Name of Student definition

Name of Student. Date: The above named student is unable to attend regular school classes, but is ready to have Home & Hospital Instruction. My medical findings and recommendation are as follows: Diagnosis (DSM if applicable): Summary of the Therapeutic Plan to enable the student to return to school (if applicable): What medication(s) is/are the student currently prescribed, if any? Patient is contagious to the Home Instruction Teacher ❑ YES ❑ NO Explanation: Patient is a danger to oneself or others. ❑ YES ❑ NO Explanation: Limitations, restrictions, or precautions that the Home & Hospital teacher should take when working with this student: Estimated Return Date to School (15 days minimum to a 90 days maximum): ❑ PHYSICIAN ❑ PSYCHIATRIST ❑ THERAPIST Must include date Name: Signature: Office/Specialty: California License Number: Address: City, State, Zip Code: Office Phone: Office Email: Office Fax: Physician/Psychiatrist/Therapist Name: Office/Specialty: Address: City, State, Zip Code: Office Phone: Office Fax: Office Email: I hereby request and authorize to release any relevant medical, social, psychological, and/or test information you may have or may receive pertaining to: Patient/Student Name: Birthdate: The disclosure of this information is required for the following purposes: Home and Hospital Instruction Program Approval, Verification, Updates, etc. Please direct information to: Xxxxxx Xxxxxxxxxx, Home & Hospital Administrator, (000) 000-0000 x0000 0000 Xxxxxx Xxxx Xxxx Xxxxxxx, XX 00000 Xxxxxxx Xxxxx, Assistant Director, Special Education, (000) 000-0000 x0000 0000 Xxxxxxxx Xxxxx Concord, CA 94519 ❑ I understand that this consent is valid for 1 year or the end of the 2024-2025 school year from the date of signing and that I may revoke this consent, at any time, by notification in writing. ❑ I understand that I may request a copy of this authorization for my personal records. Parent/Guardian Name: Parent/Guardian Signature:
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Name of Student. School: Grade: Name of parent with whom student resides: Address: Phone:
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Name of Student. Current address of student: Permanent address of student: Telephone number: Cell phone: E-mail address: Social Security No.: Date of birth: Program of Instruction: Title of program: Associate of Science in Business and Companion Dog Studies Academic Degree Awarded Upon Successful Completion of Associate Degree Program Program completion requirements: Total credits: 60.5 semester credits Start date: August 17, 2020 Scheduled completion date: May 1, 2021 Semesters: Fall 2020 & Spring 2021 - nine months to complete degree program. The maximum time frame to complete the program is 1.5 times the length of the program. The Associate of Science Degree Programs, while meeting the expectation of two-years of student learning outcomes with 61 semester credits required for graduation, are actually completed in two full semesters’ terms of enrollment. This is possible because the student completes 37 semester credits at the College with 24 semester credits of the program applied through transferred in courses. Maximum program length for the A.S. degree is 54 semester credit hours (36x1.5) rounded off to four (4) semesters (terms) of enrollment. Xxxxxx College of Canine Studies reserves the right to modify program requirements, content, and the sequence of program offerings for educational reasons which are deemed necessary to fulfill its role and mission. Program Course Attendance: Class time generally begins at 8:00 am and concludes at 3:00 pm Monday through Friday. Students will be assigned rotating groups in the Kennel Technology supervised lab. When a student is part of the “on” group, morning class time will begin at 7:15 am. If students choose to participate in an elective course, class times are scheduled for two days a week from 4:00-5:00 pm subject to change. Please Note: Courses that include field trips or client interviews will occasionally run until 3:50 pm. Class schedule times vary from semester to semester. Information about Xxxxxx College of Canine Studies: Name of school: Xxxxxx College of Canine Studies Address of school: 00000 Xxx Xxxxxxx Xxxxxxx, Xxxxxxxxx, XX 00000 Telephone: 707/545-3647 E-mail: xxxx@xxxxxxx.xxx Delay of Program Start Date I understand that the program calendar start dates are tentative in nature and can change due to weather delays, lack of enrollment, act of God, etc. Xxxxxx College of Canine Studies will alert the student of any such changes and will work to minimize any disruption. Xxxxxx College of Canine Studies is not resp...
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Examples of Name of Student in a sentence

  • Printed Name of Student Student’s Signature Date AVTEC - ALASKA’S INSTITUTE OF TECHNOLOGY DORMITORY APPLICATION Conditions of The Contract and Payment This is a binding agreement between AVTEC and the student signing this contract.

  • PLEASE PRINT It is agreed that Cooperating Agency Contact Person Phone Number Address shall assign Name of Student for purposes of providing work experience as part of the student's college training.


More Definitions of Name of Student

Name of Student. Form: Date: Person parking: Subject: Please briefly explain why student is being parked: …………………………………………………………………………..…….………………. …………………………………………………………………………..…….………………. …………………………………………………………………………..…….………………. …………………………………………………………………………..…….………………. Please pass this slip to HoD at the end of the lesson Report Card Procedures Annex Report Cards In some instances students will be placed on an appropriate ‘report’ and this must be seen as a serious step. Students can be placed on report for a range of reasons and can be either General Pastoral Report, subject specific Curriculum Report or an SLT Report. Parents/carers will be made aware by standard letter that their child is on report, the reasons why and the outcome. • Original retained in student’s file • Copies of any Curriculum and Pastoral Reports to SLT if student is placed on SLT Report Curriculum Report • Original retained by HOD • Copy to HOH for student’s file Pastoral Report SLT Report Stage 4 in B4L Policy Pastoral + Curriculum Report • Copy of SLT Report to HOH for student’s file • Recommendations made, and conversation takes place between Senior Leader and HOH Curriculum Report (Subject Specific)/Behavioural Concerns • The relevant HOD sets 3 targets with the student, and these are monitored for a fixed period of 6 lessons. Where targets have not been met in the monitoring period the HoD will set an appropriate sanction. • The Report card is repeated if the student fails to meet more than 3 targets at any point in the monitoring period. • When a report period is complete, the original is retained by the HOD, with a copy passed to the HOH. Pastoral Report (Behavioural Concerns across Subjects) • HOH sets 3 targets with the student, and these are monitored for a period of 5 days, with an additional two days, at the HOH’s discretion if necessary. For each lesson where targets have not been met, an instant sanction will be applied by the HOH, at their discretion. • Pastoral Reports will be followed up with an informal ‘Probationary Report’, or repeated completely if necessary at the discretion of the HOH. SLT Report Prior to being placed on Report • A discussion will take place between the senior leader and the parent/carer on the issues the student is displaying. • The member of SLT sets 3 targets with the student. The SLT member should have copies from the HOH of all curriculum and pastoral reports to date. • After completing the Report there will be a conversation between the member of SLT and...
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Name of Student. Grade: Guardian Name: Do you have wireless at home? 🞏 Yes 🞏 No I agree to the provisions outlined in the policy terms 08.2323 AP.21 and understand that: ● Enrollment in this program is REQUIRED to take the device home. ● The policy only covers the school issued device. ● Liability is limited to the replacement/repair of the device; no additional liability is implied or assumed. ● Device should be brought to school fully charged each day. Failure to comply with any of the above may result in loss of privileges. Student Signature Guardian Signature Office Use Only: Date: Date:
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Name of Student. Grade: Student Signature: Date: Name of Parent(s) or Guardian(s): Signature of Parent(s) or Guardian(s):
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Name of Student. Grade:________ Year:________ Address: ____________________________________________________________________ Phone No.: _______________________________ I authorise my son/daughter to proceed with the loan of the instrument described above, and undertake to exercise reasonable supervision of its use. In the event of damage to the instrument as a result of neglect or abuse, I undertake to cover the cost of repairs. I agree to the conditions of the loan as stated. Signature of Parent/Guardian: ______________________________________ Date:_________ Date Instrument Returned: __________________ Received by: _________________________
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Name of Student. Group: Signed: Date: Name of Parent / Carer:
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Name of Student. Organization Name: Address: Phone: Supervisor’s Name: Purpose The purpose of this agreement is to provide the St. Augustine College student with a practicum experience in the field of Early Childhood Education.
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Related to Name of Student

  • Company Name Address: Attention: Tel: Fax: Email: If sent to Cornell: For all correspondence except payments – Center for Technology Licensing at Cornell University Attention: Executive Director 000 Xxxx Xxxx Xxxx, Xxxxx 000 Xxxxxx, XX 00000 FAX: 000-000-0000 TEL: 000-000-0000 EMAIL: xxx-xxxxxxxxx@xxxxxxx.xxx For all payments – If sent by mail: Center for Technology Licensing at Cornell University XX Xxx 0000 Xxxxxx, XX 00000-0000 If remitted by electronic payments via ACH or Fed Wire: Receiving bank name: Xxxxxxxx Trust Co. Bank account no.: 0111000065 Bank routing (ABA) no.: 000000000 SWIFT code: Bank account name: XXXXXX00 Cornell University Bank ACH format code: Not required Bank address: X.X. 000, Xxxxxx, XX 00000 Additional information: Reference D-4729 Agreement No.: <to be assigned> An email copy of the transaction receipt shall be sent to xxx-xxxxxxxxx@xxxxxxx.xxx. Licensee is responsible for all bank charges of wire transfer of funds for payments. The bank charges shall not be deducted from the total amount due to Cornell.

  • R2000 Strategy means an initiative by the Government of Kenya to improve the maintenance of the country’s Road Network by giving priority to maintenance through network approach, using appropriate technology, labour-based methods, local resources and increased usage of small-scale entrepreneurs.

  • Legal Name means the name of the company, corporation or other entity constituted as a legal person under which this person exercises its rights and performs its obligations.

  • Authorized Signatory means the designated person of the agency authorized to represent the agency in all matters pertaining to its Proposal. The designated person should hold the Power of Attorney duly authorizing him/ her to perform all tasks including but not limited to sign and submit the Proposal to participate in all stages of the RFP Process, to conduct correspondence for and on behalf of the agency, and to execute any document required to give effect to the outcome of the RFP Process;

  • Name of Public Employer means “Board of Regents of the University System of Georgia, Owner, for the use and benefit of Georgia Institute of Technology, Using Agency”

  • s Name Property Address: _________________________________________________________

  • business name or "trade name" means the name of a licensed business as used by the licensee on signs and advertising.

  • Nursing home-type patients means a patient who has been in hospital more than 35 days, no longer requires acute hospital care, cannot live independently at home or be looked after at home, and either cannot be placed in a nursing home or a nursing home place is not available.

  • North American Numbering Plan (NANP) means the numbering architecture in which every station in the NANP Area is identified by a unique ten (10)-digit address consisting of a three (3)-digit NPA code, a three (3)-digit central office code of the form NXX, and a four (4)-digit line number of the form XXXX.

  • Public safety answering point or “PSAP” means an answering location for 9-1-1 calls originating in a given area. A PSAP may be designated as Primary or Secondary, which refers to the order in which calls are directed for answering. Primary PSAPs respond first; Secondary PSAPs receive calls on a transfer basis only, and generally serve as a centralized answering location for a particular type of emergency call. PSAPs are staffed by employees of Service Agencies such as police, fire or emergency medical agencies or by employees of a common bureau serving a group of such entities.

  • Contact Name Date: Address: Phone: City: State: Zip Code: Email: Credit card Check

  • North American Numbering Plan or "NANP" means the basic numbering plan for the Telecommunications networks located in the United States as well as Canada, Bermuda, Puerto Rico, Guam, the Commonwealth of the Xxxxxxxx Islands and certain Caribbean Islands. The NANP format is a 10-digit number that consists of a 3-digit NPA code (commonly referred to as the area code) followed by a 3-digit NXX code and 4-digit line number.