Signature of Applicant definition

Signature of Applicant. Date: Authorized PPCCC Signature: Date:

Signature of Applicant. Age: Date:

Signature of Applicant. Library Administration Approval:

Examples of Signature of Applicant in a sentence

• Name of Applicant: ............................................................................................................................................................Signature of Applicant: ......................................................................................................

• Signature of Applicant ATTACHMENT 1A: CERTIFICATE OF ACCOUNTANT FOR AN AUDIT OF A FINANCIAL STATEMENT COMPLETE THIS CERTIFICATE STATE OF We have examined the Financial Statement of as of .

• Signature of Applicant, Solicitor, Authorized Agent A Commissioner etc.

• Signature of Applicant Date The information collection requirements contained in this form were submitted to the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520).

• If a member of the household who is required to sign the consent forms is unable to sign the required forms on time, due to extenuating circum-Name of Applicant or Tenant (Print) Signature of Applicant or Tenant & Date I have read and understand the purpose of this consent and its uses and I understand that misuse of this consent can lead to personal penalties to me.

More Definitions of Signature of Applicant

Signature of Applicant. Date: By signing this form, I acknowledge I have read and understand the cancellation policy with respect to fees as outlined on page 5 of the Civil Marriage Information Package.

Signature of Applicant. Date: Signature of Spouse: Date:

Signature of Applicant. Date: FOR OFFICE USE ONLY □ Reservation made on Field House Calendar Date Application Received: _ Rental Fee Received: Deposit Fee Paid: Receipt # _ LIONS FIELD HOUSE FACILITY CHECKLIST APPLICANT: RESERVATION DATE: The following is a list of items that need attention at the end of each rental. We ask that renters use this form as a guide to keep our facilities neat and clean. These items are evaluated by the Village of Xxxxxxxx Bay and the Public Works Department. Damage Deposits are withheld based on the satisfactory cleaning of the rental site. Note: Please use the reverse side of this form for additional comments. Pre-Event Inspection Post-Event Inspection Tables should be wiped down; no stains or sticky surfaces. Return to storage location. Chairs should be wiped down, no stains or sticky surface. Return to storage location. Countertops, kitchen sinks, & appliances should be wiped down. Wash, dry and put away all dishes used. Appliances must be clean & operational (microwave, ovens, refrigerator garbage disposal & dishwasher). Remove all decorations including tape. Tape or Decorations are NOT allowed on Blinds or Ceiling. Failure to remove decorations will result in a charge against the damage deposit. Garbage bags removed from building and placed in dumpsters. Please place recyclables in the proper container. Failure to remove the garbage will result in a charge against the Damage Deposit. Check outside of the building and park area for debris. Food and beverages are to be removed from refrigerator. Remove all food brought into the facility No markings on wall surfaces; stains, scuffs, holes Floors swept and mopped Windows and doors must be secured, and lights turned off when leaving.

Signature of Applicant. Date: Signature of Land Owner: Date: Signature of Improvement Holder: Date: _

Signature of Applicant. Date: Applicant’s Name / Group: Today’s Date: Date(s) Requested Starting: _ End Date (if event is re-occurring): Day(s) of the Week Requesting: Sun Mon Tues Wed Thurs Fri Sat Area or Specific Space Requested: 1st and 2nd Choice:Email address: ES Gym (baseball in this gym only) HS Parking Lot K-8 Entry Way Time Start: Time End: Set-up Time (If Needed): Breakdown Time (If Needed): Description of event to take place: Approximate number of people attending: Is event open to public? Yes No Does your organization hold non-profit status? Yes No If yes, proof is required. Is this a revenue generating event? Yes No If you are requesting use of a field, would you like to be notified of any chemical spraying that is scheduled for that field during your requested time? Yes No If it is determined by the coordinator that your event needs to run through Community Ed, Xxxxx Xxxx (our Community Ed Director) will contact you.

Signature of Applicant. Date: (Applicants must be 18 years of age to sign independently. Otherwise, the signature of a guardian is required.) Applicant’s Representative If someone other than the applicant has completed this application, the following information must be provided.

Signature of Applicant. Date: Approved by: _ Date: