COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • November 14th, 2022
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
PEARL RIVER COMMUNITY COLLEGE PROBATION AGREEMENTProbation Agreement • July 6th, 2022
This is to certify that I, (print name) agree to the following conditions for readmission to the Pearl River Community College program.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • June 4th, 2018
The Respondent agrees that violation of this Probation Agreement, including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • June 17th, 2024
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent as set forth below. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • March 5th, 2024
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent as set forth below. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • July 3rd, 2023
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • November 29th, 2020
The Respondent agrees that violation of this Probation Agreement, including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate lifting of the stay of suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • February 28th, 2019
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • June 27th, 2022
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • May 23rd, 2023
The Respondent agrees that violation of this Probation Agreement, including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • January 4th, 2019
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
Probation AgreementProbation Agreement • July 17th, 2017
Upon admission to the Ph.D. Program students are expected to make satisfactory progress toward their degree. Please select the expectations from the list below that are not being met as reasons for probationary status (select all that apply).
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • October 25th, 2021
The Respondent agrees that violation of this Probation Agreement, including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
P robation Agreement for Academic and Research StaffProbation Agreement • September 5th, 2019
Professional Development: Please indicate whether the member of staff is: a) Pursuing FHEA recognition via CADENZA b) Registered on the University’s PGCHEP c) A Fellow of the HEA
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • February 1st, 2023
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • August 8th, 2012
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • August 25th, 2020
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license, or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • May 23rd, 2018
The Respondent agrees that violation of this Probation Agreement (“Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
AGREEMENT ON PROBATION BETWEEN AND MS./Mr. [*]Probation Agreement • May 6th, 2019
THIS AGREEMENT ON PROBATION (hereinafter referred to as the “Agreement”) is made at [cite the registered place of the employer] on this [*] day of [*], [*]by and between:
EXTENDED PROBATION ROTATIONProbation Agreement • March 25th, 2021
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • November 19th, 2018
The Respondent agrees that violation of this Probation Agreement (“Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board of Registration in Medicine (“Board”) may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • February 1st, 2023
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • March 1st, 2023
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • September 16th, 2020
The Respondent agrees that violation of this Probation Agreement (this “Agreement”) shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
AGREEMENT AS TO SPECIAL CONDITIONS OF PROBATION UNDER 13:5304 PURSUANT TO A DRIVING WHILE INTOXICATED (DWI ) PLEAProbation Agreement • May 12th, 2020
In accord with La. R.S. 13:5304, the execution/imposition of sentence is deferred under C.Cr.P. Art. 893 and the defendant is placed on (years/months) of supervision under the usual conditions of active/inactive probation as provided by C.Cr.P. Art. 895 and with the following mandatory conditions:
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • January 19th, 2023
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • September 17th, 2020
The Respondent agrees that violation of this Probation Agreement (“Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board of Registration in Medicine (“Board”) may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
ContractProbation Agreement • March 25th, 2021
This Agreement shall be completed for every Resident receiving postgraduate medical education training at the University of Manitoba who has been placed on Probation, prior to the start of each period of Probation. The arrangements described in this agreement are subject to the Max Rady College of Medicine Postgraduate Medical Education (PGME) group of policies collectively entitled: PGME Resident Assessment, Promotion, Remediation, Probation, Suspension and Dismissal Policy.
COMMONWEALTH OF MASSACHUSETTSProbation Agreement • September 11th, 2021
The Respondent agrees that violation of this Probation Agreement (“Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board of Registration in Medicine may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
SIXTH JUDICIAL DISTRICT DEPARTMENT OF CORRECTIONAL SERVICES PROBATION AGREEMENTProbation Agreement • November 23rd, 2009
PROBATION ROTATION FINAL RESIDENT ASSESSMENTProbation Agreement • March 25th, 2021
⦿ AGREEMENT : PROBATIONER TO EXECUTE AN AGREEMENT BINDING HIMSELF WITH ONE SURETY JOINTLY AND SEVERALLYProbation Agreement • November 19th, 2014
⦿ FAILURE TO FOLLOW THE PROVISIONS OF THE RULES TO GOVERNMENT SATISFACTION RESULTS IN REFUND OF ANY MONEYS PAID ON APPOINTMENT AS PROBATIONER
Faculty of MedicineProbation Agreement • January 8th, 2014
This Agreement shall be completed for every Resident receiving postgraduate medical education training at the University of Manitoba who has been placed on Probation, prior to the start of each period of Probation. The arrangements described in this agreement are subject to the Faculty of Medicine Postgraduate Medical Education (FPGME) policy entitled: Faculty Postgraduate Medical Education (FPGME) Resident Assessment, Promotion, Remediation, Probation, Suspension and Dismissal Policy.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • October 28th, 2024
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
COMMONWEALTH OF MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINEProbation Agreement • March 4th, 2024
The Respondent agrees that violation of this Probation Agreement (“this Agreement”), including such provisions which survive this Agreement, shall constitute sufficient grounds for the immediate suspension of the Respondent’s license to practice medicine, or any such lesser sanction as the Board may deem fit to impose, without prior notice to the Respondent as set forth below. The Respondent hereby waives any claim or defense to any subsequent action by the Board to suspend the Respondent’s license or impose such other lesser sanction, for any such violation or violations of this Agreement, except that the Respondent shall be entitled to defend against the assertion of a violation of this Agreement. The Respondent acknowledges and agrees that by entering into this Agreement, the Respondent is relinquishing important procedural and substantive rights.
