Applicant Signature. Date: Applicant Signature: Date: Applicant Signature: Date: Applicant Signature: Date:
Applicant Signature. Date: Typed Name: As supervisor, I hereby certify I have reviewed this request and agree that the individual requires such access to perform the essential responsibilities of his/her position. Furthermore, I agree to notify Human Resources, Information Technology Services, and other appropriate university departments when the individual is separated from employment in the department for which I am supervisor. Supervisor’s Signature: Date: Typed Name: Please obtain all required signatures as indicated below. Print/Sign/Scan/Email to yourself & forward to or Save/Sign/Email->send your completed form to XxxxxxXxxxxxxx@xxxxxxxxx.xxx. **NOTE Student Workers assigned classes (or forms) marked with **, or that will be working with SSN, banking, credit card or Driver License data (electronic/paper), MUST also complete the Student Worker Elevated Access Authorization form. ACCOUNTS PAYABLE INVOICE TOLERANCE: % TOLERANCE AMOUNT: INVOICE OVERRIDE: YES NO INVOICE TYPE (CHECK ONE): NO INVOICES ENCUMBRANCES ONLY ALL INVOICES DIRECT PAY ONLY RECEIVING RECEIVING TOLERANCE: % X RECEIVING OVERRIDE: YES NO HUMAN RESOURCES/PAYROLL PAYROLL_EMPLOYEE_UPDATE Note: This crossover section requires both signatures in “Requred…” section below. FINANCE FINANCE_Q FINANCE_CASHIER (for ARSYS/Bursar office cashiers) Accounting ACCTG_STAFF ACCTG_COAS_UPDATE ACCTG_PAYROLL_FEED FINANCE continued Accounts Payable AP_STAFF AP_ACH AP_CHECK AP_SUPER AP_LIBRARY AP_1099 Budget BUDGET_ANALYST BUDGET_INQUIRY BUDGET_NSF REQUIRED SECURITY ADMINISTRATOR SIGNATURES Signature(s) required for each area(s) in which access is being requested. Director of Enterprise Applications Xxxxxxxx Xxxxxxxxx may sign in the absence of a security administrator. HR - Director of Human Resources Date: Finance – Xxxxxxx Xxxxx, University Controller Date: Fixed Assets FIXEDASSETTS_Q FIXEDASSETTS_UPDATE FINANCE continued Receiving RECEIVING_STAFF Purchasing PURCH_STAFF VENDOR_UPDATE Security SECURITY_ADMIN PII Data Access (Business Profile) DRIVER LICENSE #: VIEW SSN: VIEW VIEW_MASKED WebFocus Reporting Reporting Specific Forms M=Maintenance Q=Query Form M Q ITS OFFICE USE ONLY: DBA: Username: Date Created:
Applicant Signature. Date: Date: Date: If there are more than two property owners, additional copies of this page shall be provided. IMPORTANT: This page must be signed by all property owners and any authorized applicant. IMPORTANT: Please note that if the property owner/s is/are authorizing someone other than themselves to act as the applicant or agent, the next page must also be signed. IMPORTANT: Failure to have all necessary signatures will DELAY the commencement of processing the application. The application will be returned to the applicant to provide all necessary signatures. This page to be signed IF the property owner(s) is (are) authorizing someone to act as an agent or applicant for this application. Affidavit
Examples of Applicant Signature in a sentence
Applicant Signature Date Applicant Signature Date Applicant Signature Date Applicant Signature Date Guarantor Signature Date Xxxxx Management 000 Xxxx Xxxx Xxxxxx P.O. Box 1000 Mankato, MN 00000-0000 Phone: (000) 000-0000 Toll Free: (000) 000-0000 Fax: (000) 000-0000 xxxxxxxxxxxxxxx.xxx Thank you for your interest in applying to live at a Xxxxx Management property.
More Definitions of Applicant Signature
Applicant Signature. Date: For Office Use Only
Applicant Signature. DATE: APPLICANT SIGNATURE: DATE: Name: Apartment Type Desired 1st Choice: 2nd Choice: Move-In Date Desired: Term: 1 Year 2 Year (circle one) Optional Valet Trash ($30/Month): Yes No (circle one)
Applicant Signature. Date: Church Representative Signature: Date: FOR OFFICE USE ONLY Total cost of rental: $ Approved by : Deposit paid $ Date: Received by: Balance: $ Due date: Received by: Security Deposit Paid $ Deposit Returned 🞏 Key(s) Required: Main Door 🞏 Fob Returned 🞏 Comments APPLEWOOD UNITED CHURCH - RENTAL RULES All use of church facilities must be reserved in advance through the Office Administrator and is subject to prior bookings. All Applewood congregational events take priority, and the church reserves the right to cancel a rental agreement or reschedule a previously-booked event. Should a scheduling conflict arise, Applewood United Church will strive to give all parties as much advanced notice as possible. The Church cannot be held responsible for the consequences of contracting communicable diseases, power outages, floods and acts of God.
Applicant Signature. Date School representative: Date: GNPEC Student Disclosure Form Name of School: Modern Dental Career Center Address of School:0000 Xxxxxx Xxx Xxx. B, Lawrencevillle, GA 30043
Applicant Signature. Date: FEES: For completion by One Window Staff: Fees submitted: Received by: Date: Fees are as per City of Kelowna Development Application Fee Bylaw No. 10560 (xxxxxxx.xx/xxxxxx). Acceptance of fees does not imply or guarantee application approval. Community Planning 0000 Xxxxx Xxxxxx Xxxxxxx, XX X0X 0X0 000-000-0000 xxxxxxx.xx Development Services 0000 Xxxxx Xxxxxx Xxxxxxx, XX X0X 0X0 000-000-0000 24-hour Inspection Line: 000-000-0000 Owner’s Authorization Form Application Number PROPERTYINFORMATION Municipal Address(es): Legal Description(s): Project Description: Registered Owner Name(s): Address: City: Province: Postal Code Telephone: E-mail Address: Please be advised that I/we, the registered owner(s) of the above mentioned property(ies), (select one) □ will apply for all applications related to the above mentioned project. □ authorize the following agent to apply for all applications related to the above mentioned project on my/our behalf: □ authorize the following agent access to property information related to the above address on my/our behalf Agent Name: Agent Company: Mailing Address: City: Prov: Postal Code: Telephone: Cell: Email Address: I/We agree to immediately notify the City of Kelowna, in writing, of any changes regarding this information. Owner’s Name(s) (printed): Owner’s Signature(s): Date: Completed form can be emailed to xxxxxxxxxxxxxxxxxxxxxxx@xxxxxxx.xx Revised: March 29, 2017 Standard Application Checklist Zoning Bylaw No. 12375 & 2040 OCP The following requirement list outlines all the information necessary to evaluate and provide a timely recommendation on your application. This checklist applies to the following applications: ⮚ Official Community Plan Amendment ⮚ Rezoning Application ⮚ Heritage Revitalization Agreement ⮚ Heritage Alteration Permit ⮚ Text Amendment ⮚ Development Variance Permit ⮚ Other ⮚ Development Permit (major/minor) o Residential & Mixed-Use o Commercial o Industrial o Institutional o Natural Environment o Hazardous Condition
Applicant Signature. Date: School representative: Date: Expanded Duties Affidavit This form must be completed and signed by your current employer, the registrar of the school you attend or the school you graduated from. is an applicant registering for an expanded duty class at the Modern Dental Career Center. In accordance with the Georgia Board of Dentistry I attest that the applicant meets at least one or more of the following below. (Check all that apply) Possesses current certification that the candidate is a Certified Dental Assistant (CDA) Be a graduate of a one (1) year accredited dental assisting program or a dental assisting program approved by the board or be eligible for graduation. Have been employed as a chair side assistant by a licensed dentist for a continuous six (6) month period within the previous three (3) years. In signing this form, I attest that the information provided is accurate and can be verified through our records. or Registrar Name Employer (Licensed Dentist) Name Phone Phone Name of School & Address Name of Dental Office & Address Date Date Photo/Video Release I hereby grant Modern Dental Career Center permission to use this photo in all of its publications, including Facebook, website entries, without payment or any other considerations. I waive the right to royalties or to other compensation arising or related to use of the photograph. I hereby hold harmless and release and forever discharge the Modern Dental Career Center from all claims, demands, and causes of action witch I, my heirs, representative, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have any reason of this authorization. I am over 18 years of age and competent to contract in my own name. I have read this release before signing below and fully understand the contents, meaning and impact of this release. Student Signature Student Printed Name Date If the person signing is under the age of 18, there must be consent by parent and guardian, as follows: I hereby certify that I am the parent or the guardian of Name above and do hereby give consent without reservation of foregoing on behalf of this person. Parent/Guardian Signature