SIGNATURES OF APPROVAL. Student Internship Site Supervisor MU Supervising Faculty _ Financial Aid Xxxxx School Xxxx- Xx. Xxxxxx Xxxxxxxx Xxxxx Internship Coordinator- Xxxxxx Xxxxxxxx For internships over Winter & Summer Immersion, the contract must be signed by the Immersion/Summer School Xxxx (see signature line below). Tuition will be incurred at the current immersion rate. Immersion/Summer School Xxxx- Dr. Xxxxx Xxxxxx (Xxxxxxxx 209) CONTRACTS ARE DUE BY THE FINAL ADD/DROP DAY OF THAT TERM. Prerequisites for Xxxxx Internship Courses: Accounting Majors: AC251-Intermediate Accounting I Digital Media Marketing Majors: MK200-Principles of Marketing Entrepreneurship Majors: ET340-Foundations of Entrepreneurship Information Systems Majors: IS240-Foundations of Information Systems International Business Majors: BU330-International Business Management Majors: AC230-Intro to Financial Statements BU230-Business Conversations BU250 –Written Business Communications MG300-People and Performance MG370-Operations Management One of the following: MG340-Human Resource Management MG375-Project Management
SIGNATURES OF APPROVAL. THE PARTIES, INTENDING TO BE LEGALLY BOUND, have executed this amendment on the date first set forth above. The Navajo Nation Xxxxxxx Edgewater-Xxxxxx Acting Superintendent Signature Date Name Title USBE Xxxxxx Xxxxxxx, Ed.D State Superintendent of Public Instruction Signature Date Name Title 000-000-0000, xxxx.xxxxxxx@xxxxxxx.xxxx.xxx Xxxx Xxxxxxx, Director of Privacy, USBE DRAFT USBE CONTACT PERSON:
SIGNATURES OF APPROVAL. THE PARTIES, INTENDING TO BE LEGALLY BOUND, have executed this amendment on the date first set forth above. L2TReC Xxxxxxxx Xxxxx Director Signature Date Name Title USBE Xxxxxx Xxxxxxx, Ed.D State Superintendent of Public Instruction Signature Date Name Title USBE CONTACT PERSON: Name/Title: Phone/email: 000-000-0000, xxxx.xxxxxxx@xxxxxxx.xxxx.xxx Xxxx Xxxxxxx, Director of Privacy, USBE
SIGNATURES OF APPROVAL. Each xxxxxx below represents that s/he has the requisite authority to enter into this Agreement.
SIGNATURES OF APPROVAL. This agreement will be in effect for two years unless rescinded earlier in writing by either party. Any addendums to this agreement or modification to the CPA shall require signature approval from Medical Director. When new pharmacists join participating Nebraska Medicine Heart and Vascular Center clinics during the agreement cycle, new pharmacists will be required to sign the CPA and the CPA will be submitted to the Nebraska Board of Pharmacy. When new providers join participating Nebraska Medicine Heart and Vascular Center clinics during the agreement cycle, new providers will be informed of this agreement and all medications and laboratory orders will be ordered under the clinic’s Medical Director until the agreement is reviewed and new provider signatures are obtained. In the event that a provider leaves the practice during the agreement cycle, if no other provider on the current collaborative practice agreement has been identified as the new responsible prescriber for their patients, all medications and laboratory orders will be ordered under the clinic’s Medical Director until the patient establishes care with a new provider.
SIGNATURES OF APPROVAL. THE PARTIES, INTENDING TO BE LEGALLY BOUND, have executed this amendment on the date first set forth above. Researcher Xxxxxxx Xxxxxxxx Researcher Signature Date Name Title USBE Xxxxxx Xxxxxxx, Xx.D State Superintendent of Public Instruction Signature Date Name Title USBE CONTACT PERSON: Name/Title: Phone/email: 000-000-0000, xxxx.xxxxxxx@xxxxxxx.xxxx.xxx Xxxx Xxxxxxx, Director of Privacy, USBE Draft number: 1 Contact Information: Xxxx Xxxxxxx, xxxx.xxxxxxx@xxxxxxx.xxxx.xxx This amendment is for consideration in the September 2023 Law and Licensing Committee meeting.
SIGNATURES OF APPROVAL. Obtain signatures in order Student Signature Date Student’s Department Head Signature Date Instructor Signature Date ME Graduate Chair Signature Date Instructor’s typed name and e-mail address Date XXX Graduate Academic Xxxx Signature Date Graduate Coordinator Signature Date ME INDEPENDENT STUDY PROPOSAL (Please feel free to add additional pages if needed) TITLE: Description & Reason for Course: MAJOR MEASURABLE LEARNING OBJECTIVES Expectations: Grading: Resources:
SIGNATURES OF APPROVAL. THE PARTIES, INTENDING TO BE LEGALLY BOUND, have executed this amendment on the date first set forth above. DCFS Xxxx Xxxx Director, Data, Systems & Evaluation Signature Date Name Title USBE Xxxxxx Xxxxxxx, Xx.D State Superintendent of Public Instruction Signature Date Name Title USBE CONTACT PERSON: Name/Title: Phone/email: 000-000-0000, xxxx.xxxxxxx@xxxxxxx.xxxx.xxx Xxxx Xxxxxxx, Director of Privacy, USBE Draft 1 August 21, 2023 Contact: Xxxx Xxxxxxx, Director of Privacy, xxxx.xxxxxxx@xxxxxxx.xxxx.xxx This amendment is for consideration in the September 2023 Law and Licensing Committee meeting.
SIGNATURES OF APPROVAL. I, Xx. Xxxxxx Xxxxxxx Eby, a licensed healthcare provider authorized to prescribe medication in the State of Ohio, delegate prescriptive authority to the pharmacists listed below to initiate, modify, refill, and discontinue drug therapy for patients shared by the Good Samaritan Free Health Center (GSFHC) and St. Xxxxxxx xx Xxxx Xxxxxxxxxx Pharmacy (SVDP). This authority pertains to the protocol established in this agreement in accordance with the laws and regulations (ORC 4729.39) of the State of Ohio. SVDP pharmacists shall document all drug therapy adjusted under this protocol and communicate with the healthcare team at GSFHC. As the authorizing prescriber, I or authorized staff under my supervision, will be available to review drug therapy adjustments by SVDP pharmacists. This protocol will be in effect for two years unless rescinded earlier in writing by either party. Any modification of the protocol shall be treated as a new protocol, requiring signed approval from responsible parties. Signatures of Responsible Parties: ______________________________________ 35.044783__________________ ______________ Xx. Xxxxxx Xxxxxxx Eby, MD Medical Director Good Samaritan Free Health Center License Number Date ______________________________________ 03232882-2_________________ ______________ Xx. Xxxxxxx Xxxxxxxxx, RPh Pharmacy Manager St. Xxxxxxx xx Xxxx Xxxxxxxxxx Pharmacy License Number Date ______________________________________ 03334430-3_________________ ______________ Dr. Xxxxx Xxxxxx, RPh Clinical Pharmacist St. Xxxxxxx xx Xxxx Xxxxxxxxxx Pharmacy License Number Date ______________________________________ 03110884-1_________________ ______________ Xx. Xxxx Xxxxx, RPh Pharmacy Director St. Xxxxxxx xx Xxxx Xxxxxxxxxx Pharmacy License Number Date
SIGNATURES OF APPROVAL. THE PARTIES, INTENDING TO BE LEGALLY BOUND, have executed this amendment on the date first set forth above. L2TReC Xxxxxxxx Xxxxx Director Signature Date Name Title USBE Xxxxxx Xxxxxxx, Ed.D State Superintendent of Public Instruction Signature Date Name Title USBE CONTACT PERSON: Name/Title: Phone/email: 000-000-0000, xxxx.xxxxxxx@xxxxxxx.xxxx.xxx Xxxx Xxxxxxx, Director of Privacy, USBE 1 Date: April 25, 2023 Version: 1 Contact Person and Email: Xxxx Xxxxxxx, xxxx.xxxxxxx@xxxxxxx.xxxx.xxx
