APPLICANT AGREEMENT. I understand that if any assistance is needed in setting up equipment or involves computer-related equipment, I will make arrangements with the Adult Services Department at least 48 hours prior to the meeting time. I understand that I will be responsible for and must make good any damage to the library's equipment while it is in my use. I further understand that use of video-projection equip- ment must cease at least 30 minutes before the library closes to allow for shutdown procedures.
APPLICANT AGREEMENT. The agent has explained the details of the coverage(s)/benefits and I, the undersigned, acknowledge reading the entire application, including the Claims Funding Agreement and Administrative Services Agreement. The answers I have provided are true and complete. I understand that the terms and conditions herein binds the applicant only when the applicant receives written approval. Full Legal Business Name Signature Name Dated on / /
APPLICANT AGREEMENT. The agent has explained the details of the coverage(s)/benefits and I, the undersigned, acknowledge reading the entire application, including the Claims Funding Agreement and Administrative Services Agreement. The answers I have provided are true and complete. I understand that the terms and conditions herein binds the applicant only when the applicant receives written approval. The Secure Plans are level-funded plans designed to set your company's maximum financial responsibility. however, you may be subject to financial responsibility greater than your final quoted rates under some circumstances. For example, errors by the administrator or by you may result in additional financial exposure. To minimize such exposure, the administrator and employer must manage this plan in accordance with the standard plan documents. The excess-loss carrier has the right to audit claim and eligibility information prior to funding claims filed under the stop-loss policy. Full Legal Business Name: Signature: Name: Dated on / /
APPLICANT AGREEMENT. The agent has explained the details of the coverage(s)/benefits and I, the undersigned, acknowledge reading the entire application, including the Claims Funding Agreement and Administrative Services Agreement. The answers I have provided are true and complete. I understand that the terms and conditions herein binds the applicant only when the applicant receives written approval. The Secure Plans are level-funded plans designed to set your company's maximum financial responsibility. however, you may be subject to financial responsibility greater than your final quoted rates under some circumstances. For example, errors by the administrator or by you may result in additional financial exposure. To minimize such exposure, the administrator and employer must manage this plan in accordance with the standard plan documents. The excess-loss carrier has the right to audit claim and eligibility information prior to funding claims filed under the stop-loss policy. Full Legal Business Name: Signature: Name: Dated on / / Benefits are not effective until you receive written approval from the program underwriter or administrator. Do not cancel coverage until you receive written notice of approval. Applications will not be underwritten until all required information is submitted. The deposit amount will be returned to you if the Application is denied.
APPLICANT AGREEMENT. I understand that if any assistance is needed in setting up equipment or involves computer-related equipment, I will make arrangements with the AV Department at least 48 hours prior to the meet- ing time. I understand that I will be responsible for and must make good any damage to the library's
APPLICANT AGREEMENT. The applicant agrees to abide by the following requirements by initialing each requirement. There are limited exceptions to these requirements. Applicant Initials Applicant Agrees to the Following Requirements
APPLICANT AGREEMENT. I have read the event description and am able to participate in full, if selected. Parent notification and agreement: I have read the Camp Exec application and description. To the best of my knowledge, my daughter (above) has a clear understanding of the event she has applied for, and, if selected, has my permission to participate. Should my daughter be accepted, I grant Girl Scouts San Diego permission to share the email addresses on this form with other Camp Exec Girl Scouts and executive mentor participants. Any photographs or films taken in which the registered girl appears may be used for promotion or as deemed appropriate by the Girl Scout council, free of any claims on my part. 2018 Camp Exec Application Applicant information Racial/ethnic background (optional): To help us monitor and promote the participation of girls from various backgrounds, you can choose to provide the following information. This information is for data purposes exclusively and will have no influence on the selection process. Parent/guardian information High School and principal info: Extracurricular activities: Please share information regarding your volunteer, extracurricular and/or community service activities (attach additional sheet if necessary). Please include the name of your activity, duration of involvement, hours per week and a description of the activity including positions and honors, if relevant. (500 characters) Optional: Attach your resume or additional sheet of extracurriculars here. Short answer (25 words or less): One of the purposes of this weekend is to connect Girl Scouts with mentors dedicated to supporting their success. Spend a little time thinking about what role you imagine, hope, or expect a mentor could play in your life, and share your thoughts with us. Your bio (third person, 4-6 sentences, between 150-200 words): Express your personal brand by writing a short paragraph about yourself, keeping in mind that you are not limited to your educational or professional pursuits. Rather, your whole, multifaceted self makes you a valuable contributor in your many environments, like Camp Exec. Dream Your Future (about 500 words): What are your educational and career goals? What do you hope to gain from attending Camp Exec, and how do you anticipate this experience will help you reach those goals?
APPLICANT AGREEMENT. The applicant agrees that during the instruction periods, they will refrain from conducting activities associated with their current position, including but not limited to conference calls and work deliverables. Additionally, the applicant agrees that missed instruction days and lab work shall be completed on their own time so the applicant does not fall behind the others in their cohort. Lastly, if applicant while in class fails to complete the required work assigned in the duration allotted, they agree to complete such work during their personal hours.
APPLICANT AGREEMENT. AIR CONDITIONING INSTALLATION
APPLICANT AGREEMENT. I have reviewed the information contained in the eMajor SME Memorandum of Understanding document. Should I be selected to cooperate in the development or revision of an eMajor course, I agree to accept these terms and criteria and to furnish a signed copy of this document to the eMajor Administration. Development of Term(s) of Agreement (i.e. Spring 2017 etc.) Print name of SME Institution of SME Signature of SME Date
