zilongwang/ReadingBank huggingface dataset:
Request for Specialist Support for Reviews Forum of Postgraduate Training Bodies Section 1: Request Details Date of Request : Requesting agency: Specify name of the requesting Hospital Group/ CHO Request to: Name of training body or bodies from who support is being requested. Request for: Consultant specialty Confirmation that specialist input requested cannot be provided from within or across Hospital Groups Outline the steps taken to secure the required input from within or across hospital groups/ CHOs Commissioner of Investigation Name of Commissioner Chairperson of investigation Name of chairperson. Section 2: Type of Investigation Systems Analysis Investigation of a single incident Yes/No Look-back Review Also indicate how many cases will be under review Yes/No Has any investigation/ look back review commenced prior to this request? Yes/No Has the investigation/review been completed? Yes/No Section 3: Type of Assistance Required Support Type 1: To answer a specific clinical or technical question that has arisen for that investigation team. Specify Support Type 2: To validate that the draft report prepared by the investigation team is clinically/technically accurate and addresses the clinical/technical issues highlighted appropriately Specify
Note: If the request is for validation of the draft report of a systems analysis investigation please confirm that the factual accuracy check has been carried out on the draft report Support Type 3: To participate as member of the investigation/review team* on the limited availability of clinical/technical experts to participate as members of Investigation/Review Teams; requests for input should be as far as reasonably practical be limited to (1) and (2) above Specify Section 4: Details of Investigation/Look Back Review Team List the members of the Investigation/Look Back Review Team and their areas of responsibility: Name Responsibility Section 5: Case Background and Goals Outline general background and brief chronology of the case Purpose of investigation/look back review As per of reference (TOR) Are the terms of reference attached for the investigation/look back review? Yes/No Section 6: Review Approach (Methodology) A System Analysis Investigation Yes/No A Review of multiple If multiple cases, indicate the number of cases under review Yes/No Other (please specify) Section 7: Availability of Records and Information Outline the range of material to be made available to the clinician(s) providing the specialist support during the investigation: Outline how the nominated specialist clinician will be able access this information Review files on site, files to be couriered to clinical expert etc Section 8: Timescale for External Input Expected start date Expected end date
Student Request Third Party Request CONDITIONS OF ISSUE: Family Name Given Name PRACE Student ID Contact Phone Number Name of Course Date Course Completed Record of Results Entire academic history of course Qualification Certificate issued at completion of course Statement of Attainment Evidence of participation in course Please tick and complete if you need to authorise special release arrangements Once completed, please post form to: PRACE Student Records PO Box 510 Reservoir VIC 3073 For enquiries, please contact
4 How many and what classes of persons that hold visas under the Migration Act 1958 are engaged or intended to be engaged by the Tenderer to undertake the Works? Details: 5 Has the Tenderer within the preceding 3 years had an adverse decision, direction or order of a court or tribunal made against it for a breach of a designated building law, work health and safety law or the Migration Act 1958? Yes / No Details: 6 Has the Tenderer or its Related Entities within the preceding 3 years been required to pay any amount under an adjudication certificate (provided in accordance with a law relating to the security of payments that are due to persons in respect of Building Work) to a Building Contractor or Building Industry Participant? Yes / No Details: 7 Has the Tenderer or its Related Entities within the preceding 3 owed any unsatisfied judgement debts to a Building Contractor or Building Industry Participant? Yes / No Details: 8 To what extent does the Tenderer intend to use domestically sourced and manufactured building materials to undertake the Works? Details: 9 What is the Tenderer’s assessment of the whole-of-life costs of the project to which the Works relate? Details: 10 What does the Tenderer] consider the impact on jobs will be of the project to which the Works relate? Details:
Signed by being and as a under an Instrument of Delegation dated in the presence of: Signature of witness Name of witness (block letters) Address of witness Occupation ) ) ) ) ) ) Signed for and on behalf of The Crown in Right of Tasmania by (a duly authorised person) in the presence of: Signature of witness Name of witness (block letters) Address of witness Occupation ) ) ) ) ) Delete all the following execution clauses that are not to be used, and all highlighted instructions in italics (including these). [If the other party is a company that will execute under common seal]
The Common Seal of (ACN ) in the presence of: Director Director/Secretary ) ) ) ) [If the other party is a sole director company that will execute under common seal] The Common Seal of (ACN ) fixed in the presence of: Sole Director/Sole Secretary (Print full name) ) ) ) ) [If the other party is a company that will execute by directors’ signatures] Executed for and on behalf of (ACN ) under section 127(1) of the Corporations Act 2001 (Cwlth): ) ) ) ) Director Director/Secretary [If the party is a sole director company that will execute by director’s signature] Executed for and on behalf of (ACN ) under section 127(1) of the Corporations Act 2001 (Cwlth): ) ) ) ) Sole Director/Sole Secretary (Print full name)
[If the other party is a natural person(s)] Signed by and in the presence of: Signature of witness Name of witness letters) Address of witness Occupation ) ) ) Signature Signature [If the other party is a partnership)] Signed for and on behalf of (a partnership) by (Partner) who, by executing this Agreement, warrants authority to do so on behalf of all the partners, in the presence of: Signature of witness Name of witness letters) Address of witness Occupation ) ) ) ) ) Signature [If the other party is an incorporated association]
Mandatory requirements All items, features and functions specified in the RFT are mandatory requirements unless expressly stated otherwise. If a Tender does not comply with a mandatory requirement, it may still be considered by the Department, but the Department, in its sole and absolute discretion, may reject it under clause 3.6. Format of Tender The Tenderer must submit the Tender under cover of the Tender Form provided in Part “Five” of this RFT. The Tender Form must be completely filled in, and be accompanied by any other supplemental documents necessary to make the Tender complete. A Tenderer may reproduce the Tender Form in an expanded format to provide additional space for response. Unnecessary responses Unnecessarily elaborate responses or other presentations beyond what is sufficient to present a complete and effective proposal are neither required nor desired. Elaborate artwork and bindings, expensive visual and other presentation aids are not necessary. Price Currency All Monetary amounts are to be expressed in Australian Dollars. GST exclusive The Tenderer must quote all prices excluding GST. The Conditions of Contract allows for the payment of GST (clause 33). Australian Business Number (ABN) The Tenderer must either provide its Australian Business Number (ABN) or state why the Tenderer does not have an ABN. If the Tenderer does not register or disclose an ABN, then PAYG Withholding Tax may apply and the Department is required by law to deduct the relevant amount from each contract payment and to remit that amount to the Australian Taxation Office. Compliance Implied compliance The Tenderer will be taken to agree with all the Conditions of Tender, Specification and the Conditions of Contract, unless the Tender states otherwise.
The Common Seal of (ACN ) fixed in the presence of: Sole Director/Sole Secretary (Print full name) ) ) ) ) [If the other party is a company that will execute by directors’ signatures] Executed for and on behalf of (ACN ) under section 127(1) of the Corporations Act 2001 (Cwlth): ) ) ) ) Director Director/Secretary [If the other party is a sole director company that will execute by director’s signature] Executed for and on behalf of (ACN ) section 127(1) of the Corporations Act 2001 (Cwlth): ) ) ) ) Sole Director/Sole Secretary (Print full name) [If the other party is a natural person(s)] Signed by and in the presence of: Signature of witness Name of witness (block letters) Address of witness Occupation ) ) ) Signature Signature
Signing page Dated: 20 Signed for The Crown in Right of Tasmania by [Note: All Members of the House of Assembly to be addressed as “MP”] being and as the Minister for in the presence of: Signature of witness Name of witness letters) Address of witness Occupation ) ) ) ) ) ) Signed by being and as a under an Instrument of Delegation dated in the presence of: Signature of witness Name of witness letters) Address of witness Occupation ) ) ) ) ) )
The Common Seal of (ACN ) fixed in the presence of: Sole Director/Sole Secretary (Print full name) ) ) ) ) [If the party is a company that will execute by directors’ signatures] Executed for and on behalf of (ACN ) under section 127(1) of the Corporations Act 2001 (Cwlth): ) ) ) ) Director Director/Secretary [If the other party is a sole director company that will execute by director’s signature] Executed for and on behalf of (ACN ) under section 127(1) of the Corporations Act 2001 (Cwlth): ) ) ) ) Sole Director/Sole Secretary (Print full name) Schedule 1 Department’s Requirements 1. The (Clause 1.1) [Description of Goods]
2. Specification of the Goods to be provided (Clause 1.1): [Description of quality requirements, fitness for purpose, relevant operating environment, compatibility requirements etc] 3. The Delivery (Clause 1.1): [ Details of place of Delivery to be added ] 4. The Date for Delivery (Clause 1.1): [ Delivery dates to be added ] 5. Warranty Period (Clause 1.1): [ Period to be added] 6. Methods to be used to Assess the Goods (Clause 4.1): [ Acceptance Tests (including timing) ] 7. Rejection Time Period after Delivery (Clause 4.2(a)) [ Specify relevant time period ] 8. Manufacturers Warranties to be provided to the Crown and the period of those Warranties (Clause 6.1(b)) [Warranties and Warranty Periods to be listed ] 9. Amount of Product Liability Insurance (Clause 13.1(d)) [ Amount to be listed ] 10. Contractor’s Quality Assurance Arrangements (Clause 8.1(d)) [Arrangements to be listed ] 11. Limitation of Liability Level (Clause 40.2(b))
Part Two Conditions of Tender Definitions In this RFT, unless the context precludes it: “Closing Time” the closing time (Tasmanian time) and date for submitting of Tenders shown on the cover page of this RFT or as extended under clause 3.2; “Conditions of Contract” means the Conditions of Contract contained in Part “Four” of this RFT; “Contact Officer” the person identified as Contact Officer on the cover page of this RFT; “Contractor” the Person with whom the Crown enters into a contract to provide the Department’s Requirements; “Crown” means the Crown in Right of Tasmania; “Department” means the Tasmanian Department named on the cover page of this RFT; “Department’s Requirements” means the services described in the Specification; “Electronic Tender Box” the electronic website for lodging electronic Tenders, on the Tasmanian Government’s Integrated Purchasing Web Site at <<>>; “Electronic Tender System” the Tasmanian Government electronic tender system, which is available on the Tasmanian Government’s Integrated Purchasing Web Site at <<>> for the downloading and submission of tender documentation electronically; “GST” means any tax imposed under any GST law and includes GST within the meaning of the GST Act; “GST Act” means the A New Tax System (Goods and Services Tax) Act 1999 (Cwlth) as amended; “GST Law” means the GST law as defined in the GST Act and includes any Act of the Parliament of Australia that imposes or deals with GST; “Person” includes a natural person, a corporation, a partnership, a board, a joint venture, an incorporated association, a government, a local government authority and an agency;
The Common Seal of Inc (A.B.N. ) fixed in the presence of: Committee Member Committee Member/Public Officer ) ) ) ) Schedule 1 1. The Services (Clause 1.1) [ Description of Services ] 2. Specification of the Services to be provided (Clause 1.1): [ Description of Services required, relevant environment, compatibility requirements, qualifications etc ] 3. Expiration Date of Agreement (Clause 2.1 [ Specify expiration date ] 4. Amount of Professional Indemnity Insurance (Clause ) For an amount of Five Million Dollars ($5,000,000.00) 5. Moral Rights – definition of “project” for purposes of clauses 10.7(1) and 10.8. For the purposes of each set of Contract Material, the “project” will be the project described in the Official placed by the Department for the supply of the Services to which the Contract Material relates. [Note to Drafters: A description of the relevant project must be included in each Official
[If the other party is a natural person(s)] Signed by and in the presence of: Signature of witness Name of witness (block letters) Address of witness Occupation ) ) ) Signature Signature [If the other party is a partnership)] Signed for and on behalf of (a partnership) by (Partner) who, by executing this Agreement, warrants authority to do so on behalf of all the partners, in the presence of: Signature of witness Name of witness (block letters) Address of witness Occupation ) ) ) ) ) Signature [If the other party is an incorporated association]
D Tenderers must provide an electronic copy of the Tenderer’s Response in a format compatible with Microsoft Office 2013, submitted in accordance with the Conditions of Tender. All responses must be provided within the specified boxes and must respond to the Specification (Part B) and Proposed Contract (Part C) in accordance with the Conditions of Tendering (Part A). Do not include graphics or data in responses. Where necessary, any graphics or data should be placed at the end of the documents and referred to in the response. Include the name of the Tenderer in the footer of the Tender. All documents must be virus checked by the Tenderer before lodgement. Victorian Planning Authority Request for Tender for Finance ERP System Reference number: FINANCE2016 I accept the provisions contained in the Conditions of Tendering. Tenderer’s Information Name of Tenderer and address of registered office: Place of registration: Australian Company Number: Australian Business Number: Principal office in Victoria (if any): Telephone: Name and title of Tenderer’s authorised agent: Signature: Date: Executive Summary Please provide a brief executive summary of your response to the tender.
REQUEST FORM FOR THE APPROVAL OF MASTERS AND DOCTORAL LEVEL RESEARCH DEGREES Section A Campus (UK/MC/NC): Title: Qualification: Administering School/Faculty: Other contributing Schools/Faculties: Mode of Study: Full Time Part Time Programme Type: Standard start Non-standard start Duration (Full Time): 12 month 24 month 36 month 42 month 48 month Home Fee Band: International Fee Band (if applicable): Date: Non-Standard Start Details (if applicable): Start date: Recruited to directly Yes No Does this Program contain any taught modules? (Please attach further details ie course structure) Is this programme part of a collaborative arrangement? If ‘Yes’ please also complete section C Are you requesting a doctoral programme which has a duration greater than 36 months? If ‘Yes’ please also complete section D Is this programme request as a result of successful strategic funding being secured from Research Council or equivalent sources? If ‘Yes’ please also complete section E Section B Requested by (name and department): Approved in School by what committee and on what date: Date:
Request Form for Mandatory Training Resource Equivalency Organisation Contact Name Email Telephone Contact Local training resource Code: Duration: Frequency: Course Name: Equivalency Request matched to (Name of State endorsed Mandatory Training Resource) Code: Duration: Frequency: Course Name: Document Check List Have you included the Statement of Learning Objectives and Outcomes? Yes No Have you included the Lesson Plan for Face-to-Face sessions? Yes No Have you included a copy of the Local Training Resource(s)? Yes No Authorisation to submit Request for Mandatory Training Equivalency Executive (or delegate) Authorisation Name: Signature: Date: Return completed Cover Sheet with supporting evidence via email to: | Program Officer| Professional Practice and Interprofessional Collaboration Directorate | HETI
EIC Functions Balance Responsible Party Grid Operator Metered Data Aggregator Production Responsible party Balance Supplier Grid Access Provider Metered Data Collector Profile Maintenance Party Capacity Trader Imbalance Settlement Responsible LNG Operator Resource Provider Consumer Information Provider Metered Data Responsible Storage System Operator Control Block Operator Interconnection Trade Responsible Metering Point Administrator System Operator Consumption Responsible Market Operator Nomination Validator Trade Responsible Party Coordinating Scheduler Meter Administrator Party Connected To Grid Transmission Capacity Allocator Coordination Center Operator Operator Producer
RECORDING REQUESTED BY: When Recorded Mail Document To: APN: ABOVE THIS LINE IS FOR RECORDER’S USE REQUEST FOR NOTICE OF DELINQUENCIES Under Section 2924 Civil Code In addition to recording, this Notice along with a $40.00 fee must be forwarded to the Senior Lien Holder via certified mail. In accordance with Section 2924e, California Civil Code, request is hereby made for a written notice of any or all delinquencies of four months or more, in payments of principal or interest on any obligation secured under the Deed of Trust recorded as Instrument Number , on of Official Records of County, California, loan number Wherein is the Trustor, and describing land therein as: The ownership or security interest of the requester, is the beneficial interest that certain Deed of Trust recorded as Instrument Number , on of the Official Records of County, California, loan number . Wherein is the Trustor. is the date on which the interest of the requester will terminate as evidenced by the maturity date of the note of the Trustor in favor of the requester. is the name of the current owner of the security property described above. The street address of the security property as described above is: Said notice of delinquency and the amount thereof shall be sent to: at Dated : Signature of Requester Beneficiary CONSENT BY TRUSTOR/OWNER I, , Trustor, authorize , Senior Lienholder, to disclose in writing to , Requesting Beneficiary, notice of any and all delinquencies of four months or more, in payments of principal or interest on any obligation secured by that senior lien more particularly described as Instrument Number , recorded on in the Official Records of County, California. Dated : Signature of Requester Beneficiary
DO YOU WANT Please read the descriptions for each form and choose the one that best describes the request you wish to make. You may fill in the form either electronically and send it to us using email, or print it out and send it to us using regular mail services. Does any of the following alternatives describe what your request is * □ Withdraw consent If you have given your consent to processing of personal data relating to you, and wish to withdraw it. See section 3.1 □ Right of access If you want a confirmation that we process personal data relating to you, information about the processing, access to the personal data, or a copy of it. See section 3.2 □ Right to rectification If the personal data relating to you is incorrect or needs updating. This also includes making supplementary statements. See section 3.3 □ to erasure If you want us to delete personal data relating to you, provided that certain conditions are met. See section 3.4 □ Right to restriction of processing If you want us to stop processing personal data relating to you, but not delete it. See section 3.5 □ Right to data portability If you want a copy of the personal data relating to you, or want to have it transferred to another company. See section 3.6 □ Right to object to processing If you have reason to believe that our processing of personal data relating to you does not meet the high ambitions we have set out, you may object to the processing. See section 3.7 □ Right to human intervention If you think that you have been subject to an important decision that has been made without the assistance of a person, you may request that a person assesses the decision. See section 3.8 > If none of these rights, as set out by applicable data protection law, describes what you want to request, please describe your request here. If possible, try to avoid giving us any further information that may be regarded as personal data when you describe your request.
Request for Off-Campus ACE Credit with a Non-Affiliated Organization Please submit before the start date of the project. I am requesting that I be given ACE credit for a service project (one-time or ongoing) to be completed with an organization, which was not organized by the college. Student Name:____________________________________________ Date(s) of Project:__________________________________________ Name of Organization:______________________________________ Supervisor’s Name:_________________________________________ Supervisor’s Contact information: Phone:_____________________________________________ Email:_____________________________________________ Description of Project: The ACE Coordinator will be in touch within three days to discuss approval of your off-campus credits.
DO YOU WANT Please read the descriptions for each form and choose the one that best describes the request you wish to make. You may fill in the form either electronically and send it to us using email, or print it out and send it to us using regular mail services. Does any of the following alternatives describe what your request is about? * □ Withdraw consent If you have given your consent to processing of personal data relating to you, and wish to withdraw it. See section 3.1 □ Right of access If you want a confirmation that we process personal data relating to you, information about the processing, access to the personal data, or a copy of it. See section 3.2 □ Right to rectification If the personal data relating to you is incorrect or needs updating. This also includes making supplementary statements. See section 3.3 □ Right to erasure If you want us to delete personal data relating to you, provided that certain conditions are met. See section 3.4 □ Right to restriction of processing If you want us to stop processing personal data relating to you, but not delete it. See section 3.5 □ Right to data portability If you want a copy of the personal data relating to you, or want to have it transferred to another company. See section 3.6 □ to object to processing If you have reason to believe that our processing of personal data relating to you does not meet the high ambitions we have set out, you may object to the processing. See section 3.7 □ Right to human intervention If you that you have been subject to an important decision that has been made without the assistance of a person, you may request that a person assesses the decision. See section 3.8 > If none of these rights, as set out by applicable data protection law, describes what you want to request, please describe your request here. If possible, try to avoid giving us any further information that may be regarded as personal data when you describe your request.
DO YOU WANT Please read the descriptions for each form and choose the one that best describes the request you wish to make. You may fill in the form either electronically and send it to us using email, or print it out and send it to us using regular mail services. Does any of the following alternatives describe what your request is about? * □ Withdraw consent If you have given your consent to processing of personal data relating to you, and wish to withdraw it. See section 3.1 □ Right of access If you want a confirmation that we process personal data relating to you, information about the processing, access to the personal data, or a copy of it. See section 3.2 □ to rectification If the personal data relating to you is incorrect or needs updating. This also includes making supplementary statements. See section 3.3 □ Right to erasure If you want us to delete personal data relating to you, provided that certain conditions are met. See section 3.4 □ Right to restriction of processing If you want us to stop processing personal data relating to you, but not delete it. See section 3.5 □ Right to data portability If you want a copy of the personal data relating to you, or want to have it transferred to another company. See section 3.6 □ Right to object to processing If you have reason to believe that our processing of personal data relating to you does not meet the high ambitions we have set out, you may object to the processing. See section 3.7 □ Right to human intervention If you think that you have been subject to an important decision that has been made without the assistance of a person, you may request that a person assesses the decision. See section 3.8 > If none of these rights, as set out by applicable data protection law, describes what you want to request, please describe your request here. If possible, try to avoid giving us any further information that may be regarded as personal data when you describe your request.
> If we make an assessment whether our legitimate interests of processing the concerned personal data overrides the grounds for your objection, would you like of us to restrict the processing of the concerned personal data also during the time we perform the assessment? Yes or no. Thank you for taking the time to fill out this form. We will now process your request with the information you provided, and we will contact you as soon as we have can regarding the results of this. Automated individual decision-making You have a right to not be subject to decisions that have been made automatically and which significantly affects you. For us to better understand the context in which the decision was made, please provide us with some additional information. > Name of the supplier company at which you work Name of the supplier company > Name of the Volvo company purchasing products or services from the supplier company Name of the Volvo company > Type of Volvo product, service or internal function for which parts or services are supplied Volvo product, service or internal function > Your function at the supplier company and in what regard you believe that personal data relating to you is being processed by the Volvo company
Request to present to BCEHS’s Board of Directors BCEHS holds six open board meetings each year. Persons or groups wanting to present to BCEHS’s Board must complete and submit this form in full by the published deadline. Deadlines are published on BCEHS’s website at and in newspaper advertisements advising of upcoming meetings, or are available by calling 604.675.7496. Name: Group/delegation (if applicable): Address: Phone: Email: Provide a 200-to-300-word summary of your presentation below, or you may submit it separately. Once completed, please return this form to by the published deadline. BC Emergency Health Services Attn: Cathy Prentice, Board Liaison & Executive Administrator 700-1380 Burrard Street, Vancouver, BC V6Z 2H3 Phone: 604.675.7496 Fax: 604.708.2700 Email:
REQUEST TO FILL A VACANCY NB. The Staffing Committee can only consider fully completed forms, submitted with all relevant attachments. Post Details Job Title: Grade: Proposed Confirmed by HR Site: (e.g. Eagle) Reporting to: (Name and Job Title) Status of Post: (Please Tick) New Post Replacement Fixed-Term Contract Extension Permanent Fixed-Term Full Time Part Time If Fixed-Term: Duration: End Date: If Part-Time: FTE: Working Pattern: Disclosure and Barring Service (DBS): Does the post holder require a DBS check? Please follow the link below to inform your decision: (Please note this information currently being finalised however, Matt Dillon, Deputy Student Services Manager will be able to provide some steer at this stage) Standard Enhanced Enhanced (Check against Children’s Barred List) Enhanced (Check against Adults’ Barred List) Enhanced (Check against Children’s and Adults’ Barred List) None Required Funding for the Post: Cost Centre: Internal/External Funding: Internal External If external, please specify source of funding: Proposed Date of Commencement: Business Case and Justification for the Post
Request for a Pension Estimate Form Employer Employee Name Employee Staff Number If you have more than one Number, please list Date of Birth DD / MM / YYYY National Insurance Number Employee Address Employee Phone Number Date of illustration of Pension Benefits (e.g. Estimated Date of Retirement DD / MM / YYYY Have you requested an Estimate in the past 12 months? Yes No Pension Scheme (if known) Have you any Special Class status? Yes No Do you currently have Practitioner* service, or have you had Practitioner service in the past? Yes No Do you intend to retire in the next 12 months? Yes No * Practitioner Service relates to General Practitioners (i.e. GPs) Reason for Pension Estimate Request (please check one of the following): I am within 5 years of normal retirement age I am considering Voluntary Early Retirement I am involved in Divorce Proceedings or Dissolution of a Civil Partnership (See note 5 below) I have applied for Ill Health Retirement (please specify in the box below)
Request Access to Inside or Connect Inside NCDOT: Connect NCDOT: End users may need to request additional access if they wish to view project and/or team sites. Contributors and Designers need to request additional access so they can work with and manage their lists, libraries, and pages. This flow chart details how to request the appropriate level of access: Active Directory (AD) is an identity management and access service for NCDOT employees. North Carolina Identity Management (NCID) is an identity management and access service for state, local, business, and individual users who do not have AD accounts. To request an NCID: Navigate to , and complete the form on the NCID website. Be sure to choose the Business Account option on the page of the form. Wait for the NCID activation Click the link in the email to activate your NCID. Submit your NCID account information and the level of access you need (view, contribute, design) to the team or project site owner or to the tab owner.
space reserved must be used for other purposes in the best interest of the institution or such reservation is deemed outside of the overall University mission and goal. The University Events Center reserves the right to assign University Police coverage to any event deemed as a safety risk. The sponsoring organization will be responsible for paying all costs associated with the event. Please note that all events requesting door sales require University Police coverage. Please contact the University Police Department at (336) 334-7128 for security related price estimates. All Staff-Affiliated and Community events are subject to payment at the time of booking. Staff-Affiliated includes all personal events hosted by current University Employees (this does not include students participating in on-campus internships or work- study programs). Discounts vary based on space, and in some cases may not apply. Community includes all students, alumni, and off-campus organizations/customers. Full payment is required at time of booking for all and Community space requests totaling $250.00 and under. All space requests exceeding this amount require a deposit of $500.00 (excluding Moore Gymnasium), with the remaining balance due two weeks prior to the event. Open flames are not permitted inside facilities. All outdoor activities utilizing open flames, particularly “Cook Outs”, require a University issued Burn Permit. Burn Permits may be obtained from the Office of Environmental Health and Safety, after the event has been confirmed by the University Events Center. All safety requirements as issued by the Office of Environmental Health and Safety must be enforced at all times. The University Event Center, University Police Administration, and the Office of Environmental Health and Safety reserve the right to reassign or cancel confirmed reservations if, due to unforeseen or uncontrollable circumstances, the event poses a safety risk. Rental Equipment (tables, chairs, tents, etc.) ordered and secured by the sponsoring organization is the sole responsibility of the organization. Organization representatives must be present to set-up and breakdown resources and must secure equipment pick-up within 12 hours of event conclusion, unless otherwise directed by the University Event Center. The University Event Center is not responsible for rental equipment.
REQUEST FOR FILE I hereby request that [Firm/Attorney Name] provide me with a copy of my file. Please send the file to the following address: [Client Name] PRINTED [Client Signature] [Date] Return this request to: [Name] [Address] [Address]
Date Manager Space and Project Planning Capital Development, Facilities Management Finance and Resource Planning Request for additional space Faculty/Division Contact name Ph No Email Fax No Reason for additional space (mark applicable box) New permanent initiative Growth within existing initiative Other New temporary initiative Collocation or organisational rearrangement Business case statement (this should clearly demonstrate that the Faculty/Division has pursued all opportunities to better use space within its existing allocation prior to making a request for additional space) : Type of space required: Preferred location: Estimated duration of occupancy No. of staff/students in area to be accommodated Timeframe for occupancy Area m² Comments:
Signature required by: Head of Faculty/Division/Institute Position Title : ________________________________________ Signature: ________________________________________ Date: ____________________
Please provided details of your highest educational qualifications, from most recent qualification Full Name of Qualification Type of Qualification Secondary School Undergraduate Diploma/Technical /Vocational Postgraduate Name of Institution Institution Location (country) Year of Completion Did you complete this qualification and graduate? Yes No Full Name of Qualification Type of Qualification Secondary School Undergraduate Diploma/Technical/Vocational Postgraduate Name of Institution Institution Location (country) Year of Completion Did you complete this qualification and graduate? Yes No Previous attendance in capacity development related to the mining sector (name of program/activity, year; please provide a short description) Have you previously participated in other donor aid funded programs, courses or study tours relating to the themes of the current training programme? Please list any such activity below. English Language Competency
1.2 Addenda - Written or graphic instruments issued prior to the execution of the Agreement which modify or interpret the Contract Documents, Drawings and Specifications, by additions, deletions, clarifications or corrections. 1.3 Bid - The offer or Bid of the Responder submitted on the prescribed form setting forth the price for the Work to be performed. 1.4 Responder - Any person, firm or corporate submitting a Bid for the Work. 1.5 - Bid, Performance, and Payment Bonds and other instruments of security, furnished by the Contract and Surety in accordance with the Contract Documents. 1.6 Change Order - A written order to the Contractor authorizing an addition, deletion or revision in the Work within the general scope of the Contract Documents, or authorizing an adjustment in the Contract Price or Contract Time. 1.7 Contract Documents - the Contract, including Request for Bids, Information for Responder, Bid, Bid Bond, Agreement, Payment Bond, Performance Bond, Notice of Award, Notice to Proceed, Change Order, Drawings, Specifications, and Addenda. 1.8 Contract Price - The total monies payable to the Contractor under the terms and conditions of the Contract Documents. 1.9 Contract Time - The number of calendar days stated in the Contract Documents for the completion of the Work. 1.10 Contractor - The person, firm or corporation with whom the Owner has executed the Agreement. 1.11 Drawings - The part of the Contract Documents show the characteristics and scope of the Work to be performed and which have been prepared or approved by the Engineer. 1.12 Engineer - The person, firm or corporation named as such in the Contract Documents. 1.13 Order - A written order effecting a change in the Work not involving an adjustment in the Contract Price or an extension of the Contract Time, issued by the Engineer to the Contractor during construction. 1.14 Notice of Award - The Written Notice of the acceptance of the Bid from the Owner to the successful Responder. 1.15 Notice to Proceed - Written communication issued by the authorizing the Contractor to proceed with the Work and establishing the date of commencement of the Work.
If nonstandard output formats and/or data rates are required, how often are the measurements needed? Note: The standard format for processed, RAF output data is net CDF. Payload Ground Support Needs for User-supplied Instrumentation Preflight Needs on flight days Postflight Needs on flight days Routine Maintenance on non-flight days Access (hrs) (hrs) Special support
NC Healthy Aging Summit 2017: Integrated Strategies for Community Clinical Connections Request for Proposal Thank you for your interest in becoming a presenter at the NC Healthy Aging Summit 2017 presented by NC Center for Health and Wellness at UNC Asheville, NC Division of Aging and Adult Services, and NC Division of Public Health Injury & Violence Prevention Branch held on Wednesday, August 23, 2017 from 8am-4pm at The Friday Center in Chapel Hill, NC. Proposals are due NO THAN 5PM ON JUNE 30, 2017. This one-day summit will offer clinicians and community-based providers tracks that will provide learning opportunities in the following areas. Please select the track below that best fits with your presentation topic: Chronic Disease Self-Management ☐ Prevention ☐ Mental Health & Medication Management ☐ Bridging the Community-Clinical Gap ☐ What is the exact title of your presentation? Click or tap here to enter text. Presenter(s) contact information (name, email address, phone number, credentials): Click or tap here to enter text. Please provide a description of your presentation: Click or tap here to enter text. Please state 2 objectives of your presentation: Click or tap here to enter text. Please list any AV needs: Click or tap here to enter text. Additional comments: Click or tap here to enter text.
Hazards, if any (ex. chemicals, electricity, heights, hot surfaces, etc.) Please select all that apply. Heights Electricity Hot surfaces Chemicals Biological Ergonomic Moving Parts Other If you selected other please explain. Job Requirements (Please leave inapplicable areas blank.) This position requires licensure or certifications (pesticide, CDL, endorsements, etc.) such as …
OKTOBERFEST SPONSORSHIP PROPOSAL COMPANY PHONE NUMBER: COMPANY ADDRESS: CITY, POSTAL CODE: CONTACT NAME: TITLE: of Sponsorship: Presenting Platinum Gold Silver Bronze Type of Sponsorship Cash In-Kind Combination Cash and In Kind Event Promotion (describe below) Estimated total value of Sponsorship Cash: In-Kind: Other: Total: duties PERFORMED / responsibilities Description of In-Kind, promotion or other types SKILLS EQUIPMENT USED Additional Information or Special Requests
D. In the event of illness or other situations of an emergency nature where advance approval cannot be requested, the immediate supervisor must be personally called at the earliest time possible, no later than one hour prior to the beginning of the first day of absence. A Request for Leave form should be completed immediately upon return to work. E. Requests for leave are considered not approved until signed, dated, and returned to the employee by the immediate supervisor. F. Whenever possible, supervisors should respond within five (5) working days with an approval or denial of the requested leave. G. Approvals of leave are subject to workload and adequate staffing levels of the department, when consistent with legal requirements. H. Employees are responsible for ensuring they maintain an adequate leave balance in their leave bank to cover the hours absent. A supervisor’s approval of a Request for Leave only approves the absence from work. The approval does not reflect if employee leave balance is sufficient. II. Reporting of Leave The reporting of leave is completed on a Record of Leave form and must be turned into immediate supervisor by the end of each month. There are two Record of Leave forms that can be found on the Human Resources Portal Site: . Non-Exempt Record of Leave: The Non-Exempt Employee Time Sheet/Monthly Record of Leave is used to record time worked, leave taken, and compensatory time earned and taken by nonexempt employees. Exempt Record of Leave: The Exempt Employee Monthly Record of Leave is used to record leave taken by exempt employees. Pursuant to Board Policy 507, this procedure must be followed when employees request and report absence from work. Requests for Leave and Monthly Records of Leave must be maintained in the department for three (3) years after employee returns from leave or separates from employment. This is required to comply with the NC Community College Records Retention & Disposition Schedule. Definitions: Absence: The period of time during an employee is not at work or on duty. Owner: Vice President Human Resources and Organizational Development, x 7113
Requests via CoRR Any requests to change IHIS for research purposes can now be made through the CoRR application. Requests can be trial specific or more generalize to enhance the available research functionality for all users. Go to OneSource Center for Clinical & Translational Science Select “Request Service”. Log into CoRR using your Ohio State ID or CoRR Account Click “Create New Project” on Left Navigation Menu Enter New Project Information Project Title – Enter the project title. If the request is not tied to a specific project enter a summary description (example: CRC notifications when participants present to the ER) Project Description – Enter brief description of the project and what change is being requested in IHIS. Your Role – Select most appropriate role Members – add project members as appropriate Funding – add funding information if project has been submitted for funding, been awarded, or other funding is available. If no funding is available enter “Unfunded”. IRB/IACUC Information – Enter IRB information as appropriate Click “Submit”. You should receive an email that your project has been submitted Go to the “My Projects” Page and select the project to request services In the top right corner select “Request a Service”
This screen will tell you what to do next. Employment Security will approve your request on behalf of the owner if the Employer Account Management System Authorization Form is completed correctly with the employer’s information and signature. Once you have access to locked services, you’ll be able to click the links next to the key symbols.
CSMA – Success Screen Perform one of the following: If You Want To Then Go To Create a new request Click . Step 2 View details of your request on a printable web page Click . Step 31 You have completed this task. Result You have submitted a request to ADD a Budget-only Child FUND value.
e.g. Due to the size of response measures, and potential requirement for large scale evacuation effort, the multi-agency response capabilities of responders has become stretched. Mutual aid to is already in place along with a number of volunteer organizations Requesting NHS Organisation Contact email Requesting Officer (empowered to agree spend): Email Name Signed: NHS England (Region) Approval Email Name Signed: NHS England Incident Director (National) Email Name Signed:
Executed by [insert name] by its duly authorised officer in the presence of: ) ) ) ............................................................... Witness ............................................................... Name of Witness (print) Date: ............................................................... Officer ............................................................... Name of Officer (print)
NAMDET Ltd 30 Aston End Road, Village Stevenage. Hertfordshire. SG2 7EU REQUEST FOR AN INVOICE Dear NAMDET member, If you would like to receive an invoice, then please fill in the form below and email to Name Billing Address Phone Number Email Trust Company Diet requirements Area of Work* NAMDET Region Main Job Role* Delegate 1 NHS Industry Academia Other Medical Device Training Clinical Training Governance/Risk Moving & Handling Health and Safety Equipment Management Other Delegate 2 NHS Industry Academia Other Medical Device Training Clinical Training Governance/Risk Moving & Handling Health and Safety Equipment Management Other *Delete as required Thank you NAMDET Team
Request to Create New Course or Update Existing Course Request Request Date Requestor Name Requestor Company Requestor Email Requestor Phone Requested Timeframe Key Stakeholder(s)/ Customer(s) Client Request Summary Create a Brand New Course(s) Update an existing Course(s) Create a New Program (Multiple Course Components that compose a single course) Update an existing Program (Multiple Course Components that compose a single course) Project Goals/Objectives Topics to Learn: Introduction Employee Rules & Responsibilities Safe Work Practices Tool & Equipment Safety Ladder Safety Scaffold Safety Welding Safety Confined Space Safety Mobile Equipment Safety Hazard Communication Emergency Procedures General Facility Rules Personal Protective Equipment Elevated Work Electrical Safety Isolation of Energy Vehicle and Traffic Safety Information Other ___ Teaching and Learning Activities to Use: Text Audio (Client provided) Audio (SCTC – Client provides Narration Script)
Do the landowners that the water can be used for the project without asking for compensation after the project is constructed? YES NO Signatures of the land Name: Signature: OF THE VILLAGES INSIDE THE PROJECT: # Village name: How many families in the village? population per village? Name of the village Signature of village leader 1 2 3 4 5 6 7 8 7 8 9 10
Yes/No Type of copy Price per image Web 72 dpi jpg £3 A6 Small 300dpi £14 A5 Small 300dpi £15 A4 Medium 300 dpi £20 A3 Large 300 dpi £30 A2 Large 300 dpi £40 Audio digitisation £24 20p/40p Number of copies (if known) Collect from Special Collections/Post/URL via email
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