PERSONAL CARE ATTENDANT AGREEMENTPersonal Care Attendant Agreement • November 16th, 2016
In accordance with the Americans with Disabilities Act (1990)/Amendments Act (2008), personal care attendants may be used to address the personal needs of a student with a documented disability so that he/she can participate in the college’s activities, services and programs. Personal needs may include transportation to/from the classroom, administering medication, assistance with toileting, dressing, and feeding needs. The duties of the personal care attendant do NOT include taking classroom notes, proctoring exams, scribing for in-class writing, monitoring, modifying or correcting the student’sbehavior.
Personal Care Attendant/Student Agreement FormPersonal Care Attendant Agreement • September 16th, 2020
I, (PCA FULL NAME, PLEASEPRINT), understand that I am being issued a Wheaton College Identification Card for the sole purpose of my role as a Personal Care Attendant, and that in the event I am no longer employed by this student, I will surrender my identification card and any keys that I have been issued to the Office of Public Safety immediately upon termination of my employment.
Personal Care Attendant (PCA) AgreementPersonal Care Attendant Agreement • August 29th, 2023
This form must be completed by a Personal Care Attendant (PCA) working with a Montclair State University student approved for such service by the Disability Resource Center (DRC). Please initial next to each item to indicate understanding and agreement, and sign at the bottom.
Award Classification: Victorian Public Health Sector (Health and Allied Health Services, Managers and Administrative Officers) Enterprise Agreement 2016-2020Personal Care Attendant Agreement • May 20th, 2021
Alpine Health is a progressive and significant health service in North East Victoria with a reputation for providing acute health, residential aged care, community and health promotion services, and education and training in an innovative, flexible and responsive way.
Personal Care Attendant (PCA) DRC Student AgreementPersonal Care Attendant Agreement • August 31st, 2022
This form must be completed by the DRC student approved with the accommodation of a Personal Care Attendant (PCA). Students must initial next to each paragraph to acknowledge that they have reviewed, understand and agree to the University’s expectations.
Personal Care Attendant AgreementPersonal Care Attendant Agreement • June 26th, 2020
I, (print name), understand that I am being issued a Pepperdine University Identification Card for the sole purpose of my role as a Personal Care Attendant to (Pepperdine student’s name), and that in the event I am no longer employed by this student, I will surrender my identification card and any keys that I have been issued to the Office of Student Accessibility immediately upon termination of my employment.
PERSONAL CARE ATTENDANT AGREEMENT & ID REQUEST Personal Care Attendant Agreement • August 9th, 2012
Identification Card for the sole purpose of my role as a Personal care Attendant, and that in the event I am no longer employed by this student, I will surrender my identification card and any keys that I have been issued to the Office of Student Access Services immediately upon termination of my employment.
Personal Care Attendant (PCA) AgreementPersonal Care Attendant Agreement • August 31st, 2022
This form must be completed by a Personal Care Attendant (PCA) working with a Montclair State University student approved for such service by the Disability Resource Center (DRC).
Personal Care Attendant (PCA) AgreementPersonal Care Attendant Agreement • August 29th, 2022
PERSONAL CARE ATTENDANT AGREEMENT & ID REQUEST Personal Care Attendant Agreement • February 18th, 2019
Identification Card for the sole purpose of my role as a Personal Care Attendant. In the event I am no longer employed by this student, I will surrender my identification card and any keys that I have been issued to the Officeof Student Access Services immediately upon termination of my employment.
ContractPersonal Care Attendant Agreement • March 26th, 2019
Personal Care Attendant AgreementPersonal Care Attendant Agreement • June 14th, 2019
being issued a Pepperdine University Identification Card for the sole purpose of my role as a Personal Care Attendant to __ , and that in the event I am no longer
Personal Care Attendant (PCA) Agreement FormPersonal Care Attendant Agreement • August 22nd, 2022
The College recognizes that students limited in performing self-care functions may require a Personal Care Attendant (PCA) to participate in the college’s activities, services, or programs. A PCA’s sole function is to address the student’s disability-related personal care needs (e.g., toileting, mobility assistance, dispensing medications, etc.).
Personal Care Attendant AgreementPersonal Care Attendant Agreement • June 14th, 2019
I, , understand that I am being issued a Pepperdine University Identification Card for the sole purpose of my role as a Personal Care Attendant to , and that in the event I am no longer employed by this student, I will surrender my identification card and any keys that I have been issued to the Office of Student Accessibility immediately upon termination of my employment.
DRC Student AgreementPersonal Care Attendant Agreement • August 29th, 2023
This form must be completed by the DRC student approved with the accommodation of a Personal Care Attendant (PCA). Students must initial next to each paragraph to acknowledge that they have reviewed, understand and agree to the University’s expectations.
