HISPANIC ENROLLMENT REPORT Sample Clauses

HISPANIC ENROLLMENT REPORT. Number of Hispanics or Latinos Enrolled to Date (Cumulative) Racial Categories Females Males Unknown or Not Reported Total American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White More Than One Race Unknown or not reported Racial Categories: Total of Hispanics or Latinos** *These totals must agree **These totals must agree ATTACHMENT 6
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HISPANIC ENROLLMENT REPORT. Number of Hispanics or Latinos Enrolled to Date (Cumulative) Racial Categories Females Males Unknown or Not Reported Total American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White More Than One Race Unknown or not reported Racial Categories: Total of Hispanics or Latinos** *These totals must agree **These totals must agree Confidential Portions of this Exhibit marked as [***] have been omitted pursuant to a request for confidential treatment and have been filed separately with the Securities and Exchange Commission. Confidential Treatment Requested by Mediwound Ltd. Attachment 7 - Research Patient Care Costs Research Patient Care Costs
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HISPANIC ENROLLMENT REPORT. Number of Hispanics or Latinos Enrolled to Date (Cumulative) Females Males Unknown or Not Reported Total Racial Categories American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White More Than One Race Unknown or not reported Racial Categories: Total of Hispanics or Latinos** *These totals must agree **These totals must agree Inclusion Enrollment Report ATTACHMENT 3 5/2001 (Modified OAMP: 10/2001) Contract No. N01-AI-30052 ANNUAL TECHNICAL PROGRESS REPORT FORMAT Study Title: Date: Provide the number of subject enrolled in the study to date according to the following categories: American Indian or Alaskan Native Asian or Pacific Islander Black, not of Hispanic Origin Hispanic White, not of Hispanic Origin Other or Unknown Total Female Male Unknown TOTAL Subpopulations of the minority groups should also be reported, using a similar format. Annual Technical Progress Report Format ATTACHMENT 4 July, 1994 Contract No. N01-AI-30052 HHSAR 352.223-70 SAFETY AND HEALTH (JANUARY 2001)
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HISPANIC ENROLLMENT REPORT. Number of Hispanics or Latinos Enrolled to Date (Cumulative) Racial Categories Females Males Unknown or Not Reported Total --------------- ------- ----- ----------------------- ----- American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White More Than One Race Unknown or not reported Racial Categories: Total of Hispanics or Latinos** * These totals must agree ** These totals must agree APPENDIX A - PRIME XXXXXXXX XXXXXXXXX XXXX XXXXXXXXX XX. 00000 -01-01 ANNUAL TECHNICAL PROGRESS REPORT FORMAT FOR EACH STUDY Study Title: ________________________ Date: _______________________________ Provide the number of subject enrolled in the study to date according to the following categories:
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HISPANIC ENROLLMENT REPORT. Number of Hispanics or Latinos Enrolled to Date (Cumlative) Racial Categories Females Males Unknown or Not Reported Total American Indian/Alaska Native Asian Native Hawaiian or Other Pacific Islander Black or African American White More than one race Unknown or not reported Racial Categories: Total of Hispanics or Latinos** * These totals must agree ** These totals must agree Inclusion Enrollment Report 5/2001 (Modified OAMP: October, 2001) ATTACHMENT 3 Contract No. HHSN266200400071C ADB Contract No. N01-AI-40071 SAMPLE INVOICE/FINANCING REQUEST AND CONTRACT FINANCIAL REPORT
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Related to HISPANIC ENROLLMENT REPORT

  • Enrollment Each User is required to complete an Electronic Enrollment Form, which is available at a URL designated by DST (at the date of this Agreement - xxx.xxxxxxxxx.xxx). Users enrolling for access may complete the enrollment process by providing DST with information called for in the Electronic Enrollment Form about their practice and the Financial Products they wish to access.

  • INSTRUCTIONS FOR COMPLETING REPAYMENT ELECTION FORM AND EXERCISING REPAYMENT OPTION Capitalized terms used and not defined herein have the meanings defined in the accompanying Repayment Election Form.

  • Change in Form or Timing of Distributions All changes in the form or timing of distributions hereunder must comply with the following requirements. The changes:

  • Director Notification Information If you are a director of a Singapore Subsidiary, you may need to notify the Singapore Subsidiary in writing within two business days of your receiving an interest (e.g., Performance Units) in the Company or any Subsidiary or within two business days of you becoming a director if such an interest exists at the time. This notification requirement also applies to an associate director of the Singapore Subsidiary and to a shadow director of the Singapore Subsidiary (i.e., an individual who is not on the board of directors of the Singapore Subsidiary but who has sufficient control so that the board of directors of the Singapore Subsidiary acts in accordance with the “directions and instructions” of the individual). US/INTERNATIONAL EMPLOYEE (EXHIBIT B) SOUTH AFRICA KBR, INC. 2006 STOCK AND INCENTIVE PLAN

  • Notification to New Employer In the event that I leave the employ of the Company, I hereby grant consent to notification by the Company to my new employer about my rights and obligations under this Agreement.

  • Wire Transfer Eligibility Section 11.24

  • Committee Certification As soon as reasonably practical following the end of the Performance Period, the Committee shall review the results for the Performance Period and certify those results in writing to the Board. No Performance Units or DERs shall be paid prior to the Committee’s certification. However, Committee certification shall not apply in the event of a Change of Control.

  • Election Form The Consideration shall be payable in accordance with the election made by Contributor in the Consideration Election Form (“Election Form”) accompanying the PPM, the results of which election are set forth on Exhibit A hereto. If, pursuant to the Election Form, Contributor (A) elected all or part of Contributor’s consideration payable hereunder to be in the form of units of limited partnership interests of the Operating Partnership (“OP Units”) and (B) submitted to the Operating Partnership (x) an executed Investor Questionnaire representing and warranting to the Operating Partnership that Contributor is an “accredited investor” as defined in the Investor Questionnaire and (y) any other documentation required by the Operating Partnership, including, but not limited to, a signature page to the Partnership Agreement (as hereinafter defined), Contributor shall receive OP Units in an amount determined in the manner described on Exhibit A hereto. The portion of the Consideration, if any, payable in cash is set forth on Exhibit A. Contributor agrees that the cash payment shall be made and the OP Units shall be registered in the name of the persons or entities set forth on the Election Form. OP Units will only be delivered to Contributor if Contributor has represented to the Operating Partnership that Contributor is an “accredited investor”. No fractional OP Units will be issued and OP Units will be rounded to the nearest whole number. The Consideration payable to Contributor, whether in cash, in OP Units or a combination thereof, may be reduced by the amount the Operating Partnership reasonably determines must be withheld for tax purposes. The rights and obligations of holders of OP Units as of the Closing will be as set forth in the First Amended and Restated Agreement of Limited Partnership of the Operating Partnership (the “Partnership Agreement”), a draft copy of which is included as an exhibit to the PPM.

  • Director Notification Requirement If you are a director, associate director or shadow director of a Singapore company, you are subject to certain notification requirements under the Singapore Companies Act. Among these requirements, you must notify the Singapore subsidiary in writing within two business days of any of the following events: (i) you receive or dispose of an interest (e.g., RSUs or shares of Common Stock) in the Company or any subsidiary of the Company, (ii) any change in a previously-disclosed interest (e.g., forfeiture of RSUs and the sale of shares of Common Stock), or (iii) becoming a director, associate director or a shadow director if you hold such an interest at that time.

  • Deferral Election A Participant may elect to defer all or a specified percentage of the Compensation earned in a Plan Year by such Participant for serving as a member of the Board of any Participating Fund or as a member of any committee or subcommittee thereof. Reimbursement of expenses of attending meetings of the Board, committees of the Board or subcommittees of such committees may not be deferred. Such election shall be made by executing before the first day of such Plan Year such election notice as the Administrator may prescribe; provided, however, that upon first becoming eligible to participate in the Plan by reason of appointment to a Board, a Participant may file a Deferral Election not later than 30 days after the effective date of such appointment, which election shall apply to Compensation earned in the portion of the Plan Year commencing the day after such election is filed and ending on the last day of such Plan Year.

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