. Graduate Credit Reimbursement towards a new Certification, BA+30, MA or a MA+30 “Credit Only” towards an Assignment Certification that may lead to a BA+30, MA or a MA+30 or any course exceeding the amount permitted by contract in a given school year.
PLEASE CHECK ONE OF THE FOLLOWING. This student has excelled in field placement by performing above expectations for students. If an appropriate position were open at this agency, for a beginning level social worker, this student would be considered among the top candidates for this position. ☐ ☐
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PLEASE CHECK ONE OF THE FOLLOWING. ____I elect a Designated Deferral Period ending on the __ day of __________, 20____. OR _____ I do not wish to elect a Designated Deferral Period.
PLEASE CHECK ONE OF THE FOLLOWING. This student has excelled in field placement by performing above expectations for first semester students. This student has met the expectations of the first semester field placement. This student has not met the expectations of the first semester field placement. (Please provide more detail below.) This student has demonstrated serious deficits in performance for the first semester field placement and perhaps should be encouraged to pursue another major. (Please provide more detail below.) Please check all that apply: I notified and discussed with the Field Liaison my concerns regarding the student's performance deficits prior to the completion of the student field evaluation.
PLEASE CHECK ONE OF THE FOLLOWING oThe undersigned hereby represents, acknowledges and agrees that the Bonds are not being transferred within four months of the issue date thereof. oThe undersigned hereby represents, acknowledges and agrees that (i) the Bonds are being transferred within four months of the issue date thereof and (ii) such Bonds are either not being transferred to a person in any jurisdiction of Canada or, if they are being transferred to a person in any jurisdiction of Canada, the transferee is an “accredited investor” within the meaning of National Instrument 45-106. Date: Certifying Signature: Name: Notes:
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