Common use of Vehicle Use Clause in Contracts

Vehicle Use. I certify that I comply with all requirements established by the Purdue University Use of Vehicles for University Business policy explained at xxx.xxxxxx.xxx/xxxxxxxx/xxxx_xxxx/Xxxxxxx_Xxx_Xxxx. • Volunteer Service. I agree to contribute at least 40 hours of volunteer service within two years of completing Purdue EMG Basic Training (See note on page 7 of the Purdue EMG Program Policy Guide concerning minimum certification requirements.). I also understand that in order to continue my certification as a Purdue EMG I must contribute at least 12 hours of volunteer service and 6 hours of educational training approved by my EMG county coordinator each subsequent year. I agree to report volunteer activity and educational training hours to the EMG county coordinator at least once per year using a reporting method approved by the EMG county coordinator. • County Coordinator. I understand that the Purdue Extension educator serving as the Master Gardener county coordinator for the county where I volunteer as a Purdue EMG is the coordinator and advisor for the Purdue EMG Program in that county and for my involvement in the program. • Notification of Changes. I will contact the Purdue EMG county coordinator or Purdue EMG state coordinator if changes in my life occur that cause me to be ineligible to serve as a Purdue EMG volunteer. ___ ___ ___ ___ ___ Applicant’s Signature Applicant’s Printed Name Date xxxxxx.xxx/xxxxxxxxx Find out more at THE EDUCATION STORE xxxxxxxx.xxxxxx.xxx Purdue Extension Office Use Only National Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Indiana Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Verification of Photo ID — Date Completed Purdue Extension Office Staffer Completing Verification October 2021

Vehicle Use. I certify that I comply with all requirements established by the Purdue University Use of Vehicles for University Business policy explained at xxx.xxxxxx.xxx/xxxxxxxx/xxxx_xxxx/Xxxxxxx_Xxx_Xxxx. • Volunteer Service. I agree to contribute at least 40 hours of volunteer service within two years of completing Purdue EMG Basic Training (See note on page 7 of the Purdue EMG Program Policy Guide concerning minimum certification requirements.). I also understand that in order to continue my certification as a Purdue EMG I must contribute at least 12 hours of volunteer service and 6 hours of educational training approved by my EMG county coordinator each subsequent year. I agree to report volunteer activity and educational training hours to the EMG county coordinator at least once per year using a reporting method approved by the EMG county coordinator. • County Coordinator. I understand that the Purdue Extension educator serving as the Master Gardener county coordinator for the county where I volunteer as a Purdue EMG is the coordinator and advisor for the Purdue EMG Program in that county and for my involvement in the program. • Notification of Changes. I will contact the Purdue EMG county coordinator or Purdue EMG state coordinator if changes in my life occur that cause me to be ineligible to serve as a Purdue EMG volunteer. ___ ___ ___ ___ ___ Applicant’s Signature Applicant’s Printed Name Date xxxxxx.xxx/xxxxxxxxx Find out more at THE EDUCATION STORE xxxxxxxx.xxxxxx.xxx Purdue Extension Office Use Only National Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Indiana Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Verification of Photo ID — Date Completed Purdue Extension Office Staffer Completing Verification October 2021xxxxxxxx.xxxxxx.xxx

Vehicle Use. I certify that I comply with all requirements established by the Purdue University Use of Vehicles for University Business policy explained at xxx.xxxxxx.xxx/xxxxxxxx/xxxx_xxxx/Xxxxxxx_Xxx_Xxxx. • Volunteer Service. I agree to contribute at least 40 hours of volunteer service within two years of completing Purdue EMG Basic Training (See note on page 7 of the Purdue EMG Program Policy Guide concerning minimum certification requirements.). I also understand that in order to continue my certification as a Purdue EMG I must contribute at least 12 hours of volunteer service and 6 hours of educational training approved by my EMG county coordinator each subsequent year. I agree to report volunteer activity and educational training hours to the EMG county coordinator at least once per year using a reporting method approved by the EMG county coordinator. • County Coordinator. I understand that the Purdue Extension educator serving as the Master Gardener county coordinator for the county where I volunteer as a Purdue EMG is the coordinator and advisor for the Purdue EMG Program in that county and for my involvement in the program. • Notification of Changes. I will contact the Purdue EMG county coordinator or Purdue EMG state coordinator if changes in my life occur that cause me to be ineligible to serve as a Purdue EMG volunteer. __ _ __ __ __ __ __ ___ ___ Applicant’s Signature Applicant’s Printed Name Date xxxxxx.xxx/xxxxxxxxx Find out more at THE EDUCATION STORE xxxxxxxx.xxxxxx.xxx Purdue Extension Office Use Only National Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Indiana Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Verification of Photo ID — Date Completed Purdue Extension Office Staffer Completing Verification xxxxxx.xxx/xxxxxxxxx Find out more at THE EDUCATION STORE xxxxxxxx.xxxxxx.xxx October 20212019

Vehicle Use. I certify that I comply with all requirements established by the Purdue University Use of Vehicles for University Business policy explained at xxx.xxxxxx.xxx/xxxxxxxx/xxxx_xxxx/Xxxxxxx_Xxx_Xxxx. • Volunteer Service. I agree to contribute at least 40 hours of volunteer service within two years of completing Purdue EMG Basic Training (See note on page 7 of the Purdue EMG Program Policy Guide concerning minimum certification requirements.). I also understand that in order to continue my certification as a Purdue EMG I must contribute at least 12 hours of volunteer service and 6 hours of educational training approved by my EMG county coordinator each subsequent year. I agree to report volunteer activity and educational training hours to the EMG county coordinator at least once per year using a reporting method approved by the EMG county coordinator. • County Coordinator. I understand that the Purdue Extension educator serving as the Master Gardener county coordinator for the county where I volunteer as a Purdue EMG is the coordinator and advisor for the Purdue EMG Program in that county and for my involvement in the program. • Notification of Changes. I will contact the Purdue EMG county coordinator or Purdue EMG state coordinator if changes in my life occur that cause me to be ineligible to serve as a Purdue EMG volunteer. ___ ___ ___ ___ ___ Applicant’s Signature Applicant’s Printed Name Date xxxxxx.xxx/xxxxxxxxx Find out more at THE EDUCATION STORE xxxxxxxx.xxxxxx.xxx Purdue Extension Office Use Only National Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Indiana Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Verification of Photo ID — Date Completed Purdue Extension Office Staffer Completing Verification October 20212021 It is the policy of the Purdue University Cooperative Extension Service that all persons have equal opportunity and access to its educational programs, services, activities, and facilities without regard to race, religion, color, sex, age, national origin or ancestry, marital status, parental status, sexual orientation, disability or status as a veteran. Purdue University is an Affirmative Action institution. This material may be available in alternative formats. Application for 2022 Xxxxxx County Purdue Extension Master Gardener Program Print Your Name Name for Name Tag (if different than above): Do you know any current Master Gardeners? Who? Do you know anyone else applying this year? Who? Note: The summer Purdue Extension Master Gardener program is accelerated. The program will be held at the Valparaiso Public Library in Room B. The classes will be from 9:30 a.m. to 4:30 p.m. central time with a 1 hour lunch break. Dates are: June 21 & 28, July 5, 12, 19 & 26, and August 2, 2022. You will be obligated to work a minimum of 40 hours of volunteer service within 2 years. Please keep this in mind as you fill out this application. All applications will go through a screening process before being accepted. A government issued photo identification check MUST be completed in order to be considered. The training will cost $200 that is to be paid with your application. Checks are payable to Purdue University. You will receive confirmation the week of May 30, 2022 if your application is accepted. **Application and photo ID check must be received at the Extension Office by 4:30 p.m. on May 27, 2022. If you can’t make it to the Extension Office during normal business hours, you can call to make an appointment. Mailing Address: Xxxxxx County Administration Building Purdue Extension Attn:Summer EMG Training 000 Xxxxxxx Xxx, Xxxxx 000 Valparaiso, IN 46383 “I have read this application and pledge myself to the Purdue Extension Master Gardener Class. I know that I am required to attend every class, as the classes are important for the learning process and passing the final exam. I also know I may miss two (2) sessions. (Keep in mind that there are 2 sessions a day in this summer class!) If I miss more than two (2) sessions I will not get a refund nor will I be eligible to finish the class. Therefore, I promise to attend all classes to the best of my ability. I will notify the Purdue Extension Office by June 7, 2022 of any special accommodations I require in order to participate in this program.” (Your Signature)

Vehicle Use. I certify that I comply with all requirements established by the Purdue University Use of Vehicles for University Business policy explained at xxx.xxxxxx.xxx/xxxxxxxx/xxxx_xxxx/Xxxxxxx_Xxx_Xxxx. xxxxx://xxx.xxxxxx.xxx/policies/facilities-safety/iva1.html • Volunteer Service. I agree to contribute at least 40 hours of volunteer service within two years of completing Purdue EMG Basic Training (See note on page 7 of the Purdue EMG Program Policy Guide concerning minimum certification requirements.)Training. I also understand that in order to continue my certification as a Purdue EMG I must contribute at least 12 hours of volunteer service and 6 hours of educational training approved by my EMG county coordinator each subsequent year. I agree to report volunteer activity and educational training hours to the EMG county coordinator at least once per year using a reporting method approved by the EMG county coordinator. • County Coordinator. I understand that the Purdue Extension educator serving as the Master Gardener county coordinator for the county where I volunteer as a Purdue EMG is the coordinator and advisor for the Purdue EMG Program in that county and for my involvement in the program. • Notification of Changes. I will contact the Purdue EMG county coordinator or Purdue EMG state coordinator if changes in my life occur that cause me to be ineligible to serve as a Purdue EMG volunteer. ___ ___ ___ ___ ___ _ _ Applicant’s Signature Applicant’s Printed Name Date xxxxxx.xxx/xxxxxxxxx Find out more at THE EDUCATION STORE xxxxxxxx.xxxxxx.xxx Purdue Extension Office Use Only National Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Indiana Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Verification of Photo ID — Date Completed Purdue Extension Office Staffer Completing Verification October 2021An Equal Access/Equal Opportunity University April 2022 #: / Application for 2023 Xxxxxx County Purdue Extension Master Gardener Program Print Your Name Name for Name Tag (if different than above): Do you know any current Master Gardeners? Who? Do you know anyone else applying this year? Who? Winter Purdue Extension Master Gardener Training location: Xxxxxx County Administration Building, 000 Xxxxxxx Xxx, Xxxxxxxxxx, XX 00000. Dates: February 7, 9, 14, 16, 21, 23, 28 and March 2, 7, 9, 14, 16, 21, and 23. Class time: Twice weekly - Tuesdays & Thursdays 5:30pm to 8:30 pm. Cost: $200 You will be obligated to work a minimum of 40 hours of volunteer service within 2 years. Please keep this in mind as you fill out this application, and please fill out completely. All applications will go through a screening process before being accepted. A government issued photo identification check MUST be completed in order to be considered. The training will cost $200 that is to be paid with your application. You will receive confirmation by the week of January 31, 2023 if your application is accepted. **Application and photo ID check must be received at the Extension Office by 4:30 p.m. on January 19, 2023. If you can’t make it to the Extension Office during normal business hours, you can call to make an appointment. Mailing Address: Xxxxxx County Government Center-Purdue Extension Attn: Winter EMG Training 000 Xxxxxxx Xxx, Xxxxx 000 Xxxxxxxxxx, XX 00000 “I have read this application and pledge myself to the Purdue Extension Master Gardener Program. I know that I am required to attend every class, as the classes are important for the learning process and passing the final exam. I also know I may miss two (2) sessions. If I miss more than two (2) sessions I will not get a refund nor will I be eligible to finish the class. Therefore, I promise to attend all classes to the best of my ability. I will notify the Purdue Extension Office by January 31 of any special accommodations I require in order to participate in this program.”

Vehicle Use. I certify that I comply with all requirements established by the Purdue University Use of Vehicles for University Business policy explained at xxx.xxxxxx.xxx/xxxxxxxx/xxxx_xxxx/Xxxxxxx_Xxx_Xxxx. • Volunteer Service. I agree to contribute at least 40 hours of volunteer service within two years of completing Purdue EMG Basic Training (See note on page 7 of the Purdue EMG Program Policy Guide concerning minimum certification requirements.). I also understand that in order to continue my certification as a Purdue EMG I must contribute at least 12 hours of volunteer service and 6 hours of educational training approved by my EMG county coordinator each subsequent year. I agree to report volunteer activity and educational training hours to the EMG county coordinator at least once per year using a reporting method approved by the EMG county coordinator. • County Coordinator. I understand that the Purdue Extension educator serving as the Master Gardener county coordinator for the county where I volunteer as a Purdue EMG is the coordinator and advisor for the Purdue EMG Program in that county and for my involvement in the program. • Notification of Changes. I will contact the Purdue EMG county coordinator or Purdue EMG state coordinator if changes in my life occur that cause me to be ineligible to serve as a Purdue EMG volunteer. ___ ___ ___ ___ ___ Applicant’s Signature Applicant’s Printed Name Date xxxxxx.xxx/xxxxxxxxx Find out more at THE EDUCATION STORE xxxxxxxx.xxxxxx.xxx Purdue Extension Office Use Only National Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Indiana Sex Offender Registry Check — Date Completed Purdue Extension Office Staffer Completing Check Verification of Photo ID — Date Completed Purdue Extension Office Staffer Completing Verification October 20212019