Trainee Signature Sample Clauses

Trainee Signature. Xxxx authorised for and on behalf of (if relevant) RETURN: Please either scan and email digitally to xxxxxxxx@xxxxxxxxx.xx.xx or sent via post to: Training Department Bill Plant Driving School LTD Canalside House 0 Xxxxxxx Xxxx
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Trainee Signature. Skills may send you promotional materials to keep you informed about resources and other available programmes or related goods and services. If you do not wish to receive any promotional material please tick this box Skills use only Qualification/Programme Schedule attached Yes Payment details completed Yes ID documentation attached Yes Account manager name Date Administration notes Training Agreement v9.0 Email: xxxxxxxxxxxxx@xxxxxx.xxx.xx Phone: 0508 SKILLS (0000 000 000) Address: The Skills Organisation, P.O Box 24469, Royal Oak, Freepost 5164, Auckland 1345 Page 3 of 5 Terms and Conditions (pursuant to the Education and Training Act 2020)
Trainee Signature. I agree to participate in training or study as required, learn the skills to the best of my ability, and undertake assessment to meet the requirements of the programme. I have read the privacy statement and understand that Primary ITO may give information about my progress to my Employer and/or other specified parties. I have read the Enrolment information. Employer signature I agree to allow the Trainee to attend training or to study as required, to provide training to the Trainee and allow the Trainee access to formal assessment. I confirm that the workplace/site is compliant with the Health and Safety at Work Act. I accept that Primary ITO does not expect staff to be at a workplace/site in which they feel unsafe and supports their right in that circumstance to stop, or refuse to carry out work at that premises. Signature: Date: (DD/MM/YYYY) / / Signature: Date: (DD/MM/YYYY) / /
Trainee Signature. I agree to participate in training or study as required, learn the skills to the best of my ability, and undertake assessment to meet the requirements of the programme. I have read the privacy statement and understand that Primary ITO may give information about my progress to my Employer and/or other specified parties. I have read the Enrolment information. Employer signature I agree to allow the Trainee to attend training or to study as required, to provide training to the Trainee and allow the Trainee access to formal assessment. I confirm that the workplace/site is compliant with the Health and Safety at Work Act. I accept that Primary ITO does not expect staff to be at a workplace/site in which they feel unsafe and supports their right in that circumstance to stop, or refuse to carry out work at that premises. I agree to pay all fees associated with this training. Signature: Date: (DD/MM/YYYY) / / Signature: Date: (DD/MM/YYYY) / / I have read the Enrolment information. Primary ITO signature I am satisfied the trainee meets all the TEC requirements to qualify for funding Name of person acting on behalf of Primary ITO: Signature: Date: (DD/MM/YYYY) / /
Trainee Signature. EXAMPLE Attachment E
Trainee Signature. Ignite may send you promotional materials to keep you informed about resources and other available programmes or related goods and services. If you do not wish to receive any promotional material please tick this box Ignite use only Qualification/Programme Schedule attached Yes Payment details completed Yes ID documentation attached Yes Account manager name Date Administration notes Training Agreement v1 Email: xxxxxxxxxxxxx@xxxxxxxxxxxxxx.xx.xx Phone: 0000 000 000 Address: 00 Xxxxx Xxxx, Xxxxxxx, Xxxxxxxx Page 3 of 5
Trainee Signature. Trainee’s signature certifies that he/she agrees to all Terms and Conditions of this Agreement, and has read and/or agrees to become familiar with the ESFCOM GME Handbook, Specialty Program Handbook, and GME Policies and Procedures and comply with all such policies/procedures. The parties now execute this Physician-in-Training Agreement effective as of the date first written above. WASHINGTON STATE UNIVERSITY XXXXX X. XXXXX COLLEGE OF MEDICINE By: Name of Program Director, M.D. Program Director Name of Program Date: [Name], M.D. (“Trainee”) By: [Name, M.D]. Date: By: Xxxxxxxx X. Xxxxxxxxxxx, M.D. Associate Xxxx, GME and CME Designated Institutional Official
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Trainee Signature. Program Director, Urology
Trainee Signature. Skills may send you promotional materials to keep you informed about resources and other available programmes or related goods and services. If you do not wish to receive any promotional material please tick this box Skills use only Qualification/Programme Schedule attached Yes Payment details completed Yes ID documentation attached Yes Account manager name Date Administration notes

Related to Trainee Signature

  • Employee Signature Employee ID: Telephone No: Employee Address: Work Location:

  • EMPLOYEE SIGNATURES I/We requested these concerns be forwarded to the Employer-Union Committee. Signature: Phone No: Signature: Phone No: Signature: Phone No: Signature: Phone No: Date Submitted: Click here to enter a date. Time: SECTION 7:

  • Student Signature By signing this contract, Resident agrees to pay the contract amount (room, board and association fees) in accordance with Addendum B: Rate and Payment Schedule. Resident may pay the full amount due prior to the due date, at the Resident’s election.

  • Legal Signature This Agreement may be executed and delivered by any party herein by sending a facsimile of the signature or by a legally recognized digital or electronic signature. Such legal signature shall be binding on the party so executing it upon receipt of signature by the other party.

  • AGREEMENT SIGNATURES By signing below, both parties agree to the terms and conditions of this Agreement. Please acknowledge acceptance of this document and terms by returning a signed copy within seven (7) days of issuing. If a signed copy is not returned within seven (7) days and you are attending service, Fighting Chance will deem this to be acceptance of the document. If signєd by Xxx XxxXxxxxxxX: Signature of Participant: Date: If signєd by ™єprєsєnĒaĒivє: I confirm that this Agreement has been explained to the individual receiving the services and that they agree to the terms. I further confirm that I have authority to sign on their behalf. Signature of Representative: Date: SignaĒurє on bєhalf of FighĒing Chancє: Signature of Representative: Date: Name: Appendix 1 NDIS Claiming Preferences Fighting Chance supports NDIS participants who are NDIA-Managed, Self-Managed or Plan Managed. To invoice and bill you correctly, it is important you keep us updated with your plan management preferences, and let us know ongoing if your status changes. Please note, funding for Positive Behavior Support is billed from the Capacity Building Relationships category, which is often NDIA Managed. Please advise if your CB relationship funding is managed di erently. For the purposes of services delivered by Fighting Chance, your NDIS plan is: (please tick) ☐ NDIA-MANAGED You understand that Fighting Chance will claim directly through the NDIA portal if your funding for Fighting Chance is NDIA-managed, so you will not receive any direct request for payment from us. To ensure that you do not get a text from the NDIA to approve each claim weekly, endorse Fighting Chance as a ‘My Provider’ for automatic payment processing. Instructions can be found at xxxxxxxxxxxxx.xxx.xx/xxxx/ or you can contact the Fighting Chance My Provider Endorsement Helpdesk on (00) 0000 0000 or xxxxxxxxxxxxxxx@xxxxxxxxxxxxx.xxx.xx A statement of account is available on request directly from your clinician. ☐ SELF-MANAGED ☐ I am self-managed and would like to be invoiced for services to the email below. Please email invoices to: Please see Appendix 3 for Self-Management Payment Options. ☐ PLAN-MANAGED Please send invoices to my plan manager: Plan management organisation Contact Name Email Address Phone number ☐ OTHER FUNDING (eg. self-funded) Please email invoices to: Appendix 2 Self-Managed Payment Options Participants who are self-managed have a number of payment options with Fighting Chance: ☐ DIRECT DEPOSIT (preferred option) Payment of Fighting Chance invoices can be made by Electronic Funds Transfer (EFT) through your bank. Fighting Chance’s bank account details are as follows: Bank: Commonwealth Bank of Australia Account Name: Fighting Chance Australia Ltd BSB: 062-438 Account Number: 00000000 To ensure all payments are correctly allocated to your account, please include the full invoice number in the reference field. ☐ CREDIT CARD Payments can be made by credit card by clicking the ‘pay by credit card’ link included on the invoice. Please note that a service fee for this option will be imposed. ☐ PAYPAL Payment of your invoices can also be made via our PayPal account. To make payment via PayPal, please access the following link: xxxxx://xxxxxx.xx/FightingChanceAus?locale.x=en_AU

  • Facsimile Signatures The facsimile signature of any party to this Agreement shall constitute the valid and binding execution hereof by such party.

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