AGREEMENT SECTION. I hereby choose Option as noted on page 1 of this form as compensation for “existing” tree removal as defined in this document and agree to comply with all requirements for said option.
AGREEMENT SECTION. ( All applicants MUST sign below for application to be processed)
AGREEMENT SECTION. 10. The term “October 15, 2003” in the first sentence of Section 10 of the Agreement is hereby deleted and replaced with the term “November 18, 2003.”
AGREEMENT SECTION. 19.5 (Compelled Disclosures) is hereby amended in its entirety and the following is inserted:
AGREEMENT SECTION. I understand to be eligible for the Family Support Program the applicant must be diagnosed with a developmental disability prior to the age of 22 and live in a family member's home. I hereby confirm that the information given at the time of application is true and accurate to the best of my knowledge. This is an agreement between the Individual and his/her family (as defined in the Family Support Policies) and the Provider/Agency regarding Family Support Services. Agreement Start Date: Agreement End Date: Individual’s Date of Birth: Individual’s Social Security Number: Individual’s Address Street Address: Street Address: City, State, Zip: Individual’s Phone Number: Printed Name of Family Member: (Person Applying on behalf of individual) Relationship to Individual: Family Member’s Address Street Address: Check if Same as Individual Street Address: City, State, Zip: Family Member’s Phone Number: Check if Same as Individual PROVIDER INFORMATION Provider/ Agency Name: Provider/Agency Address Street Address: Street Address: City, State, Zip: Provider/Agency Phone Number: Provider/Agency Fax Number: P.O. Box 1040 Springfield, Ga. 31329 000-000-0000 Initials I, as the Individual/Applicant attest and agree with the following statements: Attests that the Individual is residing in the family home within the community or the Family Support funds are to be used to prepare the home and the family for the return of the Individual (i.e., member with the developmental disability) from alternate care placement. Understands and acknowledges that Family Support Services are neither an entitlement nor a grant, and are provided as services to assist in maintaining a cohesive family unit and to assist the Individual to live at home in the community. Understands that a determination of eligibility for Family Support Funding does not guarantee receipt of and funding for such services/goods. Understand that a determination of eligibility for Family Support Services is not a determination of eligibility for other DBHDD Services, including, but not limited to, State Funded Services and the NOW, and COMP Waivers. Understand and acknowledge that Family Support Services are provided only in the event that comparable services are not available and/or cannot be funded through other programs (including, but not limited to Medicaid, Medicare, charitable organizations, etc.). Attests that the Individual and his/her family will seek other funding resources for similar or related Services/goo...
AGREEMENT SECTION. Section 310 (a) (1) 4.9 (a) (2) 4.9
AGREEMENT SECTION. This Agreement constitutes the entire agreement of the parties with respect to its subject matter, and the parties have entered into agreements with respect to all agreements, representations or warranties with respect to the subject matter of this Agreement that are not specified herein. This Agreement supersedes and supersedes all prior discussions and agreements that the parties have made regarding this matter. No amendment, waiver or adaptation of this Agreement shall be payable unless made in writing and signed by each party. If any provision of this agreement is certain, whether now or otherwise by law. 11. Manor parts; faxes. This Agreement may be executed in copies, each of which may be prepared and delivered by electronic facsimile or in Pravabal (.pdf) format as if it were a document signed in ink, each of which shall be effective and binding on the parties from the date specified above. Each such copy is considered to be an original and, when coexisting with other signed copies, constitutes one and the same contract.
AGREEMENT SECTION. This Agreement entered into this September 1, 2017 by and between the Northern Michigan Education Association, a voluntary organization hereinafter called the "Association", and the Michigan Education Association, hereinafter called the "MEA", affiliates of the National Education Association, hereinafter called the "NEA", and the Vanderbilt Area School, Vanderbilt, Michigan, hereinafter called the "Board". The signatories shall be the sole parties to this Agreement. NORTHERN MICHIGAN EDUCATION VANDERBILT ASSOCIATION BOARD OF EDUCATION By By NMEA Chairperson President By By NMEA Staff Coordinator Vice-President By By Chief Spokesperson Secretary By By P. N. Committee Member Treasurer By By P. N. Committee Member Trustee By Trustee By Trustee By Superintendent Dated:
