Candidate Information. Primary Candidate 🞏 Mr. 🞏 Mrs. 🞏 Ms. 🞏 Dr. Preferred Name Other Date of Birth / / Home Address: Number & Street City, State & Zip Home Phone Cell Phone Preferred Email SPOUSE/PARTNER INFORMATION Spouse/Partner 🞏 Mr. 🞏 Mrs. 🞏Ms. 🞏Dr. Preferred Name Other Date of Birth / / Cell Phone Preferred Email DEPENDENTS Yes I/We have dependents as indicated below No I/We do not have dependents residing with us Name(s) Date of Birth Charge Privileges / / 🞏 Son 🞏 Daughter 🞏 Yes 🞏 No / / 🞏 Son 🞏 Daughter 🞏 Yes 🞏 No / / 🞏 Son 🞏 Daughter 🞏 Yes 🞏 No / / 🞏 Son 🞏 Daughter 🞏 Yes 🞏 No MEMBER REFERRAL Member Who Referred me/us is ACCOUNTING OPTIONS Alexandria Golf Club offers three forms of payments for monthly statements. Please review the following information and select the option you wish for your account. Auto Debit – Automatic withdrawal from a checking or savings account on the 15th of each month *Please attach a voided check to this application Cash or Check – due on the 29th of each month Credit Card – Credit Card Payments are accepted in our business office, subject to a 4% processing fee If you have any questions about these options, please contact our Business Office by calling 000.000.0000.
Candidate Information. The Purchasers acknowledge that each of Exxx Xxxx, Mxxxxxx Xxxxxxxx and Txxxxxx Xxxxxxxx shall have provided to the Company information required to be, or customarily disclosed by, directors or director candidates or officers (as applicable) in proxy statements or other filings under applicable law or stock exchange rules or listing standards, information in connection with assessing eligibility, independence, and other criteria applicable to directors, and a fully completed, true and accurate copy of the D&O Questionnaires and other reasonable and customary director onboarding documentation. The Purchasers agree that each of Exxx Xxxx, Mxxxxxx Xxxxxxxx and Txxxxxx Xxxxxxxx shall be required to provide the Company with such information as reasonably requested from all members of the Company’s board as is required to be disclosed under applicable law or stock exchange regulations, in each case as promptly as necessary to enable the timely filing of the Company’s proxy statement and other periodic reports with the SEC.
Candidate Information. Candidate Information shall not be deemed to be confidential or proprietary under this Agreement, and you acknowledge and agree that there is no confidential information belonging to you which will be disclosed to Hewlett Packard Enterprise Company under this Agreement. If you desire to provide confidential information to Hewlett Packard Enterprise Company, you agree that prior to disclosure, you and Hewlett Packard Enterprise Company will enter into a separate fully-executed written agreement governing the disclosure. Other than as expressly stated in this Agreement, any information disclosed by you in connection with the Certification process is agreed to be non-confidential (unless disclosed pursuant to the terms of the separate fully-executed written agreement), and will not be subject to confidentiality or trade secret obligations, and Hewlett Packard Enterprise Company may publish, disclose, or use it for any purpose, except that no license under any patent, trademark, mask work, or copyright is granted. You waive any claim based on oral agreement arising from anything allegedly disclosed by you to Hewlett Packard Enterprise Company during the Certification process, or in connection with such process, which is the subject of this Agreement. Hewlett Packard Enterprise Company and all Hewlett Packard Enterprise Company Agents may collect, save, transmit, transfer, use, deliver ,and otherwise process Candidate Information for analysis, research, certificate fulfillment, marketing, or other purposes deemed necessary or appropriate by Hewlett Packard Enterprise Company in connection with any HPE Certified Professional Program. Candidate Information may be transmitted or otherwise transferred outside of the country or geographic region in which you reside or in which you took any HPE Partner Ready Certification and Learning certification examination. You are aware that data protection regulations in other countries, including, without limitation, the United States of America, may not fully correspond with data protection regulations in your region and may provide less effective protection. Data Privacy For an HPE Certified Professional, the data gathered by HPE may be used for internal HPE purposes. This includes, but is not limited to sharing of your status and exam results with an HPE partner program or partner account manager where certification of candidates is required in order for the partner company to become recognized as an HPE partner program mem...
Candidate Information. Logical Operations (LO) and its agents may gather, store, transmit, use, deliver, and otherwise process candidate information to screen candidates for exam eligibility, verify certification and continuing education status, analyze certification exam validity and effectiveness, and market LO services to candidates and certification holders. Logical Operations may also use candidate information for other reasonable activities deemed appropriate for other LO programs. Such information may be transferred outside of candidate countries of residence and outside of the country in which exam(s) were taken. Candidates should be aware of the fact that data-protection laws and regulations can vary drastically from country to country or region to region. Logical Operations will make available to employers and potential employers particular information related to exam candidates including: the candidate’s name, ID number, certifications held and the date upon which they were granted, continuing education status, certification expiration date, and any other information for verifying LO certification status.
Candidate Information. Candidate’s Full Name: Mailing Address: (Last) (First) (Middle Initial) Physical Address: Phone Number(s): Email Address: III. SUPERVISOR INFORMATION Name of Supervisor: V.I. License #: (Last) (First) Date Initially Licensed: (Middle Initial) Business Address: Phone Number(s): Email Address: Fee for Supervision: General Description of range of services to be provided:
Candidate Information. Primary Candidate Mr. Mrs. Ms. Dr. Preferred Name Other Date of Birth / / Home Address: Number & Street City, State & Zip Home Phone Cell Phone Preferred Email Marital Status Single Married Wedding Anniversary Date / / Driver’s License # State Business Name Type of Business EIN Tax ID # Business Address Number & Street City, State & Zip Business Phone SPOUSE/PARTNER INFORMATION Spouse/Partner Mr. Mrs. Ms. Dr. Preferred Name Other Date of Birth / / Cell Phone Preferred Email Driver’s License # _ State Business Name Type of Business EIN Tax ID # Business Address Number & Street City, State & Zip Business Phone DEPENDENTS Yes I/We have dependents as indicated below No I/We do not have dependents residing with us Name(s) Date of Birth Charge Privileges / / Son Daughter Yes No / / Son Daughter Yes No / / Son Daughter Yes No / / Son Daughter Yes No MEMBER REFERRAL Member Who Referred me/us is *Referring members receive a $200 incentive for Full Access Membership Referrals, $100 incentive for Twilight Membership Referrals and $50 for Business Referrals TERMS AND CONDITIONS
Candidate Information. As a Candidate, you may submit your resume, portfolio projects, and other applicable materials or information, including your name, email address, employment and work history, work experience, educational background and skill set (“Candidate Information”) in order for Employers to evaluate you for an engagement or employment. Please remember that Employers and other Candidates with whom you have connected may search for, see, and use any Candidate Information that you submit to any “public” area of Services. Once you remove certain Candidate Information from the Services, we will cease making that Candidate Information available to Employers, but please note that we do not control how Employers may continue to use any Candidate Information they had access to through the Services prior to such removal.
Candidate Information. 5.1. You grant Edifecs its licensees, successors, and assigns the right to publish and release your name, the state/province and country of residence, and past and present certification status under the Edifecs certification program (collectively “Certification Information”).
Candidate Information. The Investor Group acknowledges that each New Director shall have provided to the Company information required to be, or customarily disclosed by, directors or director candidates in proxy statements or other filings under applicable law or stock exchange rules or listing standards, information in connection with assessing eligibility, independence, and other criteria applicable to directors, and a fully completed, true and accurate copy of the Company’s standard director questionnaire and other reasonable and customary director onboarding documentation. The Investor Group acknowledges that each New Director (and any Replacement of an Investor Group Nominee) shall be required to provide the Company with such information as reasonably requested from all members of the Board as is required to be disclosed under applicable law or stock exchange regulations, in each case as promptly as necessary to enable the timely filing of the Company’s proxy statement and other periodic reports with the U.S. Securities and Exchange Commission (the “SEC”).
Candidate Information. Candidate’s Full Name: (Last) (First) (Middle Initial) Mailing Address: Physical Address: Phone Number(s): Email Address:
