TERMINATION OF AFFILIATION AGREEMENT. This affiliation agreement is in force until further notice and supersedes any previous or affiliation agreement. It may be terminated in writing at any time by mutual consent with due consideration of patient care and educational commitments, or by written notice by either party 6 months in advance of the next training experience. SCHOOL OF DENTISTRY AND AFFILIATED INSTITUTIONS SIGNATURE PAGE Requires signature of Designated Institutional Official (DIO) for each affiliated participating institution listed on page one Signature of DIO for the Affiliated Participating Institution #1 Signature of DIO for the Affiliated Participating Institution #2 ◗ ◗ Date of Signature Date of Signature ◗ ◗ Typed Name of Individual Signing Above Typed Name of Individual Signing Above ◗ ◗ Typed Title of Individual Signing Above Typed Title of Individual Signing Above ◗ ◗ Typed Name of Affiliated Participating Institution Typed Name of Affiliated Participating Institution Signature of Designated Legal Signer for the Affiliated Participating Institution #1 Signature of Designated Legal Signer for the Affiliated Participating Institution #2 ◗ ◗ Date of Signature Date of Signature ◗ ◗ Typed Name of Individual Signing Above Typed Name of Individual Signing Above ◗ ◗ Typed Title of Individual Signing Above Typed Title of Individual Signing Above ◗ ◗ Typed Name of Affiliated Participating Institution Typed Name of Affiliated Participating Institution Signature of Xxxx or Equivalent Responsible Official for the School of Dentistry ◗ Date of Signature ◗ Typed Name of Individual Signing Above ◗ Typed Title of Individual Signing Above DEPARTMENT OF VETERANS AFFAIRS SIGNATURE PAGE Signature of Responsible VA Official for Educational Program Signature of VA Designated Education Official ◗ ◗ Date of Signature Date of Signature ◗ ◗ Typed Name of Individual Signing Above Typed Name of Individual Signing Above ◗ ◗ Typed Title of Individual Signing Above Typed Title of Individual Signing Above Signature of Director or Equivalent Responsible Official for the VA Healthcare Facility Signature of VISN Director or Designee for Department of Veterans Affairs ◗ ◗ Date of Signature Date of Signature ◗ ◗ Typed Name of Individual Signing Above Typed Name of Individual Signing Above ◗ ◗
TERMINATION OF AFFILIATION AGREEMENT. The termination of the Affiliation Agreement, for whatever reason.
TERMINATION OF AFFILIATION AGREEMENT. The QRL and/or the relevant Divisions may, in its absolute discretion, determine to terminate this Affiliation Agreement where any or all of the circumstances set out above continue to apply for a period of not more than three months. In such circumstances the QRL shall notify the Club in writing of its decision to terminate.
TERMINATION OF AFFILIATION AGREEMENT. This affiliation agreement is in force until [insert a date that is no more than ten years in the future.] It is the expectation that both parties monitor this termination date and if desirable seek to renew it in a timely fashion to avoid any lapse in the agreement. It may be terminated in writing at any time by mutual consent with due consideration of patient care and educational commitments, or by written notice by either party 6 months in advance of the next training experience. SIGNATURE PAGE
TERMINATION OF AFFILIATION AGREEMENT. In the event Corporation and CMEF terminate the Affiliation Agreement for the Residency Training Program, this Agreement will terminate at the option of Corporation.
TERMINATION OF AFFILIATION AGREEMENT. This affiliation agreement is in force until [insert a date that is not to exceed ten years in the future and that allows for completion of the last training cycle during that period] and supersedes any previous affiliation agreement. It may be terminated in writing at any time by mutual consent with due consideration of patient care and educational commitments, or by written notice by either party 6 months in advance of the next training experience. SCHOOL OF DENTISTRY AND AFFILIATED INSTITUTIONS SIGNATURE PAGE Requires signature of Designated Educational Signer for each affiliated institution listed on page one Signature Designated Educational Signer for the Affiliated Participating Institution #1 Signature Designated Educational Signer for the Affiliated Participating Institution #2 Date of Signature Date of Signature Typed Name of Individual Signing Above Typed Name of Individual Signing Above Typed Title of Individual Signing Above Typed Title of Individual Signing Above Typed Name of Affiliated Participating Institution Typed Name of Affiliated Participating Institution
TERMINATION OF AFFILIATION AGREEMENT. If the Affiliation Agreement terminates in accordance with the terms and conditions thereof, then Licensor may, in its sole discretion, provide written notice of termination of this Agreement sent by overnight courier or facsimile. The provisions of Paragraph IV E below shall govern Licensee's transition away from the Licensed Marks.
TERMINATION OF AFFILIATION AGREEMENT. If the Affiliation Agreement terminates pursuant to Paragraph 9 thereof, then WMC may, in its sole discretion, provide written notice of termination of this Trademark Sublicense Agreement sent by overnight courier or facsimile. The provisions of Paragraph IV E below shall govern Sublicensee's transition away from the Licensed Marks.
TERMINATION OF AFFILIATION AGREEMENT. This affiliation agreement is in force until further notice and supersedes any previous affiliation agreement. It may be terminated in writing at any time by mutual consent with due consideration of patient care and educational commitments, or by written notice by either party 6 months in advance of the next training experience. SIGNATURE PAGE Signature of Responsible Official for Non-VA Healthcare Facility or Agency ⏵ Date of Signature ⏵ Typed Name of Individual Signing Above ⏵ Typed Title of Individual Signing Above Signature of VA Healthcare Facility Discipline Leader Signature of VA Designated Education Official ⏵ ⏵ Date of Signature Date of Signature ⏵ ⏵ Typed Name of Individual Signing Above Typed Name of Individual Signing Above ⏵ ⏵ Typed Title of Individual Signing Above Typed Title of Individual Signing Above Signature of Director or Equivalent Responsible Official for VA Healthcare Facility Signature of VISN Director or Designee for Department of Veterans Affairs ⏵ ⏵ Date of Signature Date of Signature ⏵ ⏵ Typed Name of Individual Signing Above Typed Name of Individual Signing Above ⏵ ⏵
TERMINATION OF AFFILIATION AGREEMENT. This affiliation agreement is in force until further notice and supersedes any previous affiliation agreement. It may be terminated in writing at any time by mutual consent with due consideration of patient care and educational commitments, or by written notice by either party 6 months in advance of the next training experience. ASSOCIATED HEALTH SIGNATURE PAGE Signature of Xxxx or Equivalent Responsible Official for the Educational Institution or Program Date of Signature Xxxxxxx Xxxxxxx Typed Name of Individual Signing Above Vice Chancellor, Business Services Typed Title of Individual Signing Above Signature of Responsible VA Official for Educational Program Signature of VA Designated Education Official Date of Signature Date of Signature Xxxxxxxx Xxxxxxxxxx, MS, RN Xxxx Xxxxxxx, MD Typed Name of Individual Signing Above Typed Name of Individual Signing Above Associate Chief for Nursing Service, Education Associate Chief of Staff for Education Typed Title of Individual Signing Above Typed Title of Individual Signing Above N/A Signature of Director or Equivalent Responsible Official for VA Healthcare Facility Signature of VISN Director or Designee for Department of Veterans Affairs Date of Signature Date of Signature Xxxxxxxxx Xxxxx Xxxxxxx Typed Name of Individual Signing Above Typed Name of Individual Signing Above Director, VA Palo Alto Health Care System
