Release of Information Consent Sample Clauses

Release of Information Consent. I authorize Xxxxxx County Community College and the visiting institution to share appropriate information concerning enrollment, academic status, fees, grades, attendance information, and financial aid as is necessary to execute this agreement. I have been admitted and am actively pursuing a degree at Xxxxxx County Community College. I declare Xxxxxx as the home institution for purposes of financial aid. I understand that my financial aid at Xxxxxx County Community College will not be applied to my account until my enrollment information is verified by the host school and that I will only be able to receive financial aid from Xxxxxx County Community College. I understand that I will be responsible to pay any educational expenses that are accrued at the host school. Student Signature: Date: Return completed form to: Xxxxxx County Community College Financial Aid Office 000 XX 00 Xx Great Bend, KS 67530
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Release of Information Consent. I authorize Xxxxxx County Community College and the visiting institution to share appropriate information concerning enrollment, academic status, fees, grades, attendance information, and financial aid as is necessary to execute this agreement. I have been admitted and am actively pursuing a degree at Xxxxxx County Community College. I declare Xxxxxx as the home institution for purposes of financial aid. I understand that my financial aid at Xxxxxx County Community College will not be applied to my account until my enrollment information is verified by the host school and that I will only be able to receive financial aid from Xxxxxx County Community College. I understand that I will be responsible to pay any educational expenses that are accrued at the host school. Student Signature: Date: Return completed form to: Xxxxxx County Community College Financial Aid Office 000 XX 00 Xx Great Bend, KS 67530 Terms and Conditions of this Consortium Agreement In regard to this agreement, Xxxxxx County Community College will assume the role of HOME institution and the institution listed below will assume the role of HOST institution. As the HOME institution, Xxxxxx will:  Be the degree-granting or certificate-granting institution;  Will determine the student’s eligibility for federal financial assistance;  Will process, calculate, and disburse aid according to the combined enrollment and length of enrollment period;  Establish the student’s cost of attendance including tuition and fees from the combined enrollment;  Notify the student of Satisfactory Academic Progress (SAP) and monitor SAP according to Xxxxxx’x SAP policies;  Report NSLDS enrollment information for this student through the National Student Clearinghouse;  Calculate and process the Return of Title IV funds if appropriate, including determination of the withdrawal date and institutional refunds;  Include the student on FISAP reporting;  Will give credit for coursework taken at the host institution on the same basis as if Xxxxxx provided the coursework;  Will keep all appropriate and require documentation to support the student’s eligibility and basis for award and disbursement, including cash management authorizations; and,  Confirm student eligibility at the time of disbursement. The HOST institution will:  Not disburse federal aid to the consortium student;  Notify the Home institution if the student withdraws from classes;  Provide necessary information for aid to be calculated and dis...
Sample 1
Release of Information Consent. I authorize Xxxxxx Community College and the visiting institution to share appropriate information concerning enrollment, academic status, fees, grades, attendance information, and financial aid as is necessary to execute this agreement. I have been admitted and am actively pursuing a degree at Xxxxxx Community College. I declare Xxxxxx as the home institution for purposes of financial aid. I understand that my financial aid at Xxxxxx Community College will not be applied to my account until my enrollment information is verified by the host school and that I will only be able to receive financial aid from Xxxxxx Community College. I understand that I will be responsible to pay any educational expenses that are accrued at the host school. Student Signature: Date: Return completed form to: Xxxxxx Community College Financial Aid Office 000 XX 00 Xx Great Bend, KS 67530
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Release of Information Consent. GTA expects that all participating entities are deemed to have consented to the release of any required reporting information to the GTA (including information generally deemed Customer Proprietary network Information (CPNI) for the purposes of monitoring the contract, calculating the fees that a due and payable to GTA and to address specific ad hoc questions posed by news media, internal GTA personnel or elected officials. This information includes but is not limited to and total cost for each governmental entity. Users have a right to decline to release this information; however, they may not purchase under the GTA contract i f they choose to do so. All qualified contractors will have approximately 180 days from contract award to obtain the necessary consent. GTA expects to see a confirmation, recorded in Appendix B, under the appropriate column heading, that the Qualified Contractor will provide the certain Technical Requirement, taking into consideration the 180 days available to obtain the necessary consent. Verizon Wireless Response:
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Release of Information Consent. I authorize Barton County Community College and the visiting institution to share appropriate information concerning enrollment, academic status, fees, grades, attendance information, and financial aid as is necessary to execute this agreement. I have been admitted and am actively pursuing a degree at Barton County Community College. I declare Xxxxxx as the home institution for purposes of financial aid. I understand that my financial aid at Barton County Community College will not be applied to my account until my enrollment information is verified by the host school and that I will only be able to receive financial aid from Barton County Community College. I understand that I will be responsible to pay any educational expenses that are accrued at the host school. Student Signature: Date: Return completed form to: Barton County Community College Financial Aid Office 000 XX 00 Xx Great Bend, KS 67530
Sample 1
Release of Information Consent. I, understand that certain personal information is considered private by law and is to be kept confidential in center files. I hereby do / do not give my consent to let my child be photographed for use by the center in newspapers or other media for the purpose of publicity or advertisements. Parent Signature Date Directors Signature Date Name two people who will assume emergency responsibility for your child if parent/guardian can not be reached. Emergency Contact Person #1 Last Name First Name Relationship Home Address Business Phone _ Home Phone Cell Phone Emergency Contact Person #2 Last Name First Name Relationship Home Address Business Phone _ Home Phone Cell Phone Medical Information Child’s Physician Physician’s Phone Physician’s Address Dentist’s Name Dentist’s Phone Health Insurance Company Policy Number Special Disabilities Dietary/Medical Restrictions Hospital Preference Allergies Please initial all areas that you give Beautiful Beginnings Consent Emergency Medical Care Administration of first-aide procedures Homework Supervision Administration of sunscreen Administration of prescription medication Administration of diaper ointment Walks & Walking excursions Daily transportation provided by facility Administration of non-prescription medication To photograph/videotape my child to be used in promotional materials Permission to transport child to hospital in the even of an emergency Parent/Guardian Signature Date Director’s Signature Date Child Development Form
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Related to Release of Information Consent

  • Release of Information Except as required by law, no public release of any information, or confirmation or denial of same, with respect to this Contract or the subject matter hereof, will be made by SELLER or its subcontractors without the prior written approval of LOCKHEED XXXXXX. SELLER shall not use "Lockheed Xxxxxx," "Lockheed Xxxxxx Corporation," or any other trademark or logo owned by LOCKHEED XXXXXX, in whatever shape or form, without the prior written consent of LOCKHEED XXXXXX.

  • Use of Information The Agent may not use any information gained in connection with this Agreement and the transactions contemplated by this Agreement, including due diligence, to advise any party with respect to transactions not expressly approved by the Company.

  • Access to Information; Confidentiality (a) Upon reasonable advance written notice, subject to applicable logistical restrictions or limitations as a result of COVID-19 or any COVID-19 Measures and solely for purposes of furthering the Merger Transactions, the Company shall, and shall cause each of its Subsidiaries to, afford to Parent, Merger Sub and their respective representatives reasonable access during normal business hours during the period from the date of this Agreement until the earlier of the Effective Time or the valid termination of this Agreement pursuant to Article VII, to all their respective properties, assets, books, contracts, commitments, personnel and records and, during such period, the Company shall, and shall cause each of its Subsidiaries to, furnish promptly to Parent: (i) a copy of each report, schedule, registration statement and other document filed or received by it during such period pursuant to the requirements of federal or state securities Laws and (ii) all other information concerning its business, properties and personnel as Parent or Merger Sub may reasonably request (including Tax Returns filed and those in preparation and the workpapers of its auditors). Nothing herein (including, for the avoidance of doubt, this Section 5.2(a) and Section 5.2(b)) shall require the Company or any of its Subsidiaries to provide such access or information to the extent that such action (A) would reasonably be expected to result in a waiver of attorney-client privilege, work product doctrine or similar privilege, (B) specifically relates to the evaluation, deliberation or minutes of the Company Board (or any committee or subcommittee thereof) related to the Merger Transactions, the strategic and financial alternatives process leading thereto, or any information or materials provided to the Company Board (or any committee or subcommittee thereof) in connection therewith or (C) would reasonably be expected to violate any applicable Law or any confidentiality obligation owing to a third party so long as the Company shall promptly notify Parent of any such confidentiality obligations or access restrictions and use commercially reasonable efforts to obtain the consent of such third party to provide such information and otherwise provide such access to Parent, if requested and (b) generally describe the type of information that cannot be disclosed to Parent (to the extent not prohibited by law or the underlying document). No investigation pursuant to this Section 5.2 shall affect any representation or warranty in this Agreement of any party hereto or any condition to the obligations of the parties hereto. All requests for access pursuant to this Section 5.2 must be directed to the Chief Financial Officer of the Company or another person designated in writing by the Company. Notwithstanding anything herein to the contrary, Parent and Merger Sub shall not, and shall cause their respective representatives not to, contact any partner, licensor, licensee, customer or supplier of the Company in connection with the Offer, the Merger or any of the other Merger Transactions without the Company’s prior written consent (such consent not to be unreasonably withheld, conditioned or delayed), and Parent and Merger Sub acknowledge and agree that any such contact shall be arranged by and with a representative of the Company participating.

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