Please Remember. ● Keep your device with you or in a secured (locked) area at all times. ● Report loss or theft immediately to your administrator. ● Remember that your device is for educational purposes. ● Follow the WCS Acceptable Use Policy at all times. ● Upon resignation, the device and peripherals should be turned in to the administrator, media coordinator or technology facilitator within 5 business days. ● Do not modify the device in any way other than instructed by the administrator or other school personnel. ● Your password should be kept confidential at all times. ● Do not apply any permanent marks, decorations, or modifications to the device.
Please Remember. ● Devices may be monitored by school and district level administrators at any time for misuse – this includes when the device is used at home. For 2013-2014, the iPads will have to go through the District Server no matter where the iPads may be accessing the internet. ● Administration reserves the right to take an iPad at any time if misuse or inappropriate use/content is suspected. ● Teachers reserve the right to restrict iPad use during class if misuse is suspected. Cost of Replacement Lost or beyond repair iPad: $399.00 Battery: $75.00 Ipad Screen: $99.00 Digitizer: $89.00 Damaged / Lost Charger: $30.00 Home Button / Charging Port / Headphone Jack: $50.00 Damaged / Lost Cover: $87.00 Camera: $29.00 Xxxxxxx County School District iPad User Agreement Student Please read and check (R) each statement before signing: ◊ I will not modify or disable the iPad in any way unless instructed by district personnel. ◊ I will not synch the iPad to any computer or add e-mail accounts OTHER than the student account I am assigned at school. ◊ I will not take the iPad out of the district-provided case. ◊ I will not take inappropriate pictures or use the internet inappropriately as defined by this Acceptable Use Policy. ◊ I will report any technical issues to my teacher as soon as possible. ◊ I will not leave my iPad unattended or have my iPad around food or drink. ◊ I understand that my absences and my actions may cause for the removal of my iPad privileges (either temporary or long-term) I understand and will abide by the above iPad User Agreement. I further understand that should I commit any violation, my access privileges may be revoked and school disciplinary action taken. User’s Full Name: _______________________________________________ User Signature: ________________________________________________ Date: ____________________________ Parent or Guardian Please read and check (R) each statement before signing: ◊ I give my child permission to take his/her designated iPad outside of school. ◊ I assume all financial responsibility should my child be deemed responsible for damage to the iPad or charger. I understand that a $5 per day fee will be assessed for every day that my child is late in turning his/her iPad in at the end of the year. Also, I understand that if my child is a senior that he/she may not be eligible to participate in graduation ceremonies if all iPad obligations are not taken care of by the end of the year.
Please Remember. A higher credit limit may offer greater fexibility and convenience to meet your fnancial needs. However, it may also increase the risk of taking on too much debt, which may be costly, and / or take a long time to pay off. You should carefully consider whether you need a higher credit limit.
Please Remember. It is often important for us to talk to you on short notice. Due to the nature of divorce, many times our clients move, change jobs, and/or obtain unlisted telephone numbers. Please keep us informed of any change in the above information. Any charges incurred or time expended for forwarding and address correction and telephone correction will be charged to the client's account.
Please Remember. ● Devices may be inspected by school and district personnel at any time for misuse. ● Administration reserves the right to take an iPad at any time if misuse or inappropriate use/content is suspected. ● Teachers reserve the right to restrict iPad use during class.
Please Remember. 1. The revised HSP IP Payroll Schedule begins with the July 1-15, 2017 pay-period.
Please Remember. While we have had 100% placement support staff and 99% counselor for the last 25 years, we want to warn you that a placement at a summer camp is not guaranteed!!! We will try our best to find you a camp that matches your own skills and interests, so that you can have a great summer. But the final decision is up to the camp director. If we cannot find you a placement by the end of June, you will get a refund of all fees paid to CCUSA. This does NOT include any other fees paid to the American Embassy to get your visa, fees paid to get your Police Check, or any other expenses you had during this process.
Please Remember. No repairs must commence until a claims authority number has been received from MAPFRE ASISTENCIA Agency Xxxxxxx.Xxx must take all reasonable steps to avoid further damage occurring.
Please Remember. While circumstances (emergency or otherwise) do arise that prevent patients from keeping a scheduled appointment, Xx. Xxxxxxx cannot absorb the financial cost of patients’ missed appointments. Since scheduling of an appointment involves the reservation of time specifically for you, a minimum of 24 hours notice is required for re- scheduling or canceling an appointment. Appointments not cancelled by voice mail or email with 24 hours notice will be billed in full regardless of the circumstances. If you are canceling an appointment with less than 24 hours notice or are running late, please be advised you will be billed for the appointment and please call or text Xx. Xxxxxxx at 000 000 0000 rather than calling the office (000 000 0000) or using email. If you are calling or texting to leave a message just prior to your appointment, please be aware that Xx. Xxxxxxx may be in session and unable to respond to your call at that time. Initial appointments can be made via email at xxxxxxxxxxxxxxx@xxxxx.xxx. Page 3 of 7 (please initial) PAYMENTS & INSURANCE REIMBURSEMENT: Therapy sessions are billed at $200.00 for 50 minutes and payment by check or cash or Venmo is required at the time of the session. Consultations, telephone conversations in excess of ten minutes, consultation time with other professionals who have knowledge of the patient, site visits, review of records submitted, report writing, and travel time, etc. will be charged at the same rate of $200.00 per each 50 minutes. Patients who carry health insurance should remember that professional services rendered are charged to the patients at the time of the service and not to the insurance companies. Xx. Xxxxxxx will provide you with a copy of your receipt for each session at the time of the session. The receipt can then be submitted by you to your insurance company for reimbursement if you so choose. Because Xx. Xxxxxxx is not a provider for any insurance companies, be sure to verify your coverage stating that you are using an “out of network” provider. Xx. Xxxxxxx’ “out of network” provider number or NPI # for your insurance claims is: 0000000000. The insurance claims CPT code used for individual psychotherapy is 90806. Again, it is your responsibility to verify the specifics of your coverage to seek reimbursement from your insurance company. Notwithstanding the foregoing, in the event that your account is overdue (unpaid) and there is no agreement on a payment plan, Xx. Xxxxxxx will use legal means (court,...
Please Remember. You must attach a copy of your registration from the HOST school. • You must be enrolled for a minimum of 6 credit hours at CCC to receive aid. • You may only enroll for 100 & 200 series classes at the HOST school. • The HOST school must be a quarter-based school in order to be eligible for consortium agreement. • A new Consortium Agreement must be completed and submitted every term. Total CCC Credit Hours: Total HOST Credit Hours: List the courses to be taken at the HOST school: Dept/Course Title Credits Part I: Student Certification I understand that by signing this agreement, I am asking Clackamas Community College to pay Title IV financial aid to me for classes that I agree to complete at the HOST school. I realize that I am responsible for paying any fees to the HOST school. I understand it is my responsibility to provide a final official transcript to CCC at the end of each enrollment period, and to inform the Office of Financial Aid and Scholarships if I withdraw, drop, or cancel a consortium class. To the best of my knowledge all of the information provided on this form is true and complete. Student Signature: Date: _ Student: _ DOB: _ CCC ID: Part II: HOST School Certification (to be completed by HOST School) HOST School Name: School Code The student submitting this form to you is requesting financial aid at Clackamas Community College under a consortium agreement with your school. Please provide the information requested below. Is the above named student receiving Title IV financial aid through your school for the enrollment period listed in Section I? Yes No Is the student registered for the classes listed in Section I? Yes No These classes begin on and end on . mm/dd/yyyy mm/dd/yyyy The total cost for these classes is $ . I certify that the information provided above is accurate. I agree to notify the Office of Financial Aid and Scholarships at Clackamas Community College if this student withdraws from any of these classes. Office of Financial Aid & Scholarships Representative Date Part III: HOME School Certification Clackamas Community College agrees to pay Title IV financial aid based on the information provided in this consortium agreement. Office of Financial Aid & Scholarships Representative Date 2018-2019 CONSORTIUM AGREEMENT STUDENT CHECKLISTS The following are additional steps that must be taken after execution and approval of a Consortium Agreement between the two participating schools. The HOME school is the school from which you will...
