Other Children Sample Clauses

Other Children. Last First Middle Gender Date of Birth School Grade Non-Medical Special Instructions ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
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Other Children. Clients will not take another child into their home for the purpose of xxxxxx care or adoption during the supervisory period without first obtaining written consent from Agency to do so, which shall not be unreasonably withheld.
Other Children. Age Gender Grade Speech/Hearing problems? M  F  M  F  M  F  Child’s Primary Language: Guardian’s Primary Language: Does guardian UNDERSTAND English? What are the child’s interests? What does he/she enjoy doing? Birth History Was there anything unusual about the pregnancy or birth?  Yes No If yes, please describe: How old was the mother when the child was born? How many WEEKS GESTATION was the pregnancy? Vaginal or Cesarean delivery? Birth weight: Was the child born premature?  Yes No Was the mother healthy during the pregnancy? _ Did the child need to remain in the hospital after mother was discharged?  Yes  No If yes, explain: Has the child been exposed to any abuse? (substance, emotional, physical) Has your child had any of the following?  Adenoid Removal Date  Ear Infections How often?  Meningitis  Sleeping Difficulties  Allergies  Encephalitis  Mumps Stroke  Breathing Difficulties  Flu  Scarlet Fever Thumb/Finger Sucking  Chicken Pox  Head Injury: Date:  Seizures  Tonsillectomy/Tonsillitis  Colds  High Fevers  Sinusitis  Vision Problems  Attention Deficit Disorder  Auditory Processing Disorder  Pervasive Developmental Disorder  ADD with Hyperactivity  Cerebral Palsy  Sensory Integration Disorder  Autism  Down SyndromeSpecific Learning Disability  Reading, writing, math  Asperger’s Syndrome  Epilepsy  Other  Behavior/Emotional Disorder  Mental Retardation Other serious injury or surgery and date: Has your child been diagnosed with any of the following? Is child currently (or recently) under the care of a physician?  Yes  No If yes, why? List any medications child takes regularly: Please list any precautions, equipment or allergies that may affect your child:  Eyeglasses  Hearing aid  Light or noise sensitivity  Utensils/drinking cups  Food allergy  Helmet  Medical equipment  Wheel chair  Hypersensitivity  Latex allergy  Seating arrangements  Other Please explain if necessary: Describe any pertinent family medical history (mother, father, siblings, grandparents): List approximate AGE child accomplished the following: Crawled: Sat up: Stood: Walked: Fed self: Dressed self: Toilet trained: Used single words: Combined words: Does your child?  Choke on foods or liquids? Brush teeth or allow brushing? Are there certain textures child will not tolerate?  Currently put toys/objects in his/her mouth? Is child a picky eater? Behavior Check ALL behavioral characteristics that your child demonstrat...

Related to Other Children

  • Children For the purposes of the Trust the children of the Grantor are as follows: ______________________________________________________________.

  • After Children 17A) The Academy Trust will in respect of the Academy act in accordance with, and be bound by, all relevant statutory and regulatory provisions and have regard to any guidance and codes of practice issued pursuant to such provisions, as they apply at any time to a maintained school, relating to the designation of a person to manage the teaching and learning programme for children who are looked after by an LA and are registered pupils at the school. For the purpose of this clause, any reference to the governing body of a maintained school in such statutory and regulatory provisions, or in any guidance and code of practice issued pursuant to such provisions, shall be deemed to be references to the Governing Body of the Academy Trust. Teachers and other staff

  • Your Children If your plan includes family coverage, each of your and your spouse’s children are eligible for coverage until the last day of the month in which they turn twenty-six (26). For purposes of determining eligibility for coverage, the term children means: • Natural children; • Step-children; • Legally adopted children; • Xxxxxx children who have been placed with you by an authorized placement agency or court order. A child for whom healthcare coverage is required through a Qualified Medical Child Support Order or other court or administrative order is also eligible for coverage. Your employer is responsible for determining if an order meets the criteria of a Qualified Medical Child Support Order. We may request more information from you to confirm your child’s eligibility. Disabled Dependents In accordance with R.I. General Law § 27-20-45, when your enrolled unmarried child reaches the maximum dependent age of twenty-six (26), he or she can continue to be considered an eligible dependent only if he or she is determined by us to be a disabled dependent. If you have an unmarried child of any age who is financially dependent upon you and medically determined to have a physical or mental impairment, which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than twelve (12) months, that child is an eligible disabled dependent under this agreement. Please contact our Customer Service Department, to obtain the necessary form to verify the child’s disabled status. Periodically you may be asked to submit additional documents to confirm the child’s disabled status.

  • Children/Grandchildren An employee may purchase life insurance in the amount of ten thousand dollars ($10,000) as a package for all eligible children/grandchildren (as defined in Section 2A2 and 2A3 of this Article). For a new employee, child/grandchild coverage requires evidence of insurability if application is made after the initial effective date of coverage as defined in this Article, Section 5C. An employee who becomes eligible for insurance may purchase child/grandchild coverage without evidence of insurability if application is made within thirty (30) days of the initial effective date as defined in this Article. Child/grandchild coverage commences fourteen (14) calendar days after birth.

  • MINOR CHILDREN The Couple recognizes that there are: (check one) ☐ - No Minor Children of either the Husband or Wife were brought into the marriage. ☐ - Minor Children were brought into the marriage. The Minor Children are: (check all that apply) ☐ - From the Couple. ☐ - From either the Husband or Wife as described in Attachment E.

  • Grandchildren A dependent grandchild is an eligible employee’s unmarried dependent grandchild who:

  • FAMILY MEMBERSHIP Credit Union members in good standing and whose status is currently within the Credit Union's common bond (as outlined therein) may sponsor immediate family members and possibly other members of Your household for Credit Union membership. Eligible family members may include for instance: father, mother, brother, sister, son, daughter, grandmother, grandfather and spouse (which may include anyone living in Your residence that You maintain a single economic unit with). ACCOUNT AGREEMENT YOU AGREE AND ACKNOWLEDGE THAT THIS AGREEMENT CONTROLS YOUR ACCOUNT(S) WITH COBALT CREDIT UNION, TOGETHER WITH ANY OTHER RELATED DOCUMENT SUCH AS OUR FUNDS AVAILABILITY POLICY AND ELECTRONIC FUND TRANSFER AGREEMENT AND/OR AGREEMENTS AND DISCLOSURES, ALL OF WHICH, TO THE EXTENT APPLICABLE, ARE INCORPORATED INTO THIS AGREEMENT BY REFERENCE. JOINT ACCOUNTS. If Your Account is owned jointly, then all funds on deposit are owned by any of the joint Owners. We can release or pay any amount on deposit in Your Account to any Owner. We can honor Checks, withdrawals, orders or requests from any Owner. All Owners are liable to Us for any overdrafts that may occur on Your Account, regardless of whether or not a benefit occurred. Any Owner may provide Us written notice to freeze funds on deposit and We may, at Our option, honor such written request. If We do, then the Account will remain frozen until We receive subsequent written notice signed by all Owners of the Account as to a disposition of funds on deposit. Any funds on deposit may be utilized to satisfy any debt or garnishment of any Owner of the Account. It is the responsibility of joint account Owners to determine any legal effects of opening and maintaining a joint account.

  • Spouse The spouse of an eligible employee (if legally married under Minnesota law). For the purposes of health insurance coverage, if that spouse works full-time for an organization employing more than one hundred (100) people and elects to receive either credits or cash (1) in place of health insurance or health coverage or (2) in addition to a health plan with a seven hundred and fifty dollar ($750) or greater deductible through his/her employing organization, he/she is not eligible to be a covered dependent for the purposes of this Article. If both spouses work for the State or another organization participating in the State's Group Insurance Program, neither spouse may be covered as a dependent by the other, unless one spouse is not eligible for a full Employer Contribution as defined in Section 3A. Effective January 1, 2015 if both spouses work for the State or another organization participating in the State’s Group Insurance Program, a spouse may be covered as a dependent by the other.

  • Family Members Family Members shall mean, as applied to any individual, any parent, spouse, child, spouse of a child, brother or sister of the individual, and each trust created for the benefit of one or more of such Persons and each custodian of a property of one or more such Persons.

  • Death in Immediate Family A regularly scheduled employee may be granted up to five days of leave of absence with pay by the Agency/Department Head because of death in the immediate family. An employee shall be allowed to take such leave within a four week period. For purposes of this subsection, "immediate family" means mother, stepmother, father, stepfather, husband, wife, domestic partner (upon submission of an affidavit as defined in the appendices), son, stepson, daughter, stepdaughter, brother, sister, grandparent, grandchild, xxxxxx parent, xxxxxx child, mother-in-law, and father-in-law, or any other person sharing the relationship of in loco parentis; and, when living in the household of the employee, a brother-in-law, sister-in-law. Entitlement to leave of absence under this subsection shall be only for all hours the employee would have been scheduled to work for those days granted, and shall be in addition to any other entitlement for sick leave, emergency leave, or any other leave.

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