ORGANIZATION PARTICIPATION AGREEMENTOrganization Participation Agreement • March 6th, 2023
Contract Type FiledMarch 6th, 2023This Agreement, entered into as of this day of 20 , by and between the Food Bank of the Albemarle of the City/County of Elizabeth City/Pasquotank, in the state of North Carolina, herein after referred to as the “Food Bank,” and (name of organization) of the City/County of (town & county) , State of North Carolina, hereinafter referred to as the “Participating Organization.”
Organization Participation AgreementOrganization Participation Agreement • July 28th, 2020
Contract Type FiledJuly 28th, 2020By completing and signing this agreement, the Lender, Servicer, or Eligible Lender Trustee agrees to all terms and responsibilities within the Organization Participation Agreement and to submit data on the quarterly Lender Reporting System (LaRS) report to the U.S. Department of Education (the Department) and to receive information and data from the Department electronically.
Organization Participation Agreement FormOrganization Participation Agreement • January 24th, 2022
Contract Type FiledJanuary 24th, 2022YES!!! Our organization would like to participate in the 22nd Annual Pawcatuck River Duck Race by selling Duck Sponsorship Certificates for $5 each and retaining $2.85 of each duck sold.
ORGANIZATION PARTICIPATION AGREEMENTOrganization Participation Agreement • May 14th, 2014
Contract Type FiledMay 14th, 2014This Agreement, entered into as of this _____day of ______________ 2019, by and between the Food Bank of the Albemarle of the City/County of Elizabeth City/Pasquotank, in the state of North Carolina, herein after referred to as the “Food Bank,” and (name of organization) _____________________________________________ of the City/County of (town & county)_________________________________________, State of North Carolina, hereinafter referred to as the “Participating Organization.”
ContractOrganization Participation Agreement • September 17th, 2019
Contract Type FiledSeptember 17th, 2019ORGANIZATION PARTICIPATION AGREEMENT Billing Acct# ________________ (A) O RGANIZATION INFORMATION (Must complete all sections) Organization Name: Region: Contact Person: Location: Mailing address: Area: City: State: Zip: Telephone number: ( ) Fax number: ( ) Email address: Federal tax ID number: Total number of actively employed individuals consistently working 30 or more hours a week: _______________ (B) ORGANIZATIONEFFECTIVEDATE OF NEW COVERAGE– Begin selected plans on ___/_01_/2023 Indicate what date you would like the above selected plans to be effective. Month Day Year Note: Do not discontinue present coverage until you have received confirmation of your coverage effective dates.(C) ORGANIZATIONWAITINGPERIOD For the selected plans below, the following Waiting Period should apply to new applicant30-Day Waiting Period–Coverage begins first day of the month following thirty (30) days of employment 60-Day Waiting Period–Coverage begins first day of the
Organization Participation Agreement FormOrganization Participation Agreement • October 2nd, 2019
Contract Type FiledOctober 2nd, 2019YES!!! Our organization would like to participate in the 22nd Annual Pawcatuck River Duck Race by selling Duck Sponsorship Certificates for $5 each and retaining $2.85 of each duck sold.
O rganization Participation AgreementOrganization Participation Agreement • December 21st, 2019
Contract Type FiledDecember 21st, 2019Each participant recognizes there is a risk beyond the duty of care of staff (guides and instructors) in outdoor hands-on learning (rafting etc.) held on the following schedule, and we ensure that participants and their guardians are notified that they will participate at their own risk.
Organization Participation AgreementOrganization Participation Agreement • December 11th, 2018
Contract Type FiledDecember 11th, 2018The purpose of this Organization Participation Agreement is to document in writing your opioid treatment center’s agreement to participate in Project MIMIC (Maximizing Implementation of Motivational Incentives in Clinics), a research study funded by the National Institute on Drug Abuse (NIDA). Project MIMIC tests two different strategies to train opioid treatment centers in contingency management, a treatment approach that provides patients with motivational incentives for complying with treatment. Project MIMIC will recruit 30 community-based opioid treatment clinics across New England. The study is being conducted by researchers at Brown University and RTI International, in partnership with the New England Addiction Technology Center.