Common use of Renewal Agreement Clause in Contracts

Renewal Agreement. Please check each box below indicating that you have read, understood, and consented to the statement. ❑ CERTIFICATION. I hereby certify that all the information in this entire renewal application is true and complete. I understand that I have the burden of producing all the information necessary for the BCCTR to fairly and fully evaluate my qualifications, background, ethics, and character in order to be considered for the renewal of my BCCTR credential. I understand and agree to inform the BCCTR as quickly as possible of any changes in this information. I agree that any misstatement or omission from this renewal application may be cause for denial of reappointment to the credential. I further agree that any subsequent adverse information about me or my practice and/or a violation of the AACC Code of Ethics may be cause for disciplinary action – including the possibility of permanent expulsion from holding the credential – and that such action may be publicly communicated in any form or forum the BCCTR chooses to disclose such information. ❑ AUTHORIZATION. I hereby authorize and give my consent to the BCCTR to contact and, without restriction, discuss any issues pertaining to my character and qualifications with current and former supervisors, administrators, pastors, and/or other colleagues with whom I have worked. I authorize the BCCTR to contact any professional and ministerial associations, to obtain whatever information it deems necessary to properly evaluate this renewal application. I hereby consent to the release of all information, records, and documents, by whatever means the BCCTR chooses to collect this data, and to assist them in the good-faith evaluation of my renewal application. If a question arises in the future about my character and qualifications to the credential, I agree to assist the BCCTR in its efforts to resolve any questions it may have about me. I further agree and consent to allow a copy of this agreement to be sent to anyone whom the BCCTR deems necessary to assist them in resolving any and all questions about my worthiness to achieve and hold a BCCTR credential. ❑ INDEMNIFICATION. I release from any and all liability the BCCTR, the AACC, the AACC Foundation, and any individual officers, directors, employees, or agents of these organizations for any and all acts done in good faith and without malice or intent to harm in connection with the evaluation of the renewal application for my BCCTR credential. I further release from any and all liability, any persons or organizations that release information regarding this renewal application to the BCCTR and agree to hold harmless anyone who may make a negative or adverse judgment about my character or qualifications during the evaluation process. ❑ DISPUTE RESOLUTION. If a dispute arises between me and the BCCTR regarding this renewal application or any future matter, I agree to engage in dispute resolution that (1) first attempts direct negotiation;

Renewal Agreement. Please check each box below indicating that you have read, understood, and consented to the statement. ❑ CERTIFICATION. I hereby certify that all the information in this entire renewal application is true and complete. I understand that I have the burden of producing all the information necessary for the BCCTR BMHC to fairly and fully evaluate my qualifications, background, ethics, and character in order to be considered for the renewal of my BCCTR BMHC credential. I understand and agree to inform the BCCTR BMHC as quickly as possible of any changes in this information. I agree that any misstatement or omission from this renewal application may be cause for denial of reappointment to the credential. I further agree that any subsequent adverse information about me or my practice and/or a violation of the AACC Code of Ethics and Mental Health Coaching Code of Ethics may be cause for disciplinary action – including the possibility of permanent expulsion from holding the credential – and that such action may be publicly publically communicated in any form or forum the BCCTR BMHC chooses to disclose such information. ❑ AUTHORIZATION. I hereby authorize and give my consent to the BCCTR BMHC to contact and, without restriction, discuss any issues pertaining to my character and qualifications with current and former supervisors, administrators, pastors, and/or other colleagues with whom I have worked. I authorize the BCCTR BMHC to contact any professional and ministerial associations, to obtain whatever information it deems necessary to properly evaluate this renewal application. I hereby consent to the release of all information, records, and documents, by whatever means the BCCTR BMHC chooses to collect this data, and to assist them in the good-faith evaluation of my renewal application. If a question arises in the future about my character and qualifications to the credential, I agree to assist the BCCTR BMHC in its efforts to resolve any questions it may have about me. I further agree and consent to allow a copy of this agreement to be sent to anyone whom the BCCTR BMHC deems necessary to assist them in resolving any and all questions about my worthiness to achieve and hold a BCCTR BMHC credential. ❑ INDEMNIFICATION. I release from any and all liability the BCCTRBMHC, the AACC, the AACC Foundation, and any individual officers, directors, employees, or agents of these organizations for any and all acts done in good faith and without malice or intent to harm in connection with the evaluation of the renewal application for my BCCTR BMHC credential. I further release from any and all liability, any persons or organizations that release information regarding this renewal application to the BCCTR BMHC, and agree to hold harmless anyone who may make a negative or adverse judgment about my character or qualifications during the evaluation process. ❑ DISPUTE RESOLUTION. If a dispute arises between me and the BCCTR BMHC regarding this renewal application or any future matter, I agree to engage in dispute resolution that (1) first attempts direct negotiation;

Renewal Agreement. Please check each box below indicating that you have read, understood, and consented to the statement. ❑ q CERTIFICATION. I hereby certify that all the information in this entire renewal application is true and complete. I understand that I have the burden of producing all the information necessary for the BCCTR BCMHC to fairly and fully evaluate my qualifications, background, ethics, and character in order to be considered for the renewal of my BCCTR BCMHC credential. I understand and agree to inform the BCCTR BCMHC as quickly as possible of any changes in this information. I agree that any misstatement or omission from this renewal application may be cause for denial of reappointment to the credential. I further agree that any subsequent adverse information about me or my practice and/or a violation of the AACC and Mental Health Coaching Code of Ethics may be cause for disciplinary action – including the possibility of permanent expulsion from holding the credential – and that such action may be publicly publically communicated in any form or forum the BCCTR BCMHC chooses to disclose such information. ❑ q AUTHORIZATION. I hereby authorize and give my consent to the BCCTR BCMHC to contact and, without restriction, discuss any issues pertaining to my character and qualifications with current and former supervisors, administrators, pastors, and/or other colleagues with whom I have worked. I authorize the BCCTR BCMHC to contact any professional and ministerial associations, to obtain whatever information it deems necessary to properly evaluate this renewal application. I hereby consent to the release of all information, records, and documents, by whatever means the BCCTR BCMHC chooses to collect this data, and to assist them in the good-faith evaluation of my renewal application. If a question arises in the future about my character and qualifications to the credential, I agree to assist the BCCTR BCMHC in its efforts to resolve any questions it may have about me. I further agree and consent to allow a copy of this agreement to be sent to anyone whom the BCCTR BCMHC deems necessary to assist them in resolving any and all questions about my worthiness to achieve and hold a BCCTR BCMHC credential. ❑ q INDEMNIFICATION. I release from any and all liability the BCCTRBCMHC, the AACC, the AACC Foundation, and any individual officers, directors, employees, or agents of these organizations for any and all acts done in good faith and without malice or intent to harm in connection with the evaluation of the renewal application for my BCCTR BCMHC credential. I further release from any and all liability, any persons or organizations that release information regarding this renewal application to the BCCTR BCMHC, and agree to hold harmless anyone who may make a negative or adverse judgment about my character or qualifications during the evaluation process. ❑ q DISPUTE RESOLUTION. If a dispute arises between me and the BCCTR BCMHC regarding this renewal application or any future matter, I agree to engage in dispute resolution that (1) first attempts direct negotiation;

Renewal Agreement. Please check each box below indicating that you have read, understood, and consented to the statement. ❑  CERTIFICATION. I hereby certify that all the information in this entire renewal application is true and complete. I understand that I have the burden of producing all the information necessary for the BCCTR BCLC to fairly and fully evaluate my qualifications, background, ethics, and character in order to be considered for the renewal of my BCCTR BCLC credential. I understand and agree to inform the BCCTR BCLC as quickly as possible of any changes in this information. I agree that any misstatement or omission from this renewal application may be cause for denial of reappointment to the credential. I further agree that any subsequent adverse information about me or my practice and/or a violation of the AACC Christian Life Coaching Code of Ethics may be cause for disciplinary action – including the possibility of permanent expulsion from holding the credential – and that such action may be publicly publically communicated in any form or forum the BCCTR BCLC chooses to disclose such information. ❑  AUTHORIZATION. I hereby authorize and give my consent to the BCCTR BCLC to contact and, without restriction, discuss any issues pertaining to my character and qualifications with current and former supervisors, administrators, pastors, and/or other colleagues with whom I have worked. I authorize the BCCTR BCLC to contact any professional and ministerial associations, to obtain whatever information it deems necessary to properly evaluate this renewal application. I hereby consent to the release of all information, records, and documents, by whatever means the BCCTR BCLC chooses to collect this data, and to assist them in the good-faith evaluation of my renewal application. If a question arises in the future about my character and qualifications to the credential, I agree to assist the BCCTR BCLC in its efforts to resolve any questions it may have about me. I further agree and consent to allow a copy of this agreement to be sent to anyone whom the BCCTR BCLC deems necessary to assist them in resolving any and all questions about my worthiness to achieve and hold a BCCTR BCLC credential. ❑  INDEMNIFICATION. I release from any and all liability the BCCTRBCLC, the AACC, the AACC Foundation, and any individual officers, directors, employees, or agents of these organizations for any and all acts done in good faith and without malice or intent to harm in connection with the evaluation of the renewal application for my BCCTR BCLC credential. I further release from any and all liability, any persons or organizations that release information regarding this renewal application to the BCCTR BCLC, and agree to hold harmless anyone who may make a negative or adverse judgment about my character or qualifications during the evaluation process. ❑  DISPUTE RESOLUTION. If a dispute arises between me and the BCCTR BCLC regarding this renewal application or any future matter, I agree to engage in dispute resolution that (1) first attempts direct negotiation;

Renewal Agreement. Please check each box below indicating that you have read, understood, and consented to the statement. ❑ CERTIFICATION. I hereby certify that all the information in this entire renewal application is true and complete. I understand that I have the burden of producing all the information necessary for the BCCTR BCMHC to fairly and fully evaluate my qualifications, background, ethics, and character in order to be considered for the renewal of my BCCTR BCMHC credential. I understand and agree to inform the BCCTR BCMHC as quickly as possible of any changes in this information. I agree that any misstatement or omission from this renewal application may be cause for denial of reappointment to the credential. I further agree that any subsequent adverse information about me or my practice and/or a violation of the AACC Code of Ethics and Mental Health Coaching Code of Ethics may be cause for disciplinary action – including the possibility of permanent expulsion from holding the credential – and that such action may be publicly publically communicated in any form or forum the BCCTR BCMHC chooses to disclose such information. ❑ AUTHORIZATION. I hereby authorize and give my consent to the BCCTR BCMHC to contact and, without restriction, discuss any issues pertaining to my character and qualifications with current and former supervisors, administrators, pastors, and/or other colleagues with whom I have worked. I authorize the BCCTR BCMHC to contact any professional and ministerial associations, to obtain whatever information it deems necessary to properly evaluate this renewal application. I hereby consent to the release of all information, records, and documents, by whatever means the BCCTR BCMHC chooses to collect this data, and to assist them in the good-faith evaluation of my renewal application. If a question arises in the future about my character and qualifications to the credential, I agree to assist the BCCTR BCMHC in its efforts to resolve any questions it may have about me. I further agree and consent to allow a copy of this agreement to be sent to anyone whom the BCCTR BCMHC deems necessary to assist them in resolving any and all questions about my worthiness to achieve and hold a BCCTR BCMHC credential. BCLC RENEWAL APPLICATION (applicant’s initials ) page 4 ❑ INDEMNIFICATION. I release from any and all liability the BCCTRBCMHC, the AACC, the AACC Foundation, and any individual officers, directors, employees, or agents of these organizations for any and all acts done in good faith and without malice or intent to harm in connection with the evaluation of the renewal application for my BCCTR BCMHC credential. I further release from any and all liability, any persons or organizations that release information regarding this renewal application to the BCCTR BCMHC, and agree to hold harmless anyone who may make a negative or adverse judgment about my character or qualifications during the evaluation process. ❑ DISPUTE RESOLUTION. If a dispute arises between me and the BCCTR BCMHC regarding this renewal application or any future matter, I agree to engage in dispute resolution that (1) first attempts direct negotiation;