Student Name. Grade: If PK, Circle One Program: Half Day Full Day Tuition Payment Schedule - Please Circle One (See details on Tuition Rates page) Annual Semester Quarterly Monthly: 12 / 11 / 10 (Circle # of months) I will be making my payments on the: (Please Circle One) You must choose the same date when you register with FACTS. 5th of the Month 20th of the Month FACTS Management Company NOTICE: All tuition and recurring fees will be collected by FACTS Management Company. Options for payment are automatic debit or credit card. Each family will set up their individual FACTS account online. NO PAYMENT WILL BE MADE TO THE SCHOOL FOR ITEMS BILLED WITH FACTS. If you choose the Annual or Semester payment plan, your first payment will be withdrawn from your FACTS account by July 20th or August 5th and there will be an enrollment fee of $20 per family. If your funds are not available by July 20th or August 5th, you will be required to sign up for a different payment plan. If you choose the Quarterly or Monthly payment plan, you will be required to set up a FACTS account and will be assessed an enrollment fee in the amount of $45 per family by FACTS. Parent Financial Agreement: I have read the Tuition & Fee Schedule and agree to pay all tuition, fees and charges listed in a timely manner. Late payments: 4% on outstanding tuition and any other changes over 30 days. I understand that this financial agreement is for the full school year. (Initials) I understand that if I withdraw my student on or after August 1st I am responsible to pay the full tuition of the month in which my child withdraws and 100% of the remaining annual tuition due (unless the school board deems the withdrawal legitimate). I understand that if my account is delinquent, it will be sent to a collection agency. I understand that I am responsible for any fees charged by the collection agency, attorney and/or court fees in addition to the balance due Xxxxx Xxxxxxxxx Academy of Maryland. I understand that report cards, transcripts and recommendations may be delayed if my financial account with FACTS or RenWeb is delinquent. Signature (REQUIRED) Printed Name (REQUIRED) Date
Student Name. Class: I haveread/discussed the Newport Public School PODS Procedures and Acceptable Use Agreement. I agree to follow all expectations in the guidelines. I understand that failure to follow this PODS Procedures and Acceptable User Agreement may result in my use of the internet and my ICT privileges at school being removed. Student Signature: Date: Parent/Carer Section I have read and discussed the Newport Public School’s PODS Procedures and Acceptable Use Agreement with my child and understand what is required in regards to acceptable use of technology. I understand and acknowledge that children are responsible for their own device. I understand that failure to follow the PODS Procedures and Acceptable Use Agreement may result in my child forfeiting his/her privilege to use the internet and ICT at Newport Public School. If my child has a PODS device I understand that I am fully responsible for loss or damage to, or for maintenance or repair required to a student’s own device through any act or omission resulting from the negligence or otherwise of the school, a member of the school staff or of another student. Parent/Carer Name: Parent/Carer Signature: Date:
Student Name. XXXX and XXX The estimated cost for the program delivered is: Tuition- $72,972.87 & *1:1 Aide - $41,115.27 per student listed Such costs shall be computed in accordance with the tuition formula as set forth by the Governing Board of the Northwest Suburban Special Education Organization. It is further agreed that tuition will be paid in 2 installments upon receipt ofNSSEO's invoices. (Superintendent or Board Secretary) (Date) (School District) Date: (NSSEO Superintendent) (Please return an original signed copy to the NSSEO Central Admin. Office)
Student Name. Grade: We have read the Xxxxxx Catholic Student/Parent Handbook and agree to comply with all school rules and regulations set forth. Furthermore, we have considered the implications of the standards set by Xxxxxx Catholic and agree to support the school in following and enforcing these rules and regulations. We understand Lowell Catholic’s Acceptable Use Policy (AUP) pertaining to computers as printed in this handbook. : (Print Student’s Full Name)
Student Name. (First) (M.I.) (Last) (Please Print) Grade Student AMES Number If I have the opportunity to use XXXX computer equipment, I will do so subject to the provisions of the Student Technology Acceptable Use Agreement.
Student Name. As the parent/carer of the above student, I grant permission for my child to have access to use the internet, school email and other ICT facilities at school. I know that my child has signed an Acceptable Use Agreement which they have read and understood. I accept that ultimately the school cannot be held responsible for the nature and content of materials accessed through the internet and mobile technologies, but I understand that the school will take every reasonable precaution to keep students safe and to prevent students from accessing inappropriate materials. These steps include using an education filtered service, restricted access email, employing appropriate teaching practice and teaching e-safety skills to students. I understand I will be provided with a username and password to access the Management Information System Parental Portal. It is my responsibility to keep this password safe in order to prevent unauthorised access to my child’s information. I will contact the school immediately if I suspect my password has been compromised. I understand that the school can check my child’s computer files, and then Internet sites they visit and that if the school has concerns about their e-safety or e-behaviour that they will contact me. I will support the school by promoting safe use of the Internet and digital technology at home and will inform the school if I have any concerns over my child’s e-safety. Parent/Carer Signature ...............................................................................................................
Student Name. F a t h e r o r G u a r d i a n : NDCS ENROLLMENT INTRUCTIONS
Student Name. Courses Completed: SPPH 400 (Statistics) SPPH 502 (Epidemiology) SPPH 525 (Issues and Concepts in Public Health) Additional courses: Placement Details Practicum Placement Site: Practicum Placement Address: Supervisor(s): Start Date: Email: End Date: Phone: Hours/week: Practicum Details Project Description Overall goals, learning objectives and activities the student will undertake Proposed Outcome and Deliverables What will the student accomplish? What is the agreed format of the final product (e.x., published manuscript, agency report, presentation to community etc.) – please note that the Practicum Director will need to review all deliverables and all deliverables will be kept confidential.
Student Name. For students to complete the Entrepreneurship Experience Capstone course, they must work with a Mentor who has expertise in starting, running, and/or owning their own business. The Mentor must be willing to verify the student’s efforts and time spent and assist the student as they complete their experience. If you are willing to serve as this student’s Mentor, please complete the form below. Neither the School District nor the training station employer shall discriminate against any student or employee based on race, color, national origin, sex, marital status, parental status, or handicap in employment practices or on-the-job training experiences. I agree to serve as a Mentor for the above named student for their Entrepreneurship Experience. Mentor Name: Business Name & Address: Phone: Email: Relationship to Student (if any): Capstone Coordinator/Advisor Name & Signature Date Student Name & Signature Date Parent/Guardian Name & Signature Date
Student Name. 2. Department
