Recipient Name definition

Recipient Name. Position: Address: Telephone: Email:

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Recipient Name. Address: Email: Telephone: Provider Name: ▇▇▇▇. ▇.▇. ▇▇▇▇ Address: Manchester Brain Bank, Salford Royal NHS Foundation Trust, Clinical Sciences Building, ▇▇▇▇▇ ▇▇▇▇, Salford, M6 8HD Email: ▇▇▇▇▇.▇.▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇.▇▇ Telephone: +▇▇ (▇)▇▇▇ ▇▇▇ ▇▇▇▇ How will the material be used Please attach a copy of documentation indicating ethical approval for tissue use, or, indicate why ethical approval is not needed.

Recipient Name. Attention: Address:

Examples of Recipient Name in a sentence

• Los Angeles Unified School District Recipient Name [ADDRESS] Recipient Address ▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Los Angeles, California 90017 Signature Print Name Signature Print Name Title Date State and federal laws strictly regulate the protection of students’ educational record information.

• Prior to beginning the work authorized herein, [Recipient Name] shall provide the NPS with confirmation of such insurance coverage.

• Communication and details concerning this contract shall be directed to the following contract representatives: Grantee Recipient Name: ▇▇▇▇ ▇▇▇▇▇▇▇▇ Name: ▇▇▇▇▇ ▇▇▇▇▇ Title: Director of Planning, Development Title: Chair And Neighborhood Services Grantee: City of Joplin Recipient: Homeless Coalition ▇▇▇ ▇.

• This Loan is made to the [Insert Recipient Name] (“Borrower”) for an energy savings Project.

• Purchase Order Number Billing Address Invoice Recipient Name Invoice Recipient Email Invoice Recipient Tel.

• Communication and details concerning this contract shall be directed to the following contract representatives: Grantee Recipient Name: ▇▇▇▇ ▇▇▇▇▇▇▇▇ Name: ▇▇▇▇ ▇▇▇▇▇▇ Title: Director of Planning, Development Title: Chief Executive Officer And Neighborhood Services Grantee: City of Joplin Recipient: Economic Security Corporation ▇▇▇ ▇.

• Recipient Name Orange, County of ▇▇▇▇▇ ▇ ▇▇▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇‐4941 2.

• Date: By: Name: Title: Date: By: [name of Recipient] Name of Recipient: Maximum Number of Shares of Performance-Based Restricted Stock: Target Number of Shares of Performance Based Restricted Stock: Grant Date: Demandware, Inc.

• If the Recipient is entering into this Agreement as a trustee of a trust, the Recipient Name entry would generally be [name of trustee] as trustee of [name of trust].

• Washington, D.C. 20433 United States of America Attention: [Country Director] Dear [Country Director]: I refer to the Advance Agreement (Agreement”) between the International Bank for Reconstruction and Development (“Bank”) and [Recipient Name] (“Recipient”), providing for the above Project Preparation Advance.

More Definitions of Recipient Name

Recipient Name. ACN: Address: (the Recipient) Contact details of primary contact of the Recipient Name: Position: Email: Telephone Number:

Recipient Name. Address: Email: Telephone: Provider Name: Address: Email: Telephone: How will the material be used Please attach a copy of documentation indicating ethical approval for tissue use, or, indicate why ethical approval is not needed.

Recipient Name. County of ▇▇▇▇▇ ▇▇▇▇▇ Number: CA1552L9T071802 Tax ID Number: ▇▇-▇▇▇▇▇▇▇ DUNS Number: ▇▇▇▇▇▇▇▇▇

Recipient Name. DOB: ______________ Age: __________________ Height: __________________________________________ Weight: __________________________________________ Primary Diagnosis: __________________________________________________________________________________ Secondary Diagnosis: _______________________________________________________________________________ Indicate the daily frequency of each of the above medical issues: _____________________________________________ __________________________________________________________________________________________________ Additional medical information we should be aware of/medical intervention required: ___________________________ _________________________________________________________________________________________________ Level of support receiving medication (Circle One): Supervision Assistance Total Support List Other: ____ Has your child experienced any serious illnesses? _________________________________________________________ Which best describes the service recipient’s hearing (with hearing aid if used): Circle one Normal Mild Loss Moderate loss Severe loss Profound loss Undetermined Which best describes the service recipient’s vision (with glasses or contact lenses if used): Circle one Normal Moderately impaired Severely impaired Light perceptions Total blindness Undetermined Allergies (Food/Drugs/Environmental): __________________________________________________________________ If so, what is their symptoms and treatment when exposed: _________________________________________________ Communication Skills (Circle only one): Verbal Limited Verbal Non-Verbal Circle all that apply: Communication Device Sign Language Communication Board Other ___________________ Makes sounds or gestures to get the attention of others Yes No Communicates basic needs speaking or signing Yes No Communicates wants and needs Yes No Responds when name is called by looking at person speaking Yes No Indicates “yes” or “no” in response to simple question Yes No Ability to read and write Yes No Answers and is able to use the telephone to contact others Yes No Responds appropriately to most common signs or symbols Yes No Understands the meaning of “no” Yes No Understands one-step directions Yes No Understands two-steps directions Yes No Understands a joke or story Yes No Asks simple questions Yes No Relates experiences when asked Yes No Describes realistic plans in detail Yes No Eats independently? Yes No Diet Restrictions: __________________...

Recipient Name. [Recipient Name] Signature: Date: [Date]

Recipient Name. Address: Email: Telephone: Provider Name: Address: Email: Telephone: How will the material be used: Please attach a copy of documentation indicating ethical approval for use, or indicate why ethical approval is not needed.