AGENCY PARTICIPATION AGREEMENT FOR THE FORT BEND COUNTY COLLABORATIVE INFORMATION SYSTEM (FBCCIS)Agency Participation Agreement • March 10th, 2021 • Texas
THIS AGREEMENT, is made and entered into by and between Fort Bend County (hereinafter “County”), a body corporate and politic under the laws of the State of Texas, and The University of Houston, Center for Mexican American Studies (CMAS), (hereinafter “Agency”), a public institution of higher education in the State of Texas.
ContractAgency Participation Agreement • July 6th, 2022
AGENCY PARTICIPATION AGREEMENT FOR AMERICAN EXPRESS® CARD ACCEPTANCEAgency Participation Agreement • May 5th, 2020
Agency Participation AgreementAgency Participation Agreement • March 26th, 2014
This agreement is entered into on _/ _/ (mm/dd/yyyy) between the Homeless Alliance of Western New York (Homeless Management Information System (HMIS) Lead Agency), hereafter known as “HAWNY,” and , hereafter known as the “Agency,” regarding access and use of the Buffalo Area Services Network Homeless Management Information System, hereafter known as "BAS-Net."
AGENCY PARTICIPATION AGREEEMENTAgency Participation Agreement • June 29th, 2016
This agreement pertains to the pilot demonstration project of the administration of intramuscular epinephrine through the use of a Syringe Epinephrine Kit (SEK) for anaphylaxis by Basic Life Support (BLS) Providers. Each participating agency will be required to meet and maintain compliance with the following throughout the duration of the pilot project. Failure to comply will result in exclusion from the pilot and immediate collection of all project materials. The University of Rochester Division of Prehospital Medicine is not liable for the administration of this program within the Agency.
ContractAgency Participation Agreement • September 21st, 2017
Agency Participation Agreement Maine State Housing Authority and Agency Name:Agency Participation Agreement • April 15th, 2020
This Maine Homeless Management Information System (HMIS) Agency Participation Agreement (the “Agreement”) between the Maine State Housing Authority (MaineHousing) and _______________________________________________________________________
AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • September 6th, 2022
The agency hereby expresses its desire to participate in the VLEPSC accreditation program and affirms that it is committed to earning accreditation in accordance with the requirements set forth by the Virginia Law Enforcement Professional Standards Commission.
AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • June 8th, 2023
The agency hereby expresses its desire to participate in the VLEPSC accreditation program and affirms that it is committed to earning accreditation in accordance with the requirements set forth by the Virginia Law Enforcement Professional Standards Commission.
ContractAgency Participation Agreement • November 8th, 2021
AGENCY PARTICIPATION AGREEMENT FOR AMERICAN EXPRESS® CARD ACCEPTANCE [State of Florida]Agency Participation Agreement • November 7th, 2020
This Agreement, and any attachments hereto (Agency Participation Agreement) is between AMERICAN EXPRESS TRAVEL RELATED SERVICES COMPANY, INC. (we, us or our), and the [STATE ENTITY] (you and your).
AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • February 18th, 2016
This Agency Participation Agreement (APA) for Electronic Funds Transfer Services (“Agreement”) is entered into between (“Participating Entity”), the Office of the State Controller, (“OSC”), the Department of State Treasurer (DST) and Bank of America (“Bank”) as of June 24, 2013.
AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • September 8th, 2017
The California Department of Corrections and Rehabilitation (CDCR), Division of Adult Parole Operations (DAPO) has implemented Parole LEADS (Parole Law Enforcement Automated Data System) which provides parolee information to local law enforcement agencies over a secure internet connection. The DAPO Offender Information that will be provided to your agency using Parole LEADS is Criminal Offender Record Information (CORI). Releasing or coping CORI to non-authorized persons is a misdemeanor pursuant to Penal Code Sections 13302-13304. Any such violation may be referred to either the State Department of Justice (DOJ) or local entities for prosecution.
Agency Participation AgreementAgency Participation Agreement • August 28th, 2024 • Oregon
This Agreement is entered into on / / mm/dd/YYYY) between Rural Oregon Continuum of Care (ROCC) CMIS/HMIS and (Organization Name).
AGENCY PARTICIPATION AGREEMENT FOR AMERICAN EXPRESS® CARD ACCEPTANCE[State of Florida]Agency Participation Agreement • March 3rd, 2014
This Agreement, and any attachments hereto (Agency Participation Agreement) is between AMERICAN EXPRESS TRAVEL RELATED SERVICES COMPANY, INC. (we, us or our), and the [STATE
Alamo Area Fire Chiefs Association Employment Testing CooperativeAgency Participation Agreement • November 7th, 2020
AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • September 5th, 2006 • Oregon
NW Social Service Connections (NWSSC) is the administrative entity that governs a multi Continuum of Care implementation of Homeless Management Information System (HMIS) used to record and share information among service-providers on services provided to homeless and near homeless Clients. The NWSSC HMIS system of choice is ServicePoint. ServicePoint (trademarked and copyrighted by Bowman Systems) is a Client information system that provides standardized assessment of a Client’s needs, creates individualized service plans and records the use of housing and services which communities can use to determine the utilization of services of participating Service Providers, identify gaps in the local service continuum and develop outcome measurements.
Appendix I: Sample Agency Participation AgreementAgency Participation Agreement • September 13th, 2002
This agreement is entered into on (d/m/y) between Community Council of Central Oklahoma, Inc., hereafter known as the “Council,” and (agency name), hereafter known as “Agency,” regarding access and use of the Continuum of Care Clearinghouse, hereafter known as the “Clearinghouse.”
Homeless Management Information System Agency Participation AgreementAgency Participation Agreement • May 24th, 2019
This Agency Participation Agreement (“APA”) is entered into on mm/dd/yyyy between the North Carolina Coalition to End Homelessness, hereafter known as “NCCEH”, and Organization Name, hereafter known as "Agency", regarding access and use of the Homeless Management Information System, hereafter known as "HMIS,” administered by the North Carolina Coalition to End Homelessness.
Curran Property Management SwordsAgency Participation Agreement • November 23rd, 2021
Damageable or joint, Chanderjit never mythicizes any vitalists! Gonzales is mourningly dorsiferous after lushy Abdullah procuring his papa ninth. Tobiah decomposes hypocritically if pancreatic Alex hooks or entomologizing.
Agency Participation AgreementAgency Participation Agreement • September 18th, 2024
Agency Participation AgreementAgency Participation Agreement • March 26th, 2014
This agreement is entered into on _/ _/ (mm/dd/yyyy) between the Homeless Alliance of Western New York (Homeless Management Information System (HMIS) Lead Agency), hereafter known as “HAWNY,” and , hereafter known as the “Agency,” regarding access and use of the Homeless Management Information System.
HOMELESS MANAGEMENT INFORMATION SYSTEM AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • February 27th, 2019
This Agency Participation Agreement (the "Agreement") is made and entered into effective as of [DATE] (the "Effective Date"), by and between All Chicago Making Homelessness History, an Illinois not for profit corporation located at 651 W Washington, Chicago IL Suite 604 ("All Chicago"), and [Name of Agency] and located at [Address] (the "Agency") regarding access and use of the Chicago Homeless Management Information System (the "HMIS").
AGENCY PARTICIPATION AGREEMENT FOR AMERICAN EXPRESS® CARD ACCEPTANCEAgency Participation Agreement • February 11th, 2019
San Luis Obispo County Continuum of Care Homeless Management Information System AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • September 17th, 2020 • California
This agreement is entered into on _/ _/ (mm/dd/yyyy) between the County of San Luis Obispo (Homeless Management Information System (HMIS) Lead Agency), hereafter known as “County,” and hereafter known as the “Agency,” regarding access and use of the Homeless Management Information System.
ContractAgency Participation Agreement • March 7th, 2019
(“Agency”) has elected to participate in the Domestic Violence Comparable Database (“DV Comparable Database”). The DV Comparable Database software is licensed by the Georgia Housing Finance Authority (“GHFA”), who has designated it to be solely administered by the Georgia Department of Community Affairs (“DCA”). The DV Comparable Database is a database that collects and maintains information on the characteristics and service needs of clients. The system collects and stores client–level data, which can be used to generate unduplicated and aggregate reports to determine the use and effectiveness of the services being provided to the homeless population. The DV Comparable Database is comparable to a Homeless Management Information System, except it is a closed system.
AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • May 4th, 2018
RMCHCoC’s Homeless Management Information System (HMIS) is a web-based client information system for recording and tracking client information that will be used for case management, determining utilization of services, and gathering information on client demographics as required by HUD.
Agency Participation AgreementAgency Participation Agreement • June 5th, 2022
AGENCY PARTICIPATION AGREEMENT MERCHANT CARD PROCESSING SERVICESAgency Participation Agreement • January 27th, 2016
This Agency Participation Agreement (“APA”) for Merchant Card Processing Services (“Agreement”) is entered into between (“Participant”), the Office of the State Controller, (“OSC”), the Department of State Treasurer (“DST”) and SunTrust Merchant Services, LLC (“STMS”) as of , 201 .
Comparable Database AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • March 24th, 2022 • Georgia
(“Agency”) has elected to participate in the Comparable Database (“Comparable Database”). The Comparable Database software is licensed by the Georgia Housing Finance Authority (“GHFA”), who has designated it to be solely administered by the Georgia Department of Community Affairs (“DCA”). The Comparable Database is a database that collects and maintains information on the characteristics and service needsof clients. The system collects and stores client–level data, which can be used to generate unduplicatedand aggregate reports to determine the use and effectiveness of the services being provided to the homeless population. The Comparable Database is comparable to a Homeless Management Information System, except it is a closed system.
Homeless Initiatives Department Memorandum To: Maine CoC From: Data Sharing Workgroup Date: May 12, 2020 Subject: Agency Participation Agreement and Maine HMIS Authorization to Disclose Information FormAgency Participation Agreement • May 14th, 2020
The Data Sharing Workgroup has been working on updating the Agency Participation Agreement and the Authorization to Disclose Information (ROI) over the past couple of weeks. The Agency Participation needs to be updated and signed on a yearly basis, the ROI can be updated when we need it to be. We are asking that you read the Agency Participation Agreement and Maine HMIS Authorization to Disclose before the next MCoC meeting on May 21, 2020 and vote on whether or not to approve them at that meeting. The documents were approved by the MCoC Board on May 7, 2020.
Agency Participation AgreementAgency Participation Agreement • November 10th, 2016
The Community Service Van Program began in 1996 through the Kalamazoo County Care-A- Van Program. It is funded in part by the Michigan Department of Transportation’s Specialized Services Program. This program is administered through Metro Transit and it allows approved agencies to use the vans for customer trips at no cost to the agency. This procedural document is intended to describe the means for scheduling the use of the van and to identify those who are approved to use the van. All applications will be reviewed by the CCTA’s Risk Management Team and approval is subject to their final determination.
Financial Management Services Fms Agency Participation AgreemenAgency Participation Agreement • April 20th, 2022
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Agency Participation AgreementAgency Participation Agreement • July 12th, 2019
The Metro Share program began in 1996 through the Kalamazoo County Care-A-Van program. It is funded in part by the Michigan Department of Transportation’s Specialized Services Program. This program is administered through Metro and allows approved agencies to use the vans for customer trips at no cost to the agency. This procedural document is intended to describe the means for scheduling the use of the van and to identify those who are approved to use the van. All applications will be reviewed by the Metro Risk Management Team and approval is subject to their final determination.
AGENCY PARTICIPATION AGREEMENTAgency Participation Agreement • June 12th, 2023
For purpose of this agreement, the participating Homeless Service Provider will be referred to as "Participating Agency,” the Consumer of Services as the "Client" and the San Joaquin Continuum of Care Homeless Management Information System as "SJCoC HMIS." Clarity is a web-based client information system, used by the SJCoC HMIS to record and track homeless client information. It can also be used for case management, determining utilization of services of participating agencies, and sharing of information on services provided to homeless clients.
