Privacy Act Statement. The information requested herein is used for apprenticeship program statistical purposes and may not be otherwise disclosed without the express permission of the undersigned apprentice. Privacy Act of 1974 (P.L. 93-579) Division of Workforce Development and Adult Learning Maryland Apprenticeship and Training Program 0000 X. Xxxxx Xxxxxx - Xxxx 000 Xxxxxxxxx, XX 00000 000-000-0000 │Fax: 000-000-0000 e-mail: xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx-xxxx@xxxxxxxx.xxx
Privacy Act Statement. The information requested herein is used for apprenticeship program statistical purposes and may not be otherwise disclosed without the express permission of the undersigned apprentice. Privacy Act of 1974 (P.L. 93-579) TYPE OR PRINT SUBMIT FOUR COPIES (ORIGINAL + 3) Name of Sponsor Name of Apprentice Address of Sponsor Address of Apprentice (Street, City, State, Zip Code) If Sponsor Is An Association, Participating Employer’s Name Date of Birth (M-D-Y) Social Security Number Sex Occupation Length of Probation hours Veteran Status (X One) Race/Ethnic Group (X One) _______ Vietnam Era (8/15/64 - 6/7/75) _______ White (Not Hispanic) _______ Other Veteran _______ Black (Not Hispanic) _______ Non Veteran _______ Hispanic _______ AM. Indian or Alaska Education Level (X One) _______ Asian or Pacific Islander _______ 8th grade or less _______ Infor. Not Available _______ 9th grade or more _______ Other _______ 12th grade or more Term of Apprenticeship hours Work Experience Credit hours Related Instruction Per Year hours Date Apprenticeship Began (MDY) Related Instruction Credit hours Projected Completion Date (MDY) Will Apprentice Be Paid While Attending Class? Yes _______ No_______ School-To-Apprenticeship: Yes __________ No __________ If Yes, Indicate County _________________________________ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * PROGRESSIVE WAGE SCHEDULE: The Journeyperson Hourly Rate on __________________________________ was $________________ per hour. 1st __________ HOURS _______% 5th ___________ HOURS _______% 9th ___________ HOURS _______% 13th ___________ HOURS _______% 2nd__________ HOURS _______% 6th ___________ HOURS _______% 10th ___________ HOURS _______% 14th ___________ HOURS _______% 3rd__________ HOURS _______% 7th ___________ HOURS _______% 11th ___________ HOURS _______% 15th ___________ HOURS _______% 4th__________ HOURS _______% 8th ___________ HOURS _______% 12th ___________ HOURS _______% 16th ___________ HOURS _______% Signature of Sponsor Signature of Apprentice Signature of Guardian (if appr. is under 18) REGISTERED WITH THE MARYLAND APPRENTICESHIP AND TRAINING COUNCIL ___________________________ _______________________________________________, DIRECTOR _________________________ DATE REGISTERED SIGNATURE AND TITLE OF MATC OFFICIAL MATC NUMBER
Privacy Act Statement. Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Name of Business: Duke Robotics, Inc. Tax Identification Number: 00-0000000 Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed Prime Trust in writing to the contrary; and 3) our Company is a U.S. domiciled business. Consent is Hereby Given: By signing this Agreement electronically, Issuer explicitly agrees to receive documents electronically including its copy of this signed Agreement and the Business Custodial Agreement as well as ongoing disclosures, communications, and notices.
Examples of Privacy Act Statement in a sentence
The Authorization for Release of Information and Privacy Act Notice states how family information will be released and includes the Federal Privacy Act Statement.
You may review the DOT’s complete Privacy Act Statement in the Federal Register published on April 11, 2000 (65 FR 19477–78), or you may visit http:// dms.dot.gov.Examining the DocketYou may examine the AD docket on the Internet at http://dms.dot.gov, or in person at the Docket Management Facility office between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays.
The Contractor shall submit to FMDC via email to FMDCSecurity@oa.mo.gov a list of the names of the Contractor’s employees who will be fingerprinted and a signed Missouri Applicant Fingerprint Privacy Notice, Applicant Privacy Rights and Privacy Act Statement for each employee.
This Privacy Act Statement should explain the authority for collecting your information and how your information will be used, retained, and shared.
The current Non-Discrimination Statement and Privacy Act Statement can be found on the RMA website at http://www.rma.usda.gov/regs/required.html or successor website.
More Definitions of Privacy Act Statement
Privacy Act Statement. Authority: 49 U.S.C. § 114(e). Principal Purpose(s): To inform you of your obligation to protect information regarding the Transportation Security Officer (TSO) Airport Assessment Process from unauthorized disclosure. Routine Use(s): This information may be shared with the appropriate Federal, State, or local agency responsible for investigating, prosecuting, enforcing, or implementing a statute, rule, regulation, or order, when TSA becomes aware of an indication of a violation or potential violation of civil or criminal law or regulation, or for routine uses identified in the Office of Personnel Management’s system of records notice, OPM/GOVT-1 General Personnel Records (if hired) or OPM/GOVT-5 Recruiting, Examining, and Placement Records (if not hired). Disclosure: Voluntary; failure to furnish the requested information may result in an inability to administer the TSO assessment and consider you for employment as a Transportation Security Officer. TSA Form 1154, November 2006
Privacy Act Statement. The TIN/EIN/SSN is required to comply with the reporting requirements of 26 U.S.C. 6041, 6041A and 6050M and implementing regulations issued by the Internal Revenue Service (IRS). Failure to provide the information may exclude you from doing business with the Federal Aviation Administration. SIZE STANDARDS AND THE NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS) (FEBRUARY 2002) The NAICS code for this acquisition is 921190. The small business size standard is $6.0 million.
Privacy Act Statement. AUTHORITY: 10 U.S.C. 8013. PURPOSE: To obtain personal information concerning participant in RAF Lakenheath Youth Programs. ROUTINE USES: For internal use only except as permitted by federal law. DISCLOSURE: Disclosure of the requested information is voluntary. Nondisclosure may prevent your child from participating in RAF Lakenheath Youth Programs. CHILD’S NAME: (Last) (First) (Middle) CARE NEEDED: BEFORE&AFTER BEFORE ONLY AFTER ONLY (Please circle) 0630-0830 & 1430-1800 0630-0830 1430-1800 CHILD’S SCHOOL: CHILD’S GRADE: Sponsor Name: Sponsor Email: Sponsor Cell: Spouse Name: Spouse Email: Spouse Cell: HOURS OF OPERATION: Care in the SAC is offered Monday through Friday from 0630-1800. Children must be picked up by 1800 hours. There will be a 10 minute grace-period. A late fee of $2.00 per minute will be assessed for any children picked up late. Additional minute past 1805 will be assessed. Parents and guardians who are not able to pick up by 1800 must notify a designated authorized individual listed on the child’s AF Form 1181. If a parent does not pick up by 1820, the SAC reserves the right to call your child’s emergency point of contact or their Command. ****EXERCISE HOURS/DELAYED REPORTING: Child and Youth programs have always and will continue to support the exercises with the following guidelines for extended hours:
Privacy Act Statement. The information requested herein is used for apprenticeship program statistical purposes and will only be disclosed in accordance with the provisions of the Privacy Act. (Privacy Act of 1974) (P.L. 93-579) PART A: TO BE COMPLETED BY APPRENTICE. NOTE TO SPONSOR: PART A SHOULD ONLY BE FILLED OUT BY APPRENTICE 1. Name (Last, First, Middle), and Address (No., Street, City, State, ANSWER BOTH A AND B (Definitions on reverse) 4. a. Ethnic Group (mark one) Hispanic or Latino Not Hispanic or Latinob. Race (mark one or more) Am. Indian or Alaska native Asian Black or African American Native Hawaiian or other Pacific Islander White 5. Veteran Status (mark one) Non Veteran Veteran Zip Code)\ 6. Highest education level (mark one) 8th grade or less 9th or 12th grade GED High School Graduate
Privacy Act Statement. The Internal Revenue Code of 1986, Section 51, as amended and its enacting legislation, P.L. 104-188, specify that the State Workforce Agencies are the "designated" agencies responsible for administering the WOTC certification procedures of this program. The information you have provided completing this form will be disclosed by your employer to the State Workforce Agency. Provision of this information is voluntary. However the information is required for your employer to receive the federal tax credit. IF THE INFORMATION YOU PROVIDE IS ABOUT A MEMBER OF YOUR FAMILY, YOU SHOULD PROVIDE HIM/HER A COPY OF THIS NOTICE.
Privacy Act Statement. AUTHORITY: 10 U.S.C. 8013. PURPOSE: To obtain personal information and to notify families of policies and procedures in RAF Lakenheath Child and Youth Programs (CYP). ROUTINE USES: For internal use only except as permitted by federal law. DISCLOSURE: Disclosure of the requested information is voluntary. Nondisclosure may prevent your child from participating in RAF Lakenheath CYP. CHILD’S NAME: (Last) (First) (Middle) SPONSOR NAME: SPONSOR E-MAIL: SPONSOR CELL: SPOUSE NAME: SPOUSE E-MAIL: SPOUSE CELL: HOURS OF OPERATION: Care in the CYP is offered Monday through Friday from 0630-1800. Children must be picked up by 1800 hours. There will be a ten minute grace period, thereafter, a late fee of $2.00 per minute will be charged per family after 1810. Parents and guardians who are not able to pick up by 1800 must notify a designated authorized individual listed on the child’s AF Form 1181 (AF Youth Flight Program Patron Registration). If a parent does not pick up by 1820, the CYP reserves the right to call your child’s emergency point of contact, and then sponsor’s First Sergeant. **EXERCISE HOURS: Child and Youth programs have always and will continue to support the exercises with the following guidelines for extended hours:
Privacy Act Statement. The Property Owner/Owner’s Authorized Agent acknowledge(s) that information submitted will be shared with other government agencies, federal and non-federal, and contractors, their subcontractors and employees but solely for purposes of disaster relief management to meet the objectives of this Right-of-Entry. This form is signed to allow access to perform debris removal and/or demolition operations on the above-mentioned property, to authorize the release of insurance policy/claim information and to notify any lien-holder of demolition. BOARD OF COUNTY COMMISSIONERS OF SANTA XXXX COUNTY, FLORIDA Xxxx Xxxxx, Chairman Date: ATTEST: Xxxxxx X. Xxxxxxx, Clerk PROPERTY OWNER Signature: Print Name: Date: Title: Address: Phone Number: WITNESSES Signature: Print Name: Signature: