zilongwang/ReadingBank huggingface dataset:
II- ANNEX A - ANNEX CASH CROPS; FRUITS AND VEGETABLES; HAY; ORCHARDS : N/A PRODUCTION SITES (including fields, parcels, orchards, etc.) **Include all conventional, organic and transitional land. Please use the same field numbers on the same fields consistently every year. Site identification (field #, …) **Une ligne par parcelle doit être complete** Complete address, Land Location Number or Legal Land Description Culture Ex.: Potatoes, Wheat, etc. If there are multiple crops in the same field, you can write ‘vegetables’. Land area Provide # of ac or ha Status of field/parcel/site (see legend below for C3,C2,C1) Owner (yes-no)* ha acres Organic C3 C2 C1 Conventional Yes No ha acres Organic C3 C2 C1 Conventional Yes No ha acres Organic C3 C2 C1 Conventional Yes No ha acres Organic C3 C2 C1 Conventional Yes No ha acres Organic C3 C2 C1 Conventional Yes No ha acres Organic C3 C2 C1 Conventional Yes No ha acres Organic C3 C2 C1 Conventional Yes No Organic C3 C2 Yes
# Legal Land Description or in containers or plantation date Area m2 Sq. Ft. Soil Containers Area m2 Sq. Ft Soil Containers Area m2 Sq. Ft. Soil Containers Area m2 Sq. Ft Soil Containers Area m2 Sq. Ft. Soil Containers Area m2 Sq. Ft Soil Containers Area m2 Sq. Ft. Soil Containers Area m2 Sq. Ft Soil Containers Area m2 Sq. Ft Soil Containers
Fertilization during production period of seeds is prohibited for sprouts, shoots and cultivated in water. 1. Description of production methods and equipments used: 2. Production Schedule Product(s) Type of production Cultivated in Seeding Harvest Production site (if multiple sites) Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil Shoots Sprouts Micro greens water soil 3. Cleaning protocol for production equipment in contact with production of shoots/ sprouts/ micro greens: Product(s) used in the cleaning of equipment
Level of education What is the highest grade or level of school the participant/subject has completed or the highest degree obtained? (Choose one): Never attended/ Kindergarten only 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade, no diploma High school graduate GED or equivalent Some college, no degree Associate degree: occupational, technical, or vocational program Associate degree: academic program Bachelor's degree (e.g., BA, AB, BS, BBA) Master's degree (e.g., MA, MS, MEng, MEd, MBA) Professional school degree (e.g., MD, DDS, DVM, JD) Doctoral degree (e.g., PhD, EdD) Unknown Years of education: Marital/partner status (choose one): Never married Married Domestic partnership Divorced Separated Widowed Employment status (choose one): Working now Only temporarily laid off, sick leave, or maternity leave Looking for work, unemployed Retired Disabled, permanently or temporarily Keeping house Student Unknown Other, specify: Job classification category (choose one): None Official/Manager Professional Technician Sales Worker Administrative Support Worker Craft Worker Operative Laborer/Helper Service Worker Unknown Additional Core or Basic Pediatric-specific Elements These elements are highly recommended for pediatric studies in addition to the elements above. Primary caregiver’s level of education: What is the highest grade or level of school the participant’s/subject’s primary caregiver has completed or the highest degree obtained? (Choose one): Never attended/ Kindergarten only 1st Grade
The Intermediary Report has to be sent to OLAS within 6 months after the assessment. Please comment on all dates of implementation of more than 3 months. CABs name Date of Intermediary Report Finding n° Type of finding Concern (documentation/ application) Description of finding Implementation date of the corrective action Time limit respected (yes/no) Comments
Service Recommendations: (Insert relationship to child, name) submit to a diagnostic assessment and follow all recommendations. (Insert relationship to child, name) to engage in mental health treatment.* *Use when a diagnostic assessment has already been completed. (Insert relationship to child, name) to submit to a psychological evaluation.* *Diagnostic assessment is the standard assessment for mental health disorders. A psychological evaluation should be requested only if there is extremely concerning behavior e.g. fire-setting behavior, cruelty to animals, etc. (Insert relationship to child, name) to engage in a substance abuse assessment. (Insert relationship to child, name) to engage in and successfully complete substance abuse treatment.* *Use when a substance abuse assessment has already been completed. (Insert relationship to child, name) to leave random urine screens at the request of the caseworker or the guardian ad litem. (Insert relationship to child, name) submit to a dual diagnostic assessment and follow all recommendations. (Insert relationship to child, name) to engage in and successfully complete a domestic violence victim’s program. (Insert relationship to child, name) to engage in and successfully complete a domestic violence batterer’s program. (Insert relationship to child, name) to engage in and successfully complete an anger management program. (Insert relationship to child, name) to engage in and successfully complete a parenting program. (Insert relationship to child, name) to engage in and successfully complete an interactive parenting program. (Insert relationship to child, name) and (insert child’s name) to engage in and successfully complete Parent-Child Interactive Therapy. (Insert relationship to child, name) to establish paternity. (Insert relationship to child, name) to submit to genetic testing. (Insert relationship to child, name) to clear up any and all warrants. (Insert relationship to child, name) to obtain/maintain appropriate, stable housing. (Insert relationship to child, name) to obtain/maintain stable employment. Parents to meaningfully engage in and successfully complete all case plan services. Service Recommendations involving Children: (Insert name) shall have a developmental assessment and follow all recommended treatment. (Insert name) to have an educational assessment. (Insert name) to have a medical assessment and follow all recommended treatment. (Insert name) to have a dental assessment and follow all recommended treatment.
TESDA-OP-CO-02-F05 REV. No. 00-03/08/17 TVI/COMPANY COMPLIANCE AUDIT REPORT OBJECTIVES OF AUDIT To determine the continuous compliance of the TVI/Company on the program registration requirements and guidelines REGION DISTRICT/PROVINCE NAME OF TVI/Company ADDRESS PROGRAM DATE REGISTERED NO LIST OF EQUIPMENT/ TOOLS AND FACILITIES NO. OF REQUIRED EQUIPMENT ACTUAL CONDITION REMARKS good defective lacking EQUIPMENT
TESDA-OP-CO-02-F06-PO Rev. No. 00-03/08/17 CONSOLIDATED PROVINCIAL REPORT AND STATUS OF COMPLIANCE TO CORRECTIONS AND CORRECTIVE ACTION/S (AUDIT CLOSURE REPORT) Year: _________ Province:______________ Name of TV/Company (A) Address (B) Date of Audit (C) Program (D) Status (Please check columns (E,F, G, H) Compliant (E) Closed* (F) For Migration (G) Non-compliant (H) Findings on Areas Not Complied with per Program Registration Requirement (I) Corrections (J) Corrective Action (K) Date of Implementation (Corrective Actions) (L) *Legend: 1 – Closed Program, 2 – Closed TVI Prepared by: Approved by: PO UTPRAS/Compliance Audit Focal Person Provincial Director Date: ________________ Date: __________________
TESDA-OP-CO-02-F06-RO Rev. No. 00-03/08/17 CONSOLIDATED REGIONAL SUMMARY OF AUDITED PROGRAMS Region:______________ Name of TV/Company (A) Address (B) Date of Audit (C) Program (D) Status (Please check columns (E,F, G, H) Compliant (E) Closed* (F) For Migration (G) Non-compliant (H) Findings on Areas Not Complied with per Program Registration Requirement (I) Corrections (J) Corrective Action (K) Date of Implementation (Corrective Actions) (L) *Legend: 1 – Closed Program, 2 – Closed TVI Prepared by: Approved by: RO UTPRAS/Compliance Audit Focal Person Regional Director
Table 1: NINDS CDE Workgroup – Cognitive Recommended CDE’s Instrument Name Rating Scale Usage Screening Instrumenta Severityb Longitudinalc Diagnostic Instrumentd Administration Time ADAS COG◊ 2 2 N/A 2 30 min Addenbrooke’s Cognitive Examination-III ACE-III 1.5 2 3 2 15-20 min CAMCOG-R† 2 2 2 2 25-30 min Clinician Global Impression of Change (CGIC)◊ N/A N/A 1.5 N/A 40 min Mattis DRS-2□ 1 1 1 1 30-50 min MMSE□ 3 2.5 2 3 10-12 min Montreal Cognitive Assessment (MoCA)▲ 1.5 1.5 1 2 10-15 min PANDA† 2 2 N/A 2.5 8-20 min PD-CRS† 2 2 N/A 2 17-26 min SCOPA-COG◊ 2 1.25 2 3 10-15 min Short Portable Mental Status Questionnaire▲ 3 N/A N/A N/A 5 min aScreening Instrument - For initial identification of possible disorder; b Rating Scale - For measurement of disorder severity c Longitudinal - Sensitivity to change over time d Diagnostic Criteria and Instrument – Categorization of patients into those with and without a disorder † Instrument available from author– refer to Instrument Summary for information on availability ◊ Instrument available in public domain – refer to Instrument Summary for information on availability ▲ Free to investigators– refer to Instrument Summary for information on availability □ Copyrighted Instrument – refer to Instrument Summary for information on availability Please note: Each of the above scales are being given a score of 1, 2, 3 for suitability (1= highest or best, 3= lowest or worst)
Facility Information The ADC is located in or attached to: One- or two-family dwelling Stand-alone facility Multi-use building not attached to a healthcare facility (such as a church, community room, or senior center) Assisted living or other healthcare facility not a nursing home (such as a CBRF, RCAC, or general hospital) Nursing home or area of a hospital designated “swing beds” Certificate Holder Type (Check one. Do not check “Government – State” unless facility will be owned and operated by a state agency.) Church Corporation For-Profit Corporation Non-Profit Government – County Government – State Government – Other Tribal Limited Liability Corporation (LLC) Partnership Proprietorship (individual) Other – Specify: Owner / Operator / Certificate Holder Information Name – Corporation / Legal Entity (if applicable) FEIN (Federal Employer Identification No.) Name – Certificate Holder or Corporate Entity Birthdate – Certificate Holder or Corporate Rep. Address – Certificate Holder / Corporate Representative City State Zip Code Telephone No. Fax No. Email Address Provide the name(s) of any other facilities associated with this certificate holder or corporate entity. Attach an additional list if needed. Participant Information Total Number of ADC Participants Served: Yes No Will meals be provided to participants? Yes No Are any participants non-ambulatory? Check only the box(es) indicating the primary participant group(s) you will serve. Advanced Age Developmentally Disabled (Intellectually Impaired) Physically Disabled Traumatic Brain Injury Irreversible Dementia / Alzheimer’s Emotionally Disturbed / Mental Illness Terminally Ill Other (Specify.) Currently serving publicly funded participants (Identify the agency providing the public funding below.) Anticipate serving publicly funded participants within the next 90 days To be eligible to receive public funding, facilities must demonstrate compliance with The Centers for Medicare & Medicaid Services (CMS) Home and Community-Based Services (HCBS) settings rule during the onsite survey. Review the additional requirements listed on page 4 of this application. Safety Local fire departments have requested the locations of regulated facilities. Provide the details of your local fire department. Name – Local Fire Department Telephone No. (do not enter “911”) Street Address / PO Box City State Zip Code
TESDA-OP-CO-02-F08 Rev. No. 00-03/08/17 REPORT ON CLOSURE PROCEEDINGS Region : ________ Province : __________________ Date of Audit : ________________ TVI : ___________________________________________ Procedure on Closure Proceedings Title of Program/ Level Program Duration PO issues a written communication (1 day) TVI/Company writes reply within prescribed period (5 working days from receipt of written notice) PO issues a letter within 5 working days to TVI/Company to correct deficiencies PO issues a letter for TVI/Company to correct deficiencies within 15 working days (within 5 working days) PO sends to RO for Notice of Program Closure (1 day) RO acts on the (within 5 working days) PO sends letter to the institution to surrender the CTPR within 5 working days (1 day) PO sends copy of Notice of the Program Closure to the Office of Mayor (1 day) RO sends report to CO for deletion in the database (1 day) Prepared by: Recommending Approval: Approved by: ______________________________________ __________________________ __________________________ PO UTPRAS/Compliance Audit Focal Person Provincial Director Regional Director Date : _____________________ Date : ____________________ Date : ____________________
SKYLINE RANCH K-8 SCHOOL toby haugen, Principal Enrollment Report March 2014 KINDERGARTEN # STUDENTS Bilsky, Jil-Heather 25 Gonzales, Kathleen 25 Nichols, April 25 GRADE 1 # STUDENTS Bocchino, Michelle 22 Knighton, Stacy 22 Olson, Michelle 22 Zebe, Morgan 21 GRADE 2 # STUDENTS Cluff, Sheila 24 Michael-Dobson, Sonja 23 Pheiffer, Lana 22 GRADE 3 # STUDENTS Thacker, Stephen 27 Thaker, Suzanne 26 Womack, April 27 GRADE 4 # STUDENTS Garroute, Karen 26 McDowell, Jona 25 Trombley, Jaclyn 26 GRADE 5 # STUDENTS Daniels, John 27 Marschall, Beth 30 Potter, Lindsey 27 GRADE 6 # STUDENTS Farless, Kim 93 Fosnight, Estelle Freser-Fries, Kim GRADES 7-8 # STUDENTS Healey, Jack 170 Leal, John Nazario, Gabrielle Payne, Jessica Taylor, Rose Thompson, Bron TOTALS # STUDENTS KINDER 75 GRADE 1 87 GRADE 2 69 GRADE 3 80 GRADE 4 77 GRADE 5 84 GRADE 6 93 GRADE 7 76 GRADE 8 94 GRAND TOTAL 735
Integumentary (skin and/or breast) Normal Abnormal Not examined Data to be filled in by site Musculoskeletal (separate from ALS exam) Normal Abnormal Not examined Data to be filled in by site Neurological (separate from ALS exam) Normal Abnormal Not examined Data to be filled in by site Psychiatric Normal Abnormal Not examined Data to be filled in by site Respiratory Normal Abnormal Not examined Data to be filled in by site Hand preference: (Hand participant/subject uses predominantly, not necessarily hand he/she writes with exclusively) Left hand Right hand Both hands Unknown *Element classified as Core
Type of Licensee (Check only one. Do not check “Government – State” unless facility will be owned and operated by a state agency.) Church Corporation For-Profit Corporation Non-Profit Government – County Government – State Government – Other Tribal Limited Liability Corporation (LLC) Partnership Proprietorship (individual) Other – Specify: Licensee Information Name – Corporation / Legal Entity (if applicable) FEIN (Federal Employer Identification No.) Name – Licensee or Corporate Representative Birthdate – Licensee or Corporate Rep. Address – Licensee / Corporate Representative City State Zip Code Telephone No. Fax No. Email Address Provide the name(s) of any other facilities associated with this licensee or corporate entity. Attach an additional list if necessary. Resident Information Total Resident Capacity: Female Male Both Check only the box(es) indicating the primary client group(s) you will serve. Note: If more than one client group is selected, the facility’s program statement must explain how compatibility is assured. [Wis. Admin. Code § DHS 83.06(1)(e)] AA – Advanced Age AODA – Alcohol / Drug Dependent CC – Correctional Clients DD – Developmentally Disabled (Intellectually Impaired) MH – Emotionally Disturbed / Mental Illness ALZ – Irreversible Dementia / Alzheimer’s PD – Physically Disabled PWC – Pregnant Women Who Need Counseling TI – Terminally Ill TBI – Traumatic Brain Injury Will you accept public funding? Yes No To be eligible to receive public funding, facilities must demonstrate compliance with The Centers for Medicare & Medicaid Services (CMS) Home and Community-Based Services (HCBS) settings rule during the onsite survey. Review the additional requirements listed on page 5 of this application. List any days and hours when residents are not usually in the facility. Days Hours Indicate the minimum and maximum monthly fees charged for resident care. If you charge the same fee to all residents, indicate the amount as your maximum rate. Minimum Monthly Rate Per Individual Maximum Monthly Rate Per Individual
First meeting September 11, 2017 8am Mrs. Burns’ Library Tara Oaks Elementary Future meetings: October 2 8am November 6 8am December 4 8am Second semester date TBD Battle of the Books, BOB, is a reading book club program for students in fifth grade. Students read books and come together to demonstrate their abilities and test their knowledge of the books they have read. The battles are similar to the TV series Family Feud competition.
*By typing my signature below, I acknowledge and agree this electronic signature is the legally binding equivalent to my handwritten signature. This electronic signature has the same validity and meaning as my handwritten signature. By typing my signature below as guardian, I acknowledge and agree to the conditions above. Electronic Signature * Please type your First and Last Name: Date: *Adult chaperones are necessary to ensure the safety of the children participating in this event. To volunteer as an adult chaperone, please complete the following: Name:______________________________________________________________________________________ Have you completed a background check, signed a code of conduct, and attended a VIRTUS training as required by Archdiocesan Policy? YES or NO or UNSURE (bold and italicize for electronic) If we are not able to recruit enough adult volunteers, this event will be cancelled. Registration & Payment to the St. Michael’s Faith Formation Office by October 25th, 2017 Email to: Mail to: St. Michael’s Catholic Church Attention: AYD 2017 611 S 3rd Street, Stillwater, MN 55082 Pay Online: Faith Formation Pay Online
Hampshire Hospitals NHS Foundation Trust () Individual Placement (Job) Descriptions for Foundation Year 1 Placement F1 – Urology The department Surgery The type of work to expect and learning opportunities The work is mainly ward based. It mainly involves a ward round followed by ward jobs e.g. blood taking, writing TTOs etc. You are a solo house-officer so are required to assess patients and problems as they arise on the ward. There is plenty opportunity for attending theatre, and practicing urological skills e.g. 3-way catheter insertion. Urology is a fairly busy placement but there plenty of learning and medical student teaching opportunity and the team are supportive and approachable. Where the placement is based , surgical wards Clinical Supervisor(s) for the placement Urology consultants. (White, Adamson, Nedas, Mclean) Main duties of the placement Maintaining the patient and discharge list, running a clinic, ward round/jobs, Typical working pattern in this placement Typical working pattern in this post e.g. ward rounds, clinics, theatre sessions Daily/weekly/monthly (if applicable) Mon: WR, MDT meeting, Ward jobs Tues: WR, Ward jobs Wed: WR, F1 teaching, ward jobs Thurs: WR, Ward jobs Fri: Discharge meeting, Grand round, Ward jobs Sat: Sun: On call requirements: (14 week rotating rota, one set of long weekdays, one set of weekday nights, 2 sets of weekend days, one set of weekend nights on call) Employer information NHS Foundation Trust. Hampshire Hospitals Foundation NHS Trust Royal Hampshire County Hospital Individual Placement (Job) Description
is important and what needs to be considered to evaluate a particular business opportunity. These insights will require you to refine the model as your understanding increases. Modeling is a complex craft that goes far beyond mastering spreadsheet functionality. Figure 1-11: Business Analysis Reflection 7. Create a model for a personal budget. Do it on a spreadsheet. Fill in rough numbers for different spending categories. You never want to run out of cash, of course. Suppose that you start with $1,500. For two semester, figure out, based on these really tentative numbers, how much cash you will have to get through loans, work, or parents. Functional Departments You will always be working on larger units, beginning with your functional department, such as marketing, accounting, shipping, or IT. Each functional department, of course, needs information systems specific to its specific needs. Figure 1-12 shows that corporations have many functional departments with very different needs for information systems. For example, in a sales department, there will be a customer relationship management (CRM) system to help salespeople collect all data for individual customers into readily-accessible information that can be used piece-by-piece or analyzed statistically. Human resources will have software to track new employees through the multi-step hiring process. Other functional departments will do very different work and therefore will have very different technology support. Figure 1-12: Functional Departments In addition to these “big” information systems in functional departments, department employees will often work with many other systems. They will build spreadsheet models that often draw little information from bigger functional or enterprise information systems. In addition, of course, they will all use e-mail and telephones. Functional department information systems are not the only information systems used in functional departments. Reflection 8. Why do different functional departments need different information systems? (This is not a trick question.) Functional departments use big information systems and smaller information systems. Which of these do you think the corporate IT department knows about and understands? Enterprise Systems The biggest system in an organization is the organization itself. Organizations are unbelievably complex when considered in detail. However, it is useful to think about the key business
SECTION 3 BANK VERIFICATION OF DEPOSIT of SPONSOR’S ACCOUNTS Bank certification of sponsor’s accounts must be current and cannot exceed six (6) months from the date of the bank officer’s signature and stamp. This is to certify that the Account Holder (print name) is a customer of (name of bank) . His/Her account(s) were opened on (date) and for the past year has shown an average balance equal to $ . Current funds available in U.S. Dollars as of today’s date are: Checking Account No. Amount and/or Saving Account No. Amount . The accounts are open and viable as of today’s date. This certification is offered with no responsibility on the part of the financial institution. Printed Name of Bank Official Title BANK SEAL OR STAMP Bank Address Signature of Bank Official This form cannot be accepted without the bank officer’s signature and bank seal or stamp. ♦ If you have more than one partial sponsor providing financial resources for your study at LFCC, the total amount of support must be equal to or exceed LFCC’s total budget indicated in Section 1 of this form, AND each sponsor must complete and sign the Sponsor’s Affidavit of Support form (Section 2) and submit a Bank Verification of Deposit form (Section 3) to clearly identify their specific amount of support.
Index Introduction Phosphoproteomic Research Sample preparation Phosphorylated protein enrichment Mass spectrometry analysis of phosphoproteins Materials and Method Reagents and materials Methods Sample preparation Phosphopeptide enrichment LC – MS/MS Analysis Data analysis Results and Discussion Optimization of enrichment Different MOAC materials Additives/buffers experimentation Additive optimization Elution optimization Identification techniques CID/ETD fragmentation Proton mobility Conclusion References
Table S3. Overview of the peptides obtained after In silico digestion of β-casein and α-S1-casein as performed with the PeptideMass tool from ExPASy. β-casein Modifications Positions Peptides containing the phosphorylation on position: Charge state 1+ 2+ 3+ Signal peptide 1-15 - - - - Phosphorylation (s) 30, 32, 33, 34, 50 30, 32-34 3321.44 1661.22 1107.81 3122.32 1561.66 1041.44 2966.21 1483.60 989.41 50 7359.67 3680.35 2453.90 2432.06 1216.54 811.36 2061.84 1031.42 687.95 α-S1-casein Modifications Positions Peptides containing the phosphorylation on position: Charge state 1+ 2+ 3+ Signal peptide 1-15 - - - - Phosphorylation (s) 56, 61, 63, 79, 81, 82, 83, 90, 130 56 769.36 385.18 257.13 1026.50 513.75 342.84 56, 61, 63 2678.06 1339.53 893.36 61, 63 1927.72 964.36 643.24 61, 63, 79, 81-83, 90 4629.68 2315.34 1543.90 79, 81-83, 90 2720.98 1360.99 907.67 3227.28 1614.14 1076.43 130 2257.11 1129.06 753.04 1951.96 976.48 651.33
Was the grip strength fatigue testing done? Yes No Date Performed: Handedness: Left hand Right hand Both Unknown Table 1 Grip Strength Fatigue Handedness Grip Device Width Setting Max Grip – Trial 1 (Indicate units: pounds, kilograms or newtons) Max Grip – Trial 2 (Indicate units: pounds, kilograms or newtons) Target (Indicate units: pounds, kilograms or newtons) 100% of Target (seconds) 90% of Target (seconds) 80% of Target (seconds) 70% of Target (seconds) 60% of Target (seconds) Left Data to be filled in by site lb kg N lb kg N lb kg N % not reached % not reached % not reached % not reached % not reached Right Data to be filled in by site lb kg N lb kg N lb kg N % not reached % not reached % not reached % not reached % not reached
Alabama 21st Century Community Learning Centers Grant Application (RFA) Scoring Rubric FY 2017 Program (LEA/CBO) _____________________________________________ #_______ Reader #_________________ School(s) served: _________________________________________________________________________________ LEA/CBO is seeking Competitive Priority Points in the following categories as self-identified on Form 1 (Cover page): _______ Collaborative/Joint Proposal _______ Summer Program, operating a minimum of 4 weeks with a minimum of 20 contact hours As the reader of this application, do you have any conflict of interest with this LEA/CBO Grant Application? ____ Yes ____ No Definitions of terms No evidence-The section is not completed or the text has nothing to do with the requirements. Weak evidence-Not all of the requirements are addressed and those that are lack detail. Some evidence-All of the requirements are addressed but they lack detail. Moderate evidence-All of the requirements are addressed and with moderate detail. Clear and Convincing evidence-All of the requirements are addressed and with great detail.
Comments (Strengths) (Capacity to Implement): Comments (Weaknesses) (Capacity to Implement): Application Component Point Value Required Elements Score Staffing Qualifications 10 Detailed descriptions of all staffing positions should be provided and the number of individuals in each (i.e., Administrators/Site-Coordinators, Teachers/Instructors, Instructional Aides, bookkeepers, bus drivers, etc., compensated with 21st CCLC funds) Qualifications, roles and responsibilities must be included (Job Descriptions) Projected Pupil – Teacher ratio must be addressed. Check only 1 green box below Criteria / Rationale 0 The applicant has provided no documentation to support the required components that substantiate the adequate qualified staffing of the program with the recommended pupil/teacher ratio. 4 The applicant has provided weak documentation to support the required components that substantiate the adequate qualified staffing of the program with the recommended pupil/teacher ratio. 6 The applicant has provided some documentation to support the required components that substantiate the adequate qualified staffing of the program with the recommended pupil/teacher ratio. 8 The applicant has provided moderate documentation to support the required components that substantiate the adequate qualified staffing of the program with the recommended pupil/teacher ratio. 10 The applicant has provided clear and convincing documentation to support the required components that substantiate the adequate qualified staffing of the program with the recommended pupil/teacher ratio.
Reference State Plant Community Canopy Trees Common Name Botanical Name Cover % (low-high) Canopy Height (ft) WHITE OAK Quercus alba 40-70 70 NORTHERN RED OAK Quercus rubra 20-40 80 MOCKERNUT HICKORY Carya alba 10-20 60 SHAGBARK HICKORY Carya ovata 10-20 50 SUGAR MAPLE Acer saccharum 5-20 60 WHITE ASH Fraxinus americana 10-20 70 BITTERNUT HICKORY Carya cordiformis 5-20 70 BASSWOOD Tilia americana 5-20 70 Understory Trees Common Name Botanical Name Cover % (low-high) Canopy Height (ft) HORNBEAM Ostrya virginiana 10-30 40 PAWPAW Asimina triloba 10-20 20 BLACK HAW Viburnum prunifolium 10-20 30 RED ELM Ulmus rubra 10-20 50 Shrubs Common Name Botanical Name Cover % (low-high) Canopy Height (ft) FRAGRANT SUMAC Rhus aromatica 10-20 3 AMERICAN HAZELNUT Corylus americana 20-30 3 Vines Common Name Botanical Name Cover % (low-high) VIRGINIA CREEPER Parthenocissus quinquefolia 10-20 SUMMER GRAPE Vitis aestivalis 10-20 Ferns Common Name Botanical Name Cover % (low-high) CHRISTMAS FERN Polystichum acrostichoides 5-20 Forbs Common Name Botanical Name Cover % (low-high) VIRGINIA-SNAKEROOT Aristolochia serpentaria 10-20 VIRGINIA SPRINGBEAUTY Claytonia virginica 20-40 CUTLEAF TOOTHWORT Cardamine concatenate 20-40 HARBINGER OF SPRING Erigenia bulbosa 20-40 WHITE DOG'S TOOTH VIOLET Erythronium albidum 10-20 HEPATICA Hepatica nobilis 10-20 GOLDEN SEAL Hydrastis canadensis 10-20 WILD BLUE PHLOX Phlox divaricata 20-30 MAYAPPLE Podophyllum peltatum 20-30 TOAD SHADE Trillium sessile 20-30 BELLWORT Uvularia grandiflora 10-20 Grasses and sedges Common Name Botanical Name Typically <5% cover n/a
Wet – a somewhat poorly, poorly or very poorly drained site that has an oversupply of moisture during the growing season Woodland – a highly variable vegetative community with a canopy of trees ranging from 30 to 100 percent closure with a sparse midstory and a dense ground flora of grasses, sedges and forbs
Time over which standard is measured: Quarter Telephone Call Abandonment Rate Abandonment Rate of 3% or less Self Reported Frequency of report: Quarterly $500 per percentage point over 5% per reporting period. Contractor attendance at State-sponsored annual Open Enrollment meetings and orientation meetings Attendance by plan representative(s) trained on State of Maryland plan benefits at 100% of meetings scheduled by the State, for 100% of the meeting’s duration. Representative must arrive early enough to have their table set up prior to meeting start time. Display must be organized and include appropriate covering of table. Representative must have detailed plan knowledge, interact with members, and exhibit professional appearance and behavior. Sign-in sheets at Open Enrollment meetings Frequency of report: Annually $500 per scheduled meeting not attended. Claims processing time Upon receipt of all required documentation, 95% claims processed accurately within five business days; 98% within 10 business days. Self Reported Frequency of report: Quarterly $500 per period in which standard is not met.
Complaint Resolution Time Plan will: acknowledge receipt of the written complaint to the State and Member within two business days of receipt of the complaint letter; and provide a written complaint response to the State and Member within 21 business days of receipt of the initial complaint letter Self Reported and State correspondence logs $250 for each late acknowledge- ment letter, and $250 for each late written complaint response. Provision of Draft Plan Documents of Coverage of Self-Insured plans and Summary Plan Description for the fully-insured plans Draft Plan Document (Certificate/Evidence of Coverage or Summary Plan Description as appropriate by plan) including all required updates is provided to the State at least three months prior to the first day of the plan year. For example, if the plan year effective date is January 1st, the vendor must provide the State the draft by October 1st of the prior year. Receipt date as documented by vendor and confirmed by State $500 per day for the first three calendar days that the draft document is not received. $1,000 per calendar day for each day the draft document is not received for the fourth calendar day and beyond. Provision of Final Plan Documents Final Plan Document (Certificate/Evidence of Coverage or Summary Plan Description as appropriate by plan) including all of the required edits and in Receipt date as documented by vendor and confirmed by State $500 per day for each calendar day the draft plan document is not received for the first 3 calendar days. $1000 per day
Life Insurance. We will pay the premiums of an insurance policy insuring Mr. Farnsworth’s life, providing coverage in the amount of $3,000,000, payable to a beneficiary chosen by Mr. Farnsworth. Automobile Allowance. Mr. Farnsworth will receive an automobile allowance of $750 per month. Company Benefits. Mr. Farnsworth will be entitled to participate in all pension, savings and retirement plans, welfare and insurance plans, practices, policies, programs and perquisites of employment applicable generally to other senior executives of the Company. 36
(4) Mr. Gerber serves as the managing member of Hudson Bay Capital GP LLC, which is the general partner of Hudson Bay Capital Management, L.P. The address for Hudson Bay Capital Management, L.P. (“Hudson Bay”) and Mr. Gerber is 777 Third Avenue, 30th Floor, New York, New York 10017. (5) According to the Company’s records, and based on information provided by Hudson Bay as of April 11, 2018, these shares represent shares reserved for issuance to Hudson Bay and shares issuable upon exercise of warrants, and are each subject to a 9.99% blocker. (6) This amount includes (i) 750,000 shares issuable within 60 days of April 11, 2018, subject to entry into applicable award agreements, (ii) 2,926,355 shares issuable within 60 days of April 11, 2018 subject to stockholder approval. (7) Represents shares issuable within 60 days of April 11, 2018, subject to stockholder approval. (8) Includes (i) 687,149 shares held by Helios & Matheson Information Technology Ltd. and (ii) 885,891 shares held by Helios Matheson Inc., over which Mr. Gadiyaram holds shared voting and investment control. (9) Represents shares issuable within 60 days of April 11, 2018. (10) Represents shares issuable within 60 days of April 11, 2018. (11) Represents shares issuable within 60 days of April 11, 2018. (12) Includes an aggregate amount of 5,153,364 shares issuable within 60 days of April 11, 2018. 39
Project Name Project Name Proposer Firm Project Number Project Number City, State, Zip Selection Criteria Value Score 1. Primary Firm Location, Workload and Size (Maximum 10 points) a. Proximity of firm to project site Less than miles 5 miles to miles 2 More than miles 0 b. Amount of fees awarded by Contracting Authority in previous 24 months Less than $ 2 $ to $ 1 More than $ 0 c. Number of licensed professionals Less than professionals Max = 3 to professionals More than professionals 2. Primary Firm Qualifications (Maximum 30 points) a. Project management lead Experience / ability of project manager to manage scope / budget / schedule / quality 0 - 10 b. Project design lead Experience / creativity of project designer to achieve owner’s vision and requirements 0 - Max = 20 c. Technical staff Experience / ability of technical staff to create fully coordinated construction documents 0 - d. Construction administration staff Experience / ability of field representative to identify and solve issues during construction 0 - 3. Key Consultant Qualifications (Maximum 20 points) a. Key discipline leads Experience / ability of key consultants to perform effectively and collaboratively 0 - 15 b. Proposed EDGE-certified Consultant participation* One point for every 2 percent increase in professional services over the EDGE participation goal 0 - 5 4. Overall Team Qualifications (Maximum 10 points) a. Previous team collaboration Less than sample projects 1 Max = 3 to sample projects 2 More than sample projects 3 b. LEED** Registered / Certified project experience Registered projects 1 Max = 2 Certified projects 2 c. BIM project experience Training and knowledge 1 Max = 3 Direct project experience 3 d. Team organization Clarity of responsibility / communication demonstrated by table of organization 0 - 2 5. Overall Team Experience (Maximum 30 points) a. Previous team performance Past performance as indicated by evaluations and letters of reference 0 - 10 b. Experience with similar projects / delivery methods Less than projects 0 - 3 to projects 4 - 6 More than projects 7 - 10 c. Budget and schedule management Performance in completing projects within original construction budget and schedule 0 - 5 d. Knowledge of Ohio Capital Improvements process Less than projects 0 - 1 to projects 2 - 3 More than projects 4 - 5 * Must be comprised of professional design services consulting firm(s) and NOT the lead firm ** Leadership in Energy & Environmental Design administered by the Green Building Certification Institute Subtotal Notes: Evaluator: Name Signature Date
SECTION II – DENTAL SERVICES (Continued) Category Procedure Codes (Check all that apply.) Treatment Plan Justification (Check all that apply.) Required Documentation Periodontal Services (Continued) D4341 D4342 Member 13 years of age and older Early bone loss Moderate bone loss At least one pocket five or more millimeters deep on three or more teeth Oral hygiene (Check one.) Good Fair Poor Full-mouth debridement completed in last 12 months Date of service for D4355 (MM/DD/CCYY). Periodontal charting Comprehensive periodontal treatment plan Full mouth X-rays with current bitewing X-rays Clinical notes indicating member education on periodontal disease Documentation of debridement and/or routine dental care D4355 (For members who are age 13 and older, PA is not required.) Excess calculus on X-ray AAP I or II No dental treatment in multiple years Oral hygiene (Check one.) Good Fair Poor Member under age 13 Bitewing or full mouth Calculus must be visible on X-rays D4910 Recent history of periodontal scale / surgery Oral hygiene (Check one.) Good Fair Poor Years requested (Check one.) 1 2 3 Periodontal charting Comprehensive periodontal treatment plan Allowed once per 12 months Prosthodontic Services Dentures D5110 D5120 Initial placement of dentures (year) Max Mand Age of existing denture(s) (years) Max Mand New denture request because of the following (Check all that apply.) Worn base / broken teeth Poor fit Vertical dimension Date(s) last teeth extracted (MM/DD/CCYY) Reason for edentulation Lost / stolen / broken dentures Reline / repair not appropriate Has not worn existing dentures for more than three years Edentulous more than five years without dentures Additional justification Frequency limitation must be exceeded New dentures limited to one per five years, per arch. Six weeks healing period required unless special circumstances documented. Document reasons for not wearing dentures or for not having ever had dentures. Submit medical documentation to support special requests. Document loss and plan for prevention of future mishaps. Explanation to exceed frequency limitation. Continued PRIOR AUTHORIZATION / DENTAL ATTACHMENT 1 (PA/DA1) 3 of 4 F-11010 (01/2019) SECTION II – DENTAL SERVICES (Continued) Category Procedure Codes (Check all that apply.) Treatment Plan Justification (Check all that apply.) Required Documentation
HealthCheck Other Services D0999 D2999 D4999 D5999 D7999 D9999 Periodic oral evaluation (additional) Single unit crown. Tooth number Surgical procedure Nonsurgical procedure Submit medical documentation to support special requests. HealthCheck referral required. SECTION III – AUTHORIZED SIGNATURE SIGNATURE – Requesting Provider Date Signed SECTION IV – ADDITIONAL INFORMATION Indicate any additional information (e.g., diagnostic and clinical information) in the space provided.
4: Visuospatial Domain (Optional) Table Measure Recommended Test for Adults Recommended Test for Pediatrics (6-16 years) Recommended Test for Pediatrics (0-5 years) General Visuospatial Function (optional) OR OR WPPSI-III Block Design Perceptual Reasoning (optional) N/A 5: Executive Function Domain Table Measure Recommended Test for Adults Recommended Test for Pediatrics (6-16 years) Recommended Test for Pediatrics (0-5 years) Set Shifting Trail Making A and B Trail Making A and B (optional) N/A Simple Span of Attention N/A Hypothesis Testing Ability (optional) N/A Executive Function Rating N/A OR
SELECTION CRITERIA FOR HONORARY MEMBERSHIP The granting of Honorary Life Membership of Stadium Masters Swimming Club Inc. (the Club) is reserved to those who have made an outstanding contribution to the Club. Honorary Life Membership shall be a meaningful recognition bestowed sparingly. The criteria for the selection of recipients include but are not limited to: A candidate shall have contributed outstanding service of lasting importance to the club and to have been a member for at least 10 years and have a record of active involvement in the Club. The candidate may also have contributed to Masters Swimming in Western Australia or nationally. Outstanding service is defined as activities that greatly exceed normal expectations or that are generally perceived as significant. If service as an elected officer, the contributions shall exceed the normal expectations of the office. These contributions shall reflect an extended time commitment to the Club, for example: Outstanding service on the Management Committee or the sub- committee or in specific duties e.g. as a coach / meet director / Masters Swimming Official; and/or Achievement of national recognition for contributions to Masters Swimming Australia. The candidate shall be a current member of the Club and preferably a current member of Masters Swimming Australia, however the Management Committee may approve exceptions. Members of the Management Committee and the Club Membership at large may nominate persons to be considered for Honorary Life Membership. Supporting documentation should be included with the nomination. The Management Committee shall screen candidates based on the selection criteria. The Management Committee shall receive nominations for confidential consideration and must approve or reject the award. Endorsement by the Club Membership must be sought at a general meeting (usually the annual general meeting). Following approval by the Management Committee, the Secretary shall contact the recipient and report on acceptance or otherwise of the award. Those being granted Honorary Life Membership shall be featured in an issue of the Club newsletter following endorsement of the award. All correspondence concerning candidates shall be destroyed following the candidate’s endorsement by the membership. A vote to recommend a candidate for Honorary Life Membership must be carried by at least 3⁄4 of the eligible votes present at the committee meeting on which this matter is to be decided.
Riser – a component of terraces and flood-plain steps consisting of the steep side slope; the escarpment Riverfront – a vegetative community in the floodplain immediately adjacent and generally parallel to a river or stream channel River hills – a geographic area characterized by thick, dissected loess deposits, formed immediately adjacent to the edges of the Missouri and Mississippi River floodplains Sandy – a coarse-sized soil containing a large mixture of sand and gravels and a somewhat smaller proportion of silts and clays with excessive drainage Sandstone – a sedimentary rock containing dominantly sand-size particles Savanna – grasslands interspersed with open-grown scattered trees, groupings of trees, and shrubs Shale – a sedimentary rock formed from clay, silty clay, or silty clay loam deposits and having the tendency to split into thin layers Shallow – a site with bedrock within 20 inches of the surface Shoulder – the slope profile position that forms the convex surface near the top of a hill slope; it comprises the transition zone from summit to backslope Sinkhole – a closed, circular or elliptical depression, commonly funnel-shaped, characterized by subsurface drainage and formed either by dissolution of the surface of underlying bedrock or by collapse of underlying caves within bedrock Summit – the top or highest area of a hillslope Swale –shallow, closed depressions irregularly spaced across a floodplain or terrace with an irregularly undulating surface. Swamp – an area of low, saturated ground, intermittently or permanently covered with water, and predominantly vegetated by shrubs and trees. Talus – rock fragments of any size or shape (usually coarse and angular) derived from and lying at the base of a cliff or very steep rock slope. Terrace – a step-like surface, bordering a valley floor that represents the former position of a flood plain Till – dominantly unsorted and unstratified soil material deposited directly by a glacier Ultic – soil that has a clay-dominated subsoil (argillic horizon) with low amounts of bases such as calcium, and were typically formed under woody vegetation Upland – a general term for the higher ground of a region, in contrast with a low-lying, adjacent land such as a valley or floodplain Wet – a somewhat poorly, poorly or very poorly drained site that has an oversupply of moisture during the growing
Igneous –bedrock formed by cooling and solidification of magma. Granite and rhyolite are typical igneous bedrocks in Missouri Limestone – a type of sedimentary rock composed largely of calcium carbonate Loess – material transported and deposited by wind and consisting predominantly of silt-size particles Loamy – soil material containing a relatively equal mixture of sand and silt and a somewhat smaller proportion of clay Marsh – a type of wetland that is dominated by herbaceous rather than woody plant species Moist – a site that is moderately well to well drained and has high available water capacity, resulting in a well-balanced supply of moisture (neither too dry nor too wet). Mollic – soil that has a thick, dark surface horizon and was typically formed under prairie vegetation Mudstone – blocky or massive, fine-grained sedimentary rock in which the proportions of clay and silt are approximately equal Natric – a soil horizon that displays a blocky, columnar, or prismatic structure and has a subhorizon with an exchangeable-sodium saturation of over 15% Outwash – stratified sediments of sand and gravel removed or “washed out” from a glacier by streams Pinery – a vegetative community within the historic pine range in Missouri that has shortleaf pine as a significant tree species Prairie – a vegetative community dominated by perennial grasses and forbs with scattered shrubs and very few trees Protected – steep, north- and east-facing slopes, which are cooler and moister than other slope aspects Residuum - unconsolidated, weathered, or partly weathered mineral material that accumulates by disintegration of bedrock in place Riser – a component of terraces and flood-plain steps consisting of the steep side slope; the escarpment Riverfront – a vegetative community in the floodplain immediately adjacent and generally parallel to a river or stream channel River hills – a geographic area characterized by thick, dissected loess deposits, formed immediately adjacent to the edges of the Missouri and Mississippi River floodplains Sandy – a coarse-sized soil containing a large mixture of sand and gravels and a somewhat smaller proportion of silts and clays with excessive drainage Sandstone – a sedimentary rock containing dominantly sand-size particles