Release of Information Consent Sample Clauses

Release of Information Consent. I authorize Xxxxxx County Community College and the visiting institution to share appropriate information concerning enrollment, academic status, fees, grades, attendance information, and financial aid as is necessary to execute this agreement. I have been admitted and am actively pursuing a degree at Xxxxxx County Community College. I declare Xxxxxx as the home institution for purposes of financial aid. I understand that my financial aid at Xxxxxx County Community College will not be applied to my account until my enrollment information is verified by the host school and that I will only be able to receive financial aid from Xxxxxx County Community College. I understand that I will be responsible to pay any educational expenses that are accrued at the host school. Student Signature: Date: Return completed form to: Xxxxxx County Community College Financial Aid Office 000 XX 00 Xx Great Bend, KS 67530
Sample 1Sample 2Sample 3
AutoNDA by SimpleDocs
Release of Information Consent. I authorize Xxxxxx Community College and the visiting institution to share appropriate information concerning enrollment, academic status, fees, grades, attendance information, and financial aid as is necessary to execute this agreement. I have been admitted and am actively pursuing a degree at Xxxxxx Community College. I declare Xxxxxx as the home institution for purposes of financial aid. I understand that my financial aid at Xxxxxx Community College will not be applied to my account until my enrollment information is verified by the host school and that I will only be able to receive financial aid from Xxxxxx Community College. I understand that I will be responsible to pay any educational expenses that are accrued at the host school. Student Signature: Date: Return completed form to: Xxxxxx Community College Financial Aid Office 000 XX 00 Xx Great Bend, KS 67530 Terms and Conditions of this Consortium Agreement In regard to this agreement, Xxxxxx Community College will assume the role of HOME institution and the institution listed below will assume the role of HOST institution. As the HOME institution, Xxxxxx will:  Be the degree-granting or certificate-granting institution;  Will determine the student’s eligibility for federal financial assistance;  Will process, calculate, and disburse aid according to the combined enrollment and length of enrollment period;  Establish the student’s cost of attendance including tuition and fees from the combined enrollment;  Notify the student of Satisfactory Academic Progress (SAP) and monitor SAP according to Xxxxxx’x SAP policies;  Report NSLDS enrollment information for this student through the National Student Clearinghouse;  Calculate and process the Return of Title IV funds if appropriate, including determination of the withdrawal date and institutional refunds;  Include the student on FISAP reporting;  Will give credit for coursework taken at the host institution on the same basis as if Xxxxxx provided the coursework;  Will keep all appropriate and require documentation to support the student’s eligibility and basis for award and disbursement, including cash management authorizations; and,  Confirm student eligibility at the time of disbursement. The HOST institution will:  Not disburse federal aid to the consortium student;  Notify the Home institution if the student withdraws from classes;  Provide necessary information for aid to be calculated and disbursed by the Home school;  Certify that ...
Sample 1
Release of Information Consent. GTA expects that all participating entities are deemed to have consented to the release of any required reporting information to the GTA (including information generally deemed Cu stomer Proprietary network Information (CPNI) for the purposes of monitoring the contract, calculating the fees that a due and payable to GTA and to address specific ad hoc questions posed by news media, internal GTA personnel or elected officials. This information includes but is not limited to and total cost for each governmental entity. Users have a right to decline to release this information; however, they may not purchase under the GTA contract i f they choose to do so. All qualified contractors will h ave approximately 180 days from contract award to obtain the necessary consent. GTA expects to see a confirmation, recorded in Appendix B, under the appropriate column heading, that the Qualified Contractor will provide the certain Technical Requirement, taking into consideration the 180 days available to obtain the necessary consent. Verizon Wireless Response:
Sample 1
Release of Information Consent. I authorize Barton County Community College and the visiting institution to share appropriate information concerning enrollment, academic status, fees, grades, attendance information, and financial aid as is necessary to execute this agreement. I have been admitted and am actively pursuing a degree at Barton County Community College. I declare Xxxxxx as the home institution for purposes of financial aid. I understand that my financial aid at Barton County Community College will not be applied to my account until my enrollment information is verified by the host school and that I will only be able to receive financial aid from Barton County Community College. I understand that I will be responsible to pay any educational expenses that are accrued at the host school. Student Signature: Date: Return completed form to: Barton County Community College Financial Aid Office 000 XX 00 Xx Great Bend, KS 67530
Sample 1
Release of Information Consent. I authorize Xxxxxx Community College and the visiting institution to share appropriate information concerning enrollment, academic status, fees, grades, attendance information, and financial aid as is necessary to execute this agreement. I have been admitted and am actively pursuing a degree at Xxxxxx Community College. I declare Xxxxxx as the home institution for purposes of financial aid. I understand that my financial aid at Xxxxxx Community College will not be applied to my account until my enrollment information is verified by the host school and that I will only be able to receive financial aid from Xxxxxx Community College. I understand that I will be responsible to pay any educational expenses that are accrued at the host school. Student Signature: Date: Return completed form to: Xxxxxx Community College Financial Aid Office 000 XX 00 Xx Great Bend, KS 67530
Sample 1
Release of Information Consent. I, understand that certain personal information is considered private by law and is to be kept confidential in center files. I hereby do / do not give my consent to let my child be photographed for use by the center in newspapers or other media for the purpose of publicity or advertisements. Parent Signature Date Directors Signature Date Name two people who will assume emergency responsibility for your child if parent/guardian can not be reached. Emergency Contact Person #1 Last Name First Name Relationship Home Address Business Phone _ Home Phone Cell Phone Emergency Contact Person #2 Last Name First Name Relationship Home Address Business Phone _ Home Phone Cell Phone Medical Information Child’s Physician Physician’s Phone Physician’s Address Dentist’s Name Dentist’s Phone Health Insurance Company Policy Number Special Disabilities Dietary/Medical Restrictions Hospital Preference Allergies Please initial all areas that you give Beautiful Beginnings Consent Emergency Medical Care Administration of first-aide procedures Homework Supervision Administration of sunscreen Administration of prescription medication Administration of diaper ointment Walks & Walking excursions Daily transportation provided by facility Administration of non-prescription medication To photograph/videotape my child to be used in promotional materials Permission to transport child to hospital in the even of an emergency Parent/Guardian Signature Date Director’s Signature Date Child Development Form
Sample 1

Related to Release of Information Consent

  • Release of Information Except as required by law, no public release of any information, or confirmation or denial of same, with respect to this Contract or the subject matter hereof, will be made by SELLER or its subcontractors without the prior written approval of LOCKHEED XXXXXX. SELLER shall not use "Lockheed Xxxxxx," "Lockheed Xxxxxx Corporation," or any other trademark or logo owned by LOCKHEED XXXXXX, in whatever shape or form, without the prior written consent of LOCKHEED XXXXXX.

  • PUBLIC RELEASE OF INFORMATION Company does not endorse products or services. Accordingly, Xxxxxx agrees not to use Company’s name, the name Oak Ridge National Laboratory (ORNL), the name of any of its projects or programs, or identifying characteristics of any of these for advertising, marketing, or other promotional purposes, raising of capital, recommending investments, sale of securities, or in any way that implies endorsement by UT-Battelle, ORNL, or DOE. Any media releases concerning this Agreement are prohibited without written consent of the Subcontract Administrator.

  • Exchange of Information Confidentiality Article VII Further Assurances and Additional Covenants; Article VIII Termination; and Article X Miscellaneous, other than Section 10.3

  • CREDIT REVIEW AND RELEASE OF INFORMATION You authorize the Credit Union to investigate your credit standing when opening or reviewing your account. You authorize the Credit Union to disclose information regarding your account to credit bureaus and creditors who inquire about your credit standing. If your account is eligible for emergency cash and/or emergency card replacement services, and you request such services, you agree that we may provide personal information about you and your account that is necessary to provide you with the requested service(s).

  • Disclosure of Information; Confidentiality The Agents and each Lender agree to hold any confidential information which it may receive from the Borrower pursuant to this Agreement in confidence, except for disclosure to (i) legal counsel, accountants, and other professional advisors, on a need-to-know basis, (ii) regulatory officials, (iii) as required by law or legal process (including by subpoena) or in connection with any legal proceeding, and (iv) another financial institution in connection with a disposition or proposed disposition of any of its interests hereunder or under any Loan Document, upon execution by such institution of an agreement to keep such information confidential to the extent described in this Section 12.8(g). The Agents and Lenders agree that the breach of this Section 12.8(g), including the disclosure of any confidential information received from the Borrower pursuant to this Agreement, shall constitute a material breach of this Agreement. Notwithstanding (ii) and (iii) above, in the event that any such Person is requested pursuant to, or required by, Applicable Law or Governmental Authority to disclose any such information, such Person will provide the Borrower with prompt notice of such request or requirement, unless prohibited by law or regulation, in order to enable the Borrower to seek an appropriate protective order or other remedy, or to consult with such Person with respect to the Borrower's taking steps to resist or narrow the scope of such request or legal process. If, in such event, the Borrower has not provided such Person with a protective order or other remedy in sufficient time, with such Person acting in good faith and otherwise in its sole discretion, for such Person to avoid unlawful nondisclosure of such information, such Person may disclose such information pursuant to such Applicable Law or Governmental Authority, as the case may be, without any recourse or remedy against such Person by the Borrower or any Affiliate of the Borrower, which the Borrower hereby expressly waives.

  • Confidentiality and Use of Information (a) Consultant shall hold in trust for the District, and shall not disclose to any person, any confidential information. Confidential information is information which is related to the District's research, development, trade secrets and business affairs, but does not include information which is generally known or easily ascertainable by nonparties through available public documentation.

  • Collection and Use of Information (a) Licensee acknowledges that Licensor may, directly or indirectly through the services of Third Parties, collect and store information regarding use of the Software and about equipment on which the Software is installed or through which it otherwise is accessed and used, through:

  • Use of Information The Agent may not use any information gained in connection with this Agreement and the transactions contemplated by this Agreement, including due diligence, to advise any party with respect to transactions not expressly approved by the Company.

  • Credit Decision; Disclosure of Information by Administrative Agent Each Lender acknowledges that no Agent-Related Person has made any representation or warranty to it, and that no act by the Administrative Agent hereafter taken, including any consent to and acceptance of any assignment or review of the affairs of any Loan Party or any Affiliate thereof, shall be deemed to constitute any representation or warranty by any Agent-Related Person to any Lender as to any matter, including whether Agent-Related Persons have disclosed material information in their possession. Each Lender represents to the Administrative Agent that it has, independently and without reliance upon any Agent-Related Person and based on such documents and information as it has deemed appropriate, made its own appraisal of and investigation into the business, prospects, operations, property, financial and other condition and creditworthiness of the Loan Parties and their respective Subsidiaries, and all applicable bank or other regulatory Laws relating to the transactions contemplated hereby, and made its own decision to enter into this Agreement and to extend credit to the Borrower and the other Loan Parties hereunder. Each Lender also represents that it will, independently and without reliance upon any Agent-Related Person and based on such documents and information as it shall deem appropriate at the time, continue to make its own credit analysis, appraisals and decisions in taking or not taking action under this Agreement and the other Loan Documents, and to make such investigations as it deems necessary to inform itself as to the business, prospects, operations, property, financial and other condition and creditworthiness of the Borrower and the other Loan Parties. Except for notices, reports and other documents expressly required to be furnished to the Lenders by the Administrative Agent herein, the Administrative Agent shall not have any duty or responsibility to provide any Lender with any credit or other information concerning the business, prospects, operations, property, financial and other condition or creditworthiness of any of the Loan Parties or any of their respective Affiliates which may come into the possession of any Agent-Related Person.

  • Credit Decision; Disclosure of Information by Agents Each Lender acknowledges that no Agent-Related Person has made any representation or warranty to it, and that no act by any Agent hereafter taken, including any consent to and acceptance of any assignment or review of the affairs of any Loan Party or any Affiliate thereof, shall be deemed to constitute any representation or warranty by any Agent-Related Person to any Lender as to any matter, including whether Agent-Related Persons have disclosed material information in their possession. Each Lender represents to each Agent that it has, independently and without reliance upon any Agent-Related Person and based on such documents and information as it has deemed appropriate, made its own appraisal of and investigation into the business, prospects, operations, property, financial and other condition and creditworthiness of the Loan Parties and their respective Subsidiaries, and all applicable bank or other regulatory Laws relating to the transactions contemplated hereby, and made its own decision to enter into this Agreement and to extend credit to the Borrower and the other Loan Parties hereunder. Each Lender also represents that it will, independently and without reliance upon any Agent-Related Person and based on such documents and information as it shall deem appropriate at the time, continue to make its own credit analysis, appraisals and decisions in taking or not taking action under this Agreement and the other Loan Documents, and to make such investigations as it deems necessary to inform itself as to the business, prospects, operations, property, financial and other condition and creditworthiness of the Borrower and the other Loan Parties. Except for notices, reports and other documents expressly required to be furnished to the Lenders by any Agent herein, such Agent shall not have any duty or responsibility to provide any Lender with any credit or other information concerning the business, prospects, operations, property, financial and other condition or creditworthiness of any of the Loan Parties or any of their respective Affiliates which may come into the possession of any Agent-Related Person.

Time is Money Join Law Insider Premium to draft better contracts faster.