Consent Form. Student agrees to sign the consent agreement attached as Attachment C.
Consent Form. All applicants for employment who refuse to sign consent forms when requested will not be considered for employment. Current teachers who are requested to be tested will sign a consent form.
Consent Form. Any Employee directed to submit to a test in accordance with this Policy will sign a consent and release form, a copy of which is attached hereto (Form "A"). The consent and release form will only authorize (1) the facility where the specimen is collected to collect the specimen, (2) the laboratory which performs the test to perform the test and to provide the results to the MRO, and, if negative, to the Individual Employer, and (3) the MRO to verify tests and report to the Individual Employer whether the test is positive or negative. The consent and release form shall notify the Employee that he/she may have a Union representative present if available. The Employee may be disciplined if he/she refuses to sign the authorization if the Individual Employer has advised the Employee (1) he/she must sign it or he/she will be disciplined up to and including termination, (2) the release is limited as provided herein, (3) the Employee has a right to consult with a Union representative before signing the release and before submitting to the test. An Employee who believes the Individual Employer is improperly directing him/her to submit to a test may file a grievance under the Master Agreement. The test results will be disregarded if the Board of Adjustment or Arbitrator determines the Individual Employer was not authorized by this Policy to direct the Employee to submit to the test.
Consent Form. I understand and agree that: • The Greater London Authority (GLA) may use my image, film, video, sound recording, transcripts and any documented record for any internal/external promotional purposes and /or publications (printed, electronic media and electronic formats, including internal and external websites as well as social media sites). • The GLA may share my image, film, video, sound recording, transcripts and any documented records for promotional purposes and publications only, with other partner agencies inclusive of GLA Group members and the Department for Work and Pensions who are acting as the Managing Authority for the ESF. • The GLA does not accept any responsibility if I am recognized from my images, film, video, sound recordings, transcripts or in any documented record, by any members of the public. • The GLA will use all the above-mentioned materials wholly or in part and that these may be altered or revised as deemed necessary. I am aware that: • I can withdraw my consent to the GLA using my case study at any time by writing to the GLA Skills and Employment Team. If I do so, I understand it may not be possible to withdraw material that has already been produced and published, however the GLA will ensure that no further material will be produced. Declaration * Please tick as appropriate □ *I DO give my consent for the Department for Work and Pensions to use the materials outlined above for publicity purposes AND I have signed the DWP Consent Form □ *I DO give my consent for the GLA to use the materials outlined above for promotional purposes and publication. □ *I DO NOT give my consent for the GLA to use the materials outlined above for promotional purposes and publication (note that if you do not give your consent, the materials will still be shared with the GLA and other organisations in accordance with the GLA data protection statement on your Enrolment or Engagement Form, but they will not be used for promotional purposes or publication). Participant Name: Participant Signature: Date: Project Officer Name (x.x Xxxxx/Trainer/Mentor): Project Officer Signature: Date: By signing this form, you confirm that the information provided is true and can be publicised. Consent form V2 (February 2017) DWP project: Name: Telephone: Email: Employer’s name (if applicable): I understand and agree: DWP may use my image, film, video, sound recordings, transcripts, and any documented record for any internal/external promotional purposes and/or publicatio...
Consent Form. Sponsor shall prepare the patient informed consent form for each Study (it being understood that the portion of the informed consent form relating to the Regeneron Product will be provided by Regeneron). Sponsor shall ensure that any such patient informed consent form complies with GCP requirements and Applicable Laws.
Consent Form. Any Employee directed to submit to a test in accordance with this Policy will sign a consent and release form, a copy of which is attached hereto (Form "A"). The consent and release form will only authorize (1) the facility where the specimen is collected to collect the specimen, (2) the laboratory which performs the test to perform the test and to provide the results to the MRO, and, if negative, to the Individual Employer, and (3) the MRO to verify tests and report to the Individual Employer whether the test is positive or negative and (4) the presence of a Job Xxxxxxx if available and requested. The consent and release form shall notify the Employee that he/she may have a Union representative present if available. The Employee may be disciplined if he/she refuses to sign the authorization if the Individual Employer has advised the Employee (1) he/she must sign it or he/she will be disciplined up to and including termination, (2) the release is limited as provided herein, (3) the Employee has a right to consult with a Union representative before signing the release and before submitting to the test. An Employee who believes the Individual Employer is improperly directing him/her to submit to a test may file a grievance under the Master Agreement. The test results will be disregarded if the Board of Adjustment or Arbitrator determines the Individual Employer was not authorized by this Policy to direct the Employee to submit to the test. Substances to be Tested For. A specimen may be tested for alcohol, cannabinoids (THC), barbiturates, opiates, cocaine, phencyclidines (PCP), amphetamines, and methaqualone or the by-products of these substances. A specimen shall not be tested for anything else. If DOT revises its list of substances for which it requires employers to test, this Section will be revised to include those substances. The laboratory will report positive test results to the MRO. The MRO will verify whether the test is positive or negative. The MRO shall report to the Individual Employer whether the Employee tested positive or negative for one of these substances. The MRO will not identify the substance(s) for which the Employee tested positive unless specifically required to do so by DOT regulations. Urine, Blood, or Breath Test. The Individual Employer may direct the Employee to submit to a urine test or at the Employee's request, a blood test for alcohol and/or other drugs, or a breath test for alcohol. An Employee who is unable to provide a ur...
Consent Form. Each student who participates in extracurricular activities, including driving a vehicle on school property, must sign and return the mandatory consent form prior to participation in any extracurricular activity or operating a motor vehicle on school property. Failure to comply will result in non-participation. Each extracurricular participant shall be provided with a consent form, a copy of which is attached hereto, which shall be dated and signed by the participant and by the parent/guardian. In doing so, the student is agreeing to participate in the random drug testing program at East Central High School.
Consent Form. AGENCY shall keep all copies of the signed Consent form for a period of seven (7) years after the Client signed the consent form. Such forms shall be available for inspection and copying by HMIS and/or the U.S. Department of Housing and Urban Development, at any time.
Consent Form. Any Employee directed to submit to a test in accordance with this Policy will sign a consent and release form, a copy of which is attached hereto (Form "A"). The consent and release form will only authorize (1) the facility where the specimen is collected to collect the specimen, (2) the laboratory which performs the test to perform the test and to provide the results to the MRO, and, if negative, to the Individual Employer, and (3) the MRO to verify tests and report to the Individual Employer whether the test is positive or negative. The consent and release form shall notify the Employee that he/she may have a Union representative present if available. The Employee may be disciplined if he/she refuses to sign the authorization if the Individual Employer has advised the Employee (1) he/she must sign it or he/she will be disciplined up to and including termination,
Consent Form. If an employee or applicant fails to cooperate by not signing the consent form, or refusing to undergo testing in a timely manner, this will be considered grounds for refusal to hire or for termination. • If an employee or applicant submits a urine sample that is not their own, or is diluted in any way, this will also be considered grounds for refusal to hire or for termination. initial
