REASON FOR REFERRAL Sample Clauses

REASON FOR REFERRAL. Disruptive Behavior Teen Parent Inability to function appropriately in school Parent Request Substance Abuse _ Special Education Needs Expulsion I Mandatory Non-Mandatory Runaway Medical _ Social Services Truancy (4 Dates: Other (Describe): S1S 2022
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REASON FOR REFERRAL. A brief description of the problem(s)/need(s) that brought the consumer/client to the agency in which you are placed (this should include the individual/agency who referred the client/consumer to your agency)
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REASON FOR REFERRAL. □ ODisruptive Behavior OTeen Parent Inability to function appropriately in school OParent Request Substance Abuse Ospecial Education Needs 0 ExpulsionOMandatory ONon-Mandatory ORunaway OMedical social Services 0Truancy {4 Dates: ) Oother (Describe): D AITEMPTED INTERVENIIONS PREVIOUS ,EDUATIONAL ALT,ERNAIIVES Educational Counseling 0SARB OContinuation High School OWork Experience OSchedule Modifications OSuspension days OAdult Education OESL/LEP Bilingual OParent Conferences O0ther OR.O.P. O0ther Comments: NIA for Pacific Coast High School □ RECOMMENDATION: ADMINUNIT: @C'HEP/PCHS OGarden Grove DHarbor Learning Center ONorth OSouth East Sunburst □ □ □ Pleas� check box ifaJ!12lkable : (For Office Use Onlx) Section 1981 (c) □ OSection 1981 (a) District Expulsion (1) Probation status 0601 0602 0654 Section 1981 (b) SARB 12s 0126 121 0790 Section 1981 (d) Parental Request/District Approval (2)0On probation or parole and not in attendance in any school (s)OExpelled: Section 48915 (a) or (c) REFERRAL - REVIEW & CERTIFICATION Referring District/School Print CWA/Designee Name and Title Signature Date OCDE Representative Print Name and Title Signature Date Probation Representative Print Name and Title Signature Date Certi(!:..ed 'f!.ttrsttant to Orange Co1111ty J11ve11ile Cottrt Order Filed December !iI, !2001 Pacific Coast High School Xxxxxxx Xxxxxxx, Principal Juvenile Court Representative Parent Guardian Caregiver Date Student Sie:nature Date CC: Connnumty School (Wlute), OCDE REP (Yellow), District or Probation (Pmk), Parent/Guardian/Caregiver (Goldenrod) Form100:10/2s/18 July-August Trimester 2020 COURSE LOGIN DIRECTIONS SAVE THIS PAGE! Courses WILL NOT be available until 7/1/20 For Canvas login support, please email Xxxxxxx at xxxxxxxxxxx@xxxx.xx.
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  • Reason for Layoff Layoffs shall occur due to lack of work or lack of funds.

  • REASON FOR TRANSFER – FOR US RESIDENTS ONLY Consistent with US IRS regulations, Computershare Trust Company of Canada is required to request cost basis information from US securityholders. Please indicate the reason for requesting the transfer as well as the date of event relating to the reason. The event date is not the day in which the transfer is finalized, but rather the date of the event which led to the transfer request (i.e. date of gift, date of death of the securityholder, or the date the private sale took place). SCHEDULE “B” EXERCISE FORM TO: Navasota Resources Inc. AND TO: Computershare Trust Company of Canada 000 Xxxxxxxxxx Xxx. Xxxxxxx, XX X0X 0X0 The undersigned holder of the Warrants evidenced by this Warrant Certificate hereby exercises the right to acquire: Common Shares of Navasota Resources Inc. pursuant to the right of such holder to be issued, and hereby subscribes for, the Common Shares that are issuable pursuant to the exercise of such Warrants on the terms specified in such Warrant Certificate and in the Indenture for an aggregate exercise price of . The undersigned hereby acknowledges that the undersigned is aware that the Common Shares received on exercise may be subject to restrictions on resale under applicable securities legislation. Any capitalized term in this Warrant Certificate that is not otherwise defined herein, shall have the meaning ascribed thereto in the Warrant Indenture. The undersigned hereby represents, warrants and certifies that (check box (a), (b), (c) or

  • Eligibility to use Form S-3 The conditions for use of Form S-3, set forth in the General Instructions thereto, have been satisfied.

  • Procedure for Termination The party designated in Section 4.03 of the Trust Agreement shall advise the Securities Administrator in writing of its election to cause a Terminating Purchase, no later than the Distribution Date in the month preceding the Distribution Date on which the Terminating Purchase will occur. Notice of the Distribution Date on which any such termination shall occur (or the Distribution Date on which final payment or other Liquidation of the last Mortgage Loan remaining in the Trust or the disposition of the last REO Property remaining in the Trust will be distributed to Certificateholders, as reflected in the Remittance Report for such month (the “Final Distribution Date”) shall be given promptly by the Securities Administrator by letter to Certificateholders mailed (a) in the event such notice is given in connection with a Terminating Purchase, not earlier than the 15th day of the month preceding such final distribution and not later than the 5th day of the month of such final distribution or (b) otherwise during the month of such final distribution on or before the Servicing Remittance Date in such month, in each case specifying (i) the Final Distribution Date and that final payment of the Certificates will be made upon presentation and surrender of Certificates at the office of the Securities Administrator therein designated on that date, (ii) the amount of any such final payment and (iii) that the Record Date otherwise applicable to such Final Distribution Date is not applicable, payments being made only upon presentation and surrender of the Certificates at the office of the Securities Administrator. The Securities Administrator shall give such notice to the Certificate Registrar at the time such notice is given to Certificateholders. In the event such notice is given in connection with a Terminating Purchase, the purchaser shall deliver to the Securities Administrator for deposit in the Certificate Account on the Business Day immediately preceding the Final Distribution Date an amount in next day funds equal to the Termination Price, as the case may be. Upon presentation and surrender of the Certificates on a Distribution Date by Certificateholders, the Securities Administrator shall distribute to Certificateholders (A) the amount otherwise distributable on such Distribution Date, if not in connection with Terminating Purchase, or (B) if in connection with a Terminating Purchase, an amount determined as follows: with respect to each Certificate with an outstanding Certificate Balance, the outstanding Certificate Balance thereof, plus interest thereon through the Accounting Date preceding the Distribution Date fixed for termination and any previously unpaid interest, net of unrealized losses, Realized Interest Shortfall and Shortfall with respect thereto; and in addition, with respect to each Residual Certificate, the Percentage Interest evidenced thereby multiplied by the difference between the Termination Price and the aggregate amount to be distributed as provided in the first clause of this sentence and the next succeeding sentence. Upon the deposit of the Termination Price in the Certificate Account, the Securities Administrator, on behalf of the Trustee, and any Custodian acting as its agent, shall promptly release to the purchaser the Trustee Mortgage Loan Files for the remaining Mortgage Loans, and the Securities Administrator, on behalf of the Trustee, shall execute all assignments, endorsements and other instruments without recourse necessary to effectuate such transfer. The Trust shall terminate immediately following the deposit of funds in the Termination Account as provided below. In the event that all of the Certificateholders shall not surrender their Certificates within six months after the Final Distribution Date specified in the above-mentioned written notice, the Securities Administrator shall give a second written notice to the remaining Certificateholders to surrender their Certificates and receive the final distribution with respect thereto, net of the cost of such second notice. 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  • Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion First Tier Participants:

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