zilongwang/ReadingBank huggingface dataset:
Name E-mail Office Phone Number Home/Cell Phone Number Received Animal Facility Training Yes No d. Status: Qualifications: Responsibilities: Name E-mail Office Phone Number Home/Cell Number Received Animal Facility Training Yes No e. Status: Qualifications: Responsibilities: Name E-mail Office Phone Number Home/Cell Phone Number Received Animal Facility Training Yes No f. Status: Qualifications: Responsibilities: Name E-mail Office Phone Number Home/Cell Number Received Animal Facility Training Yes No
PRIMARY method(s) of euthanasia CO2 by compressed gas cylinder (Not for animals already under anesthesia or neonates) Barbiturate Euthanasia Solution - Injectable ≥150mg/kg (Check route below): IV IP IC Isoflurane Anesthesia Overdose - Inhalant Cervical Dislocation (only under anesthesia) Decapitation (only anesthesia or neonates) Exsanguination or Perfusion (only under anesthesia) Incision of Chest Cavity – Bilateral Pneumothorax (only under anesthesia) Pithing – (only under anesthesia) ( amphibians, reptiles only) Removal of Vital Organ(s) (only under anesthesia) (Check all that apply): Brain Kidneys GI Tract Liver Lungs Other Vital Organ(s) – (Specify): Other Method of Euthanasia: (Describe and Scientifically Justify): SECONDARY method(s) of euthanasia that will be used to ensure that the animal does not survive: Cervical Dislocation Decapitation Exsanguination or Perfusion Incision of Chest Cavity – Bilateral Pneumothorax Barbiturate Euthanasia Solution - Injectable ≥150mg/kg (Check route below): IV IP IC Pithing – Double pithing required (fish, amphibians, reptiles only) Removal of Vital Organ(s): (Check all that apply): Brain Kidneys Heart GI Tract Liver Lungs Vital Organ(s) – (Specify): Other Method of Euthanasia: (Describe and Scientifically Justify):
Project Class Study. Application Types Web Application What is web application? Web application structure. Web application sub-Types: Social networking? Social networking is the grouping of individuals into specific groups, sharing common interests in hobbies, religion politics, to gather and first-hand information and experiences and so on. E.g. MySpace, Yahoo! 360, Facebook, Twitter E-commerce? may be defined as the application of information and communication technologies to support business activities and consumer services. E-commerce applications allow the consumers buying and selling products or services. eBay E-commerce applications that conduct operations between the businesses are referred to as business-to-business or B2B, or commodity exchange. Online retailers are sometimes as e-tailers: Business entities: Bookshops, travel agencies, Publishers, Air Lines, Hotels, Car Rental, etc. Electronic commerce that is conducted between businesses and consumers is referred to as business-to-consumer or B2C where the buyer is directly online to the seller via the internet and there is no intermediary (agent) service. Online shopping, such as Amazon.com or , allows the sale and purchase transactions between three parties: vendors (sellers)-intermediary-consumers Some common Web application components: and order tracking Domestic and international Hosting Search Content Sharing Integration with other (WEB) applications (OPEN ID Interface)
(fine)? Answering yes won’t automatically disqualify you. _____________ If yes, please explain:__________________________________________________________________ _____________________________________________________________________________________ EDUCATION HISTORY Degree/Major G.P.A. No. Years Attended Graduated Yes/No High School Name City State College Name City State Graduate School Name City State Other Name City State REFERENCES 1 Name Company & Title Years Acquainted Address Phone 2 Name Company & Title Years Acquainted Address Phone I hereby certify that this application and any other materials and/or documents provided in this application process contain no willful misrepresentation and that the information given is true and complete to the best of my knowledge. I am aware that should investigation at any time disclose any such misrepresentation or falsification, my application will be rejected, my name may be removed from consideration, or if employed, I may be discharged from my employment. I authorize my current or former employers and all schools or educational and technical institutions which I have attended to provide The Pasta Shoppe representatives any information regarding my current or former employment. I hereby release any such current or former employers or institutions from any and all liability resulting from the release of such information. My authorization and release from liability are voluntary acts. Signature ____________________________________________ Date: __________________________
Be appropriate for activities to be performed Adequate space Permit effective cleaning and sanitising Exclude dirt, dust, fumes, smoke and other contaminants Not permit the entry of pests Not provide vermin harbourage Appropriate location in relation to other activities Adequate floor space No cracks or crevices Vermin proof construction Vermin proof strip to external doors Insect screening to windows or similar Insect screening to doors or similar Ceiling entries vermin proof Conduits vermin proof
EXAMINATIONS PASSED:- D1a Level (eg. ‘A’ Level…) Date Passed Subject Grade Achieved Please continue on a separate sheet if necessary. HIGHER EDUCATION:- D2 University or College and/or University Education Department (please provide addresses) FT/ PT Dates From To Month Year Month Year
MAIN CONTACTS OF YOUR ORGANIZATION Principal representative Title First name Last name Position Procurement Policy Economics Fundraising Project Management Business Management Networks Email Mailing address Telephone Fax Country Alternate representative (or other relevant contacts, if applicable) Title First name Last name Position Expertise Procurement Policy Economics Fundraising Project Management Business Management Networks Email Mailing address What is your main motivation to participate in the programme? Adapt, replicate or scale-up projects from other participants Share knowledge on successful initiatives Showcase mature projects that can be replicated elsewhere Find guidance and information on SPP policy development Participate in international meetings Obtain funds for projects Provide funding for the programme or projects Other, please describe: In which world regions do you mainly operate? (please check all that apply) Global Europe Western Europe Eastern Europe Africa North Africa West Africa East Africa Americas North America Central America South America
Central Africa South Africa Caribbean Asia East Asia Middle Asia Asia South-East Asia Oceania Australia New Zealand Melanesia Micronesia Polynesia Please provide a brief description of your efforts in the field of sustainable public procurement and what kind of contributions and commitments you intend to deliver within the framework of the 10YFP SPP programme. DESCRIPTION OF ONGOING SPP/GPP PROJECTS/ACTIVITIES (Feel free to insert additional boxes if you have more than 2 ongoing projects) Project 1 Name of the Project/Activity Objectives Target beneficiaries Geographical Scope Main Activities Main Results Project 2 Name of the Project/Activity
Evaluation Criteria Category Criteria Location of Service (Mandatory) The service provider’s of business address is located in the Adelaide CBD and/or North Adelaide (Postcode 5000 and 5006). Experience of Service Provider Demonstrated experience, knowledge and good past performance in providing the services for the relevant category. Capability of Service Provider Demonstrated capability in providing the services to small businesses in the city. Qualifications and Membership Evidence that the service provider’s employees have appropriate qualifications and membership for the relevant category. Cost of Service Provision of a schedule of fees that would be charged to a city business, which is competitive and includes a commitment for an obligation and fee free initial consultation (for at least half an hour) to the city business. Value Add Additional value to Enterprise Adelaide clients that can be supplied by the service provider. Evaluation Process Enterprise Adelaide will assess the information submitted by the service provider in the application against the evaluation criteria as soon as reasonably practicable after receiving the application. Applications that have not provided sufficient information as requested may not be assessed by Enterprise Adelaide and may result in the service provider not becoming a member on the referral list. Enterprise Adelaide reserves the right to decline a service provider’s membership on the referral list at its discretion, including if the addressment of the evaluation criteria is not sufficient. The issue of this request for applications to the referral list or any response to it does not commit, obligate or otherwise create a legal obligation on Enterprise Adelaide to select a service provider for membership on the referral list.
Student Email Student Mobile Phone Parent/Guardian Name(s) Parent Parent/Student Landline Phone Parent Other Phone Student ethnicity-OPTIONAL Check: ☐Hispanic/Latino ☐American Indian/Alaska Native ☐Asian ☐Black/African American ☐Native Hawaiian/Pacific Islander ☐White ☐ Two or more races HIGH SCHOOL INFORMATION School Name School District Number School Address City/State/Zip School Phone Number School Principal’s Name School Counselor’s Name Current Grade: 10th 11th (Circle one) I certify that the information I have given is true to the best of my knowledge. If I am accepted to Perpich Arts High School, I agree to comply with all regulations of the school and to review the student handbook and agree to the terms therein. Officials of the school may use information from this form. Any misrepresentation on the part of the applicant is cause for non-acceptance, and or cancellation of acceptance. All documents submitted in support of the application become property of the school and are not returnable or transferable. My signature below indicates that all the information in my application is complete, factually correct and honestly presented. SIGNATURES (All signatures are required for a complete application.) Student signature Date Parent/guardian signature Date For Office Use Only: Art Area of Interest and Admission Review Please choose an art area in which to apply by checking the appropriate box below under Area of Interest. If you are interested in more than one area, YOU MUST contact for approval PRIOR TO submitting your application. Under no circumstances may more than two areas be chosen. Area of Interest: (SUBJECT TO AVAILABILITY)
HIGHER EDUCATION:- D2 University or College and/or University Education Department (please provide addresses) FT/ PT From To Year Month Year QUALIFICATIONS OBTAINED:- Qualification Obtained Date Passed Subjects passed (with details of standard obtained) Age groups for which trained Please continue on a separate sheet if necessary.
v). Expenses for technical and support staff vi). – visual support vii). Other costs (please specify) Total Not Supported by NSF PART D – Expression of Interest to Invite the NSF to Co-organize the event (to be completed only if applicable) Have you already met with the NSF Management and discussed about the event? Yes / No Describe the level of importance (National / International) of the proposed program
Applicant him- or herself or a person mainly engaged in business can respond to a requested business trip as necessary. 4. If there are two or more persons planning to engage in business, fill in the basic information of the employee a. Title /Name b. Address c. Languages d. Specialty/Related certificates Specialty: Related certificates: e. Business Germany (projects that you have been engaged in)/your main role at your company f. Your professional career (including educational background) g. Experience to work with JETRO h. How to take advantage of your business experience/ specialty /network with this project As stated above, I will apply for the local support platform for small and medium enterprises overseas deployment:
applications in that numerous types of court documents, including, but not limited to civil, criminal, family and probate may be accessed and completed through wireless communication. 3. Describe how the project uses technology to reduce overall costs to the Justice System. What is the estimated cost savings? What agency/budget will see the cost reduction? Presently all judicial partners spend a significant amount of time copying paper documents for distribution to the other judicial partners as well as manually filing the documents that are received. This technology project, through the distribution of E-discovery and file sharing software, will allow the different judicial partners to retrieve their client files, court cases, etc., through their laptops and tablets while in the courtrooms and corridors and reduce the need for paper or hard copies. It will save customers, taxpaying constituents, and other judicial partners by reductions in their budgets for office supplies and expenses (paper, postage, copying costs) as well as create more efficient use of staff time based on the significant amount of time utilized to perform these functions. The electronic paperless technology will also improve data accuracy caused by human error thus reduce the cost and staff time of repetitive work, amending and supplementing documentation and allowing for a more time-efficient staff. The estimated costs savings could potentially be hundreds of dollars per agency per month. Agencies or partners who will notice reduced costs include all the judicial partners: Judge and judicial staff, court administration, Department of Corrections, county attorney’s office, public defenders, law enforcement agencies, private attorneys and city attorneys. 4. Describe how the project uses technology to increase efficiencies to the Justice System. Please quantify the estimated impact of efficiencies through measurable data such as employee hours saved or improved data accuracy.
information as objectively as possible to assist the Admissions Committee. Please check the box indicating the level of ability that the applicant has in each of the following areas that you can evaluate. Please provide an example, if available, on the line provided below each area. Your comments are extremely important in the student’s quest for selection into the nursing program at UM-Flint. QUESTION Cannot Evaluate No Ability High Ability 1. Ability to work independently. 1 2 3 4 5 6 7 2. Ability to express self orally. 1 2 3 4 5 6 7 3. Ability to express self in writing. 1 2 3 4 5 6 7 4. Ability to exchange and share ideas. 1 2 3 4 5 6 7 5. Ability to accept criticism and suggestions. 1 2 3 4 5 6 7 6. Ability to be a considerate and caring individual. 1 2 3 4 5 6 7 7. Ability to critically and ask questions. 1 2 3 4 5 6 7 8. Ability to problem solve. 1 2 3 4 5 6 7 9. Ability to handle stressful events. 1 2 3 4 5 6 7 10. Demonstrates ethical and conduct. 1 2 3 4 5 6 7 Comments: Please add any additional information that you feel will help the Admissions Committee to know and understand more about this student. Include how long you have known this student and in what capacity. (No personal references are accepted.) You may use an extra sheet if necessary.
Civil Passport National Certificate of Competency (COC) with Endorsement and Flag Endorsements if any № Class/Qualification (as written in the Certificate including STCW Regulation number) Details of limitations Issued till Country Date National COC Endorsement English Proficiency (Choose an option) Testing Results Marlins % CES 4.1 % SETS, % Other languages Name of Maritime Educational Establishment Graduation year Biometrics Distinctive marks (if any) Eye colour (Choose an option) Hair colour (Choose an option) Height (cm) Weight (kg) Coverall size Safety shoes size Last monthly wage US$ Expected monthly wage US$ Date of readiness Information about 3 previous Employers Company Person in charge Contact phone number STCW COMPLIANCE CERTIFICATES Documents № Issued Valid till Place Date General Operator’s Certificate General Operator’s GMDSS endorsement Restricted Operator’s GMDSS Certificate Restricted Operator’s GMDSS Endorsement Basic Safety Training
B. PROGRAM(S) IN TEACH OUT Initial Applicants only, please complete the table below if any of the programs listed in the Program Information Chart are being discontinued (i.e., in teach out and/or is no longer enrolling students). Not Applicable – No programs are discontinued at this time. (Hover then click on the plus sign [ + ] at bottom right corner of the table below to add more rows.) Program Name Total Clock Hours Academic Credits: Semester Quarter Credential Awarded Date Ceased Enrollment Current Program Enrollment Projected Date of Last Graduate 6. ABHES WORKSHOP Has a representative employed by the institution and working at this campus attended an ABHES Accreditation Workshop within the past 12 months? (See Chapter III of the for details regarding the Accreditation Workshop attendance policy). Yes No If no, see the listing of upcoming workshops and to register online at If yes, identify participants in the table below: (Hover then click on the plus sign [ + ] at bottom right corner of the table below to add more rows.) Attendee Name Title Campus (City & State) Date of Workshop Attended REMINDER: A copy of this addendum must be completed and submitted as an attachment to the Application for Institutional Accreditation for each applicable non-main and/or satellite campus.
requested Alberta Innovates funds will be utilized, and how this Investment will bring the product closer to market. STEP 3 of 5 –APPLICANT AND PROJECT INFORMATION This step allows you to complete the application form. Clicking on each link will take you to a form section with each section containing multiple questions/data fields. You can also use the Next Section or Previous Section buttons at the page bottom to navigate between the sections. The Previous Step button will take you to Step 2 and the Next Step button will take you to Step 4. The Summary button will take you to the Summary Step will summarize the status of all the steps in terms of any mandatory information that may be missing. If all mandatory information has been provided--you will be able to select the Submit button on the Summary Step. Remember, you can create a PDF of your application at any time by clicking the “Create PDF” button on the Summary Step. The response time for section navigation will vary on each user's bandwidth and network connection type (e.g.WiFi vs. "hard wire"). Section Applicant Contact Information Proposed Project Start Date (dd/mm/yy): Help Text The Proposed Project Start Date may differ from the actual Project Start Date depending on the time required to process and execute an Agreement. To avoid this, we recommend that the Project should start at least 30 days from the Application submission date, and within 180 days of Project funding approval, if approved. TDA/AI/EDT Contact. Did you work with a Government of Alberta representative, a Technology Development Advisor (TDA), or any other Alberta Innovates representative prior to completing this application? Yes No If you selected YES to the above question, please provide the person’s name: Legal Name of Applicant: Help Text Applicant means the company or entity name, NOT the person completing the form. Trade Name of Applicant (if applicable): Division involved with the Project (if applicable): Department involved with the Project (if applicable): Civic Address line 1: Civic Address line 2 (if applicable): City: Province/State: Country; Postal Code/Zip Code: If the address above is not in the Province of Alberta, insert the address of the Applicant’s physical presence in Alberta and identify the nature of its physical presence in Alberta: Applicant’s Office Number: Applicant’s Website (if applicable):
Education Details: Please list, beginning with the most recent school/college etc. Name and location of school/college Dates From: MM/YYY Dates From: MM/YYY Subjects studied Qualification / Grade attained Please detail duties and responsibilities held throughout your employment / volunteering career that are relevant to this application.
All projects must include Applicant from both Alberta and Zhejiang; Each project must have a minimum of one Industry Partner from each jurisdiction with an interest in commercializing the technology; Projects may include academic research organizations such as universities as participants in the application. Projects must demonstrate “state-of-the-art” technology. Applicant Organization* Organization Jurisdiction Zhejiang Alberta Other (describe) Type Corporation Research Institution Other (describe below) Contact Title First Name Surname Position Department Address City Province/State Country Postal Code Phone # E-Mail Cell # China Industry Partner Organization* Organization Jurisdiction Zhejiang Alberta (describe) Type Corporation Research Institution (describe below) Contact Title First Name Surname Position Department Address City Province/State Country Postal Code Phone # E-Mail Cell #
10. Do you have any dependants? Yes No In case, answer is “Yes”, please provide the following information: Name Date of Birth Relationship 11. Have you ever taken up legal residence status in any country other than that of your nationality? Yes No In case, answer is “Yes”, which country: 12. Have you ever taken any legal steps towards changing your present nationality? Yes No If answer is “Yes”, please provide details: 13. Academic Qualifications (Please furnish details): A. General Education: University/College Level Name and Place of Institution Degree/Diploma Year Subject(s)
ROCK CLIMBING & ICE CLIMBING # of Years: # of Days: Certification: Class of Climber: DATE LOCATION ROUTE LENGTH DIFFICULTY ROLE 1 2 3 4 5 6 7 8 9 10 11 12 AVALANCHE TRAINING # of Days: Certification: Type of Skier MOUNTAINEERING & SKI TOURING # of Years: # of Days: Class of Climber: DATE LOCATION LENGTH DIFFICULTY ROLE 1 2 3 4 5 6 7 8 9 10 11 12 ALPINE SKIING, SNOWBOARDING, TELEMARK SKIING # of Years: # of Days: Certification: Type of Skier
DETERMINE WHETHER YOU ARE ELIGIBLE FOR AN EXEMPTION Answer the questions below, continuing to the bottom of the form until you are instructed to stop or eligibility is confirmed. If the form indicates that a permit is required, you must complete an application for a permit. If the form indicates that a permit is not required, you do not need a permit or an exemption for your water use. Will you use a surface water source? Yes Stop! Permit is required No Is your desired water use agricultural and less than an annual average of 10,000 gallons per day? Yes Stop! Permit/Exemption not required You may apply for a voluntary permit No Is your designed use for domestic use other than heating or cooling, and on one individual lot? Yes Stop! Permit/Exemption not required No Is your desired use for extinguishing a fire? Yes Stop! Permit/Exemption not required No Is your desired use for dewatering during construction lasting less than 30 days (including days of non- pumping), and using less than 10,000 gallons per day? Yes Stop Permit/Exemption not required No Will your ground water use exceed 5,000 gallons per day as an annual average? Yes Stop! Permit is required No Is your desired water use within a Water Management Strategy Area target aquifer? Yes Stop! Permit is required No Is your desired water use associated with subdividing land into residential lots on individual wells? Yes You may be eligible for an exemption No Is your desired water use for a drinking water system that serves at least 15 service connections used by year-round residents or regularly at least 25 year- round residents? Yes Stop! Permit is required No Did you answer NO to all questions Yes You are eligible to file a Notice of Exemption. Proceed with the form on the first page. To determine whether your location is within a Management Strategy Area, please visit MDE’s website at Please submit a location map and plan of the proposed subdivision for MDE review. MDE will determine whether a permit is required or a Notice of Exemption may be filed and will notify you if a permit application is required. Year-round resident means an individual whose primary residence is served by the water system. The individual need not live at the residence 365 days a year for it to be considered their year-round residence. Note: A confirmation of your approved Notice of Exemption will be provided to your County. Permittee confirmations available by request. If your water use increases above 5,000 gpd, you must apply for a new permit.
METERING Where the Transferor is a Market Generator, please answer the following: Has the metering installation changed since you registered the facility in the NEM? (If unsure, tick Yes) No I confirm that the metering installation at the facility is unchanged, and I provide the following details: INSTALLATION DETAILS Connection NMI(s): Date of last metering installation test: ___/___/______ Copy of valid metering installation test report: - Attached If the metering installation testing occurred over a period of time please specify the date each piece of the metering equipment was tested and identify each piece of equipment (eg Meter, CT, VT). Yes Please provide a completed Connection Point Checklist, using Attachment 1
PERSONAL BACKGROUND FORM Department : Recent Color Photograph Position applying for : PERSONAL DATA Family Name Given Name Sex □ Male □ Female Age Date of Birth Place of Birth Contact No. (Home) (Mobile) Residential Address E-mail Passport No. Issue Date Expiry Date Have you ever been to the U.S ? □ Yes □ No Have you ever been deported from the U.S had a visa refused, or overstayed in the U.S? □ Yes □ No EMERGENCY CONTACTS First Contact Person Name Relationship Contact No. (Home) (Mobile) E-mail Address Second Contact Person Name Relationship Contact No. (Home) (Mobile) E-mail Address EDUCATIONAL BACKGROUND Please list your professional qualifications in reverse chronological order (most recent first) From(mm/yy) – To(mm/yy) Name of Institution / College Certificate / Diploma / Degree - - -
as defined by statute. The information may be disclosed, as appropriate, to the governors, to Occupational Health, to the Teachers Pensions Agency, to the Department for Education, to pension, payroll and personnel providers and relevant statutory bodies. This form will be kept strictly confidential but may be photocopied and may be transmitted electronically for use by those entitled to see the information as part of the recruitment process. When the recruitment process is completed, your form will be stored securely for a maximum of six months then securely destroyed, unless you are employed as a result of this recruitment process in which case this application form will be retained as part of your personnel record. (a) the Criminal Justice & Courts Services Act 2000 it is an offence for an individual who has been disqualified from working with children to knowingly apply for, offer to do, accept, or do any work in a ‘regulated position’. The position you are applying for is a “regulated position”. (b) Canvassing, directly or indirectly, an employee or governor will disqualify the application. (c) Candidates recommended for appointment will be required to provide a satisfactory Enhanced DBS certificate and complete a pre-employment medical questionnaire and may be required to undergo a medical examination. (d) This organisation is under a duty to protect the public funds it administers, and to this end may use the information you may provide as part of the recruitment process for the prevention and detection of fraud. It may also share this information with statutory bodies responsible for auditing or administering public funds for these purposes. I certify that, to the best of my knowledge and belief, all particulars included in my application are correct. I understand and accept that providing information will result in my application being rejected or withdrawal of any offer of employment, or summary dismissal if I am in post, and possible referral to the police. I understand and accept that the information I have provided may be used in accordance with paragraph 10 above, and in particular that checks may be carried out to verify the contents of my application form. Signature of Applicant: Print Name: Date:
Are you of Aboriginal and / or Torres Strait Islander origin? (For both Aboriginal and Torres Strait Islander origin, mark both “Yes’ boxes) Yes, Aboriginal Yes, Torres Strait Islander No, Neither Aboriginal or Torres Strait Islander Not Stated Do you hold a current driver’s licence? (Copy of driver’s to be attached to this form in the allocated position) Yes No Country of origin: Birth Town: How long have you lived in Australia? (This question is asked for provision of information on Government reports required by legislation from time to time. You will be required to provide a copy of your PASSPORT and VISA or an Australian birth certificate.) Do you a language other than English at home? (If more than one language, indicate the one that is spoken most Yes Other (Please Specify) Are you a member of a trade union? Yes No If so state name of union: Citizenship Status: Australian Citizen or permanent resident Other – Visa Type and Document Number (If No, you will be required to provide evidence confirming your eligibility to work in Australia before any of employment is made to you. This information is necessary to meet Australian Government requirements) Next of Kin Emergency Contact Details Contact Name: Contact Relationship: Spouse Family Relative Friend Other Contact Number Contact Mobile: SECTION B – EDUCATION AND TRAINING RECORDS QUALIFICATIONS Have you attached a current resume to this application? (If you provide a copy a current resume you will not be required to complete this Section B) Yes No Schools, Colleges & Universities Attended Period Studied Full Time or Part Time Details of course undertaken From To or professional qualifications: (List full details of qualification & date attainment) Other training completed within the last 5 years. (Include all courses undertaken both on and off the job) What is your highest COMPLETED school level? (Or its equivalent) Year 12 Year 11 Year 10 Year 9 Year 8 or Below Did not go to school When did you complete that school SECTION C – PERSONAL Do you have experience in the use of a knife: Yes No Are you currently registered as unemployed: Yes No If Yes, who is your Job Active Provider: Sureway Best Employment Hire WA Joblink Max Employment Other: trial
Please give details of any experiences you have had e.g. youth forums, school council, special interest group or voluntary work which is relevant to your application. Name and address of organisation/school or youth group. Dates (to and from) Details of relevant experience Name and address of organisation/school or group. Dates (to and from) Details of relevant experience Name and address of organisation/school or youth group. Dates (to and from) Details of relevant experience
College/University: From: To: WORK EXPERIENCE (if applicable) Please start with your most recent position. You may include volunteer/extracurricular activities and internships. (You may add additional rows if needed.) Name of Employer and Location Your Job Title and Responsibilities Dates of Employment MM/YY – MM/YY From: To: From: To: How did you learn about this MOOC? ESSAY (should be in English and no more than 250 words) use another sheet if required Why are you applying to attend the moderated sessions associated with this MOOC?
Vocational Stage Exemption (Bar Exam for practitioners) £165 Designation as a Advice Centre £165 Reviews (Qualifications Committee) Review £200 Review of a Practising Certificate Decision £200 Review of an Entity Authorisation Decision £200 Fee Waivers Fee Waiver – Academic Stage None Fee Waiver – Qualifications Committee None
Description of Expenses Amount Requested Other Sources Total Cost Total Project Costs Other Sources of Funding Describe Amount Internal Funding or In-Kind Contributions Describe Total Additional Items/Training/Resources To be successful, your project may require certain items (e.g. equipment, tools, infrastructure), training (e.g. wilderness first aid, canoeing safety), or resources (e.g. safety plans, waivers, etc.). Please list these things below. If your application is successful your Community Advisor or the Collaborative Administrator will work with you to fulfill these needs. ADDITIONAL QUESTIONS Help us learn and improve! Please tell us:
Do you hold an accredited (4-year minimum) or equivalent engineering degree? YES NO Are you a registered professional engineer (RPEQ or equivalent)? YES NO Are you able to become registered professional engineer? YES NO Education Highest Degree: B. Eng. M. Eng. PhD Other (specify): Discipline: University: Conferral Date: Additional information Provide any additional information that may be useful when evaluating your application. RESUME/C.V. Please upload your resume (two page maximum) as part of your application.
I understand that details of educational qualifications, membership of professional bodies and referee report may be verified through the establishments and individuals I have indicated; I consent to my details being kept confidentially and used for specific and lawful purposes as specified in the Data Protection Legislation; I agree to complete a criminal convictions check or a criminal convictions declaration form, if I am identified as the preferred candidate. Read, agreed and understood (check box) Date: PART C Application for (Job Title):Temporary Receptionist - Maternity Cover Job Reference No: 2018/MC Location: Loch Leven Health Centre, Muirs, Kinross, KY13 8FP Candidate ID No: Qualifications Achieved Subjects Type of Qualification eg. Standard Grade, GCSE, Higher, BSc Grade Achieved Qualifications Currently Studying or Working Towards Subjects Type of Qualification eg. Standard Grade, GCSE, Higher, BSc Grade Anticipated Date Anticipated
Job Reference No: 2018/MC PART C Candidate ID No: Statement in Support of Application – please tell us your personal qualities, skills and attributes, experience and any major achievements and show how they match those needed for this job. Where did you see the Advertisement for this Post? Newspaper one?) Professional Journal (which one?) Vacancy Bulletin SHOW (NHS Scotland Website) Job Centre Plus Other (please specify)
APPLICATION FOR ADMISSION TO EXCELSIOR PRIMARY GRADE YEAR Surname of Learner Full name/s of learner Male / Female ID no Home Language Application Information and Requirements: Kindly note: Excelsior Primary is a fee paying Public School. Please read through the entire form before completing the application. Please print in capitals and complete ALL sections, even if there is repetition. The supplying of false information or the non-disclosure of material and / or important information will invalidate this application. The submission of this application form, does not guarantee your child’s acceptance at the school. The application must be accompanied by: Certified copy of learner’s birth certificate Certified copies of both parents/guardians/sponsors’ ID documents Copy of immunization certificate Proof of permanent residential address: Certified copy of recent municipal account or Certified copy of legal rental agreement The most recent school report
Dates Name and address of employer Position held and of responsibilities Reason for leaving Technical, professional or occupational training (including apprenticeships, day release, correspondence, company courses etc.) Dates Type of training Subjects studied Name of college, firm, institute etc. Qualifications gained
CONFIDENTIAL APPLICATION FORM Please complete by typing all six pages of this form in black ink. Post applied for: Where did you see this post advertised? Personal Details Last Name: First Names: Address: Nationality: Male/Female: Date of Telephone Nos: Do not attach a CV, as only the information contained in this form will be considered during the selection process. Please return this form to: Contact telephone no(s) and convenient times for us to contact you: Email address:
REQUIREMENT GUIDANCE ANSWER APPLICANT substantiate the legal entity that signs the contract with GFSI is truly the owner of the Scheme. The objective evidence can be transferred as an annex. Please make clear which annex relates to this question. Please note: the GFSI does not accept any Scheme Owner that is a Certification Body and/or Scheme’s that are governed or owned by one or more certification bodies. 4. Please clarify the structure of the legal entity in relation with the Scheme that applies for Benchmarking V7 Sometimes the legal entity that owns the Scheme is a differ entity than the entity that manages/exploits the Scheme. Please explain this structure with objective evidence. This can be transferred to GFSI as an annex. Please make clear which annex relates to this question. 5. What is the Scheme Owner's Registered Address? Please enter your address here 6. What is the Scheme's Business Address? (when different from above)
REQUIREMENT GUIDANCE ANSWER APPLICANT 7. What is the name of the Authorizing Officer that signs the application for the Scheme application? 8. What is the position of this Authorizing Officer in relation to the Scheme owner? The GFSI needs to understand the position of the person that signs the application and is formally responsible for the agreement made. 9. What is the name of Scheme Application Liaison? The GFSI needs 1 point of contact for all operational questions. 10. What is the address/location of Scheme GFSI Application Liaison 11. What is the business Telephone Number of Scheme Application Liaison 12. What is the mobile Telephone Number of Scheme Application Liaison 13. What is the e-mail address of Scheme Application Liaison
Please indicate yes / No in the areas you have had previous experience. Personal hygiene Care duties bath/shower/strip wash Yes/No Pressure area care Yes/No bed bath Yes/No Simple dressing procedure Yes/No Use of bath aids Yes/No Assisting with medication Yes/No Shaving Yes/No Terminal care Yes/No Mouth care(inc. dentures Yes/No Care of hair Yes/No Practical tasks Care of feet(exc. toe nails) Yes/No Light house work Yes/No Care of finger Yes/No Washing personal laundry Yes/No Dressing/undressing Yes/No Shopping Yes/No Bed making/changing bed linen Yes/No Toileting Collecting benefits Yes/No Continence care Yes/No Yes/No Bedpans/commodes etc. Yes/No Admin. Abilities Changing a catheter bag Yes/No Confidentiality Yes/No Empting catheter bag Yes/No Report writing Yes/No Recording instructions from GP/DISTRICT NURSE Yes/No Mobility Observing/recording Yes/No Maneuvering and handling course Yes/No Changes in clients condition Yes/No Use of hoists(man./elec) Yes/No Previous exp. Use of walking aids Yes/No Private Yes/No Nursing/residential Yes/No home EQUAL OPPORTUNITIES MONITORING
Educational Qualification Sl Name of degree Subject or Stream Course Type (Regular, Distant, Part time etc) Institution University/ Board Course duration (specify year of enrollment and year of award of degree certificate) GPA/ CGPA Additional Qualifications if any Sl No Course/ Certification Specialization Institution Date of expiry of certificate, if any
Do you have a current passport? If yes, please provide the passport number and complete the passport-related sections. If not, please provide your Birth Certificate Number. Yes No Passport Number: Birth Certificate Number: Country of Issue: Passport Issue Date: D D M M Y Y Y Y OFFICE USE ONLY: Checked original ID Passport Expiry Date: D D M M Y Y Y Y Do you hold a valid UK visa (for non EEA applicants only) Yes No Type of current visa: _______________________ Expiry date of current visa: ______________________ If you have lived outside of the UK, please provide details below Please complete all relevant questions to show where you have lived your whole life, starting with your most recent country of residence. Name of country From To M M Y Y M M Y Y M M Y Y M M Y Y M M Y Y M M Y Y M M Y Y M M Y Y Please indicate which of the following residency statuses apply to you:- UK Citizen or EU National EEA or Swiss National Indefinite Leave to Remain Discretionary Leave to Remain Humanitarian Protection Refugee Settled in the UK Child of Turkish worker Other (please specify) OFFICE USE ONLY: Fee Status Assessed Home EEA Further information required Section Ten: Referee The College will only consider your application if you provide details of a referee. Before completing the section of the application, please contact your proprosed referee to make sure that they are happy to act in this capacity. If you are currently or have previously studied at the College and would like a member of College staff to act as a referee, all you need to do is provide us with their name. If you have not previously attended the College or would like to use a referee from another organisation, please provide their contact details. The College will only contact your referee if it is necessary to better assess your application. Surname How do you know your referee? First Name My proposed referee is a member of Ashton Sixth Form College staff? Yes No If you answered ‘no’ to the question above, please provide contact details for your referee below: Daytime Tel: Address: Email Address: Section Eleven: Learner Declaration
Job Reference No: Job Reference Number: PART B Candidate ID No: Declarations Criminal Convictions Declaration In September 2015 the Scottish Government made changes about what conviction information needs to be disclosed. [Some offences must always be disclosed, some offences do not need to be disclosed and some offences must be disclosed in specified circumstances.] The rules are complicated, so it is important you read the guidance below as part of making your application. NHS Scotland is exempt from the 1974 Rehabilitation of Offenders Act (Exclusions & Exceptions) (Scotland) Order 2003. As part of any offer of employment candidates will be subject to one of the following: For posts in regulated work – Protection of Vulnerable Groups Scheme membership For all other posts which are subject to a criminal conviction record check – A Police Act check For posts not subject to a criminal conviction record check – A self-declaration For more information on category this post falls under please refer to the job pack, job description or person specification. For more information on the rules visit: For more information on offences which must always be disclosed: For more information on offences which are to be disclosed subject to rules: Declaration: Please read the following statements. You will be asked to sign a declaration if you are appointed: I have completed Parts A to D of this application form and the details I have supplied are, to the best of my knowledge, true and complete; I understand that if appointed to this post the information on this form will be kept as part of my personal file record; I authorise you to obtain references to support the application if I am identified as a preferred candidate;
REASONS FOR APPLYING Please detail the reasons for applying for this position and what interests you about working for Table Tennis England. GENERAL INFORMATION Please answer the following questions. Are you currently eligible for employment in the UK? Yes/Yes, for a set period of time/No Do you hold a current full driving licence? Yes/No DECLARATION I declare to the best of my knowledge and belief, all information entered on this form and on the attached CV are complete and true. I understand that any false declaration or misleading statement or a significant omission may disqualify me from employment and render me liable to dismissal. I understand that any job offer is subject to references, a probationary period and, if the organisation believes it appropriate, a medical report, all of which must be deemed by the company satisfactory. By signing this form I consent to Tennis England using the information provided in this form for recruitment and monitoring purposes in line with the data protection act. Signed: Date: Table Tennis England is an Equal Opportunities Employer and welcomes applications from all sections of the community to continue to ensure our staff team reflects the diversity of the communities in which we work.
Word PDF Document Name Application Instructions and Policy Manual (Revised March 2013) Organization Application – Form DHMH 4682 (Revised 03/31/2013) Non-MHIP Application – Form DHMH 4683 Revised 03/31/2013) (opens new browser window) Statement Certifying No Income – Form DHMH 4685 (Revised 03/31/2013) Cancer Treatment Plan and Budget – Form DHMH 4684 (Revised 03/31/2013) Physician Letter - Certification of Diagnosis (Template) (Revised 03/31/2013) Certification – Form DHMH 4681 (Revised 03/31/2013) Consent – Form DHMH 4686 (Revised 03/31/2013) Fiscal Budget Forms – DHMH 432 A-H.(opens new browser window) Cancer Treatment Plan and Budget Samples: Samples A and B – colon cancer Samples C and D – prostate cancer Sample E – ovarian cancer (rule-out) Sample F – uterine cancer (rule-out) For questions or additional information, please contact the MCF Coordinator at 410-767-6213.
Form No.1 Application Form for FY2018 Shared-Use Program in QST Facilities Radiation Research Center, Basic Information Date of Submission : Year Month Day BL14B1 BL22XU (Note) Please select the beamline at which an experimental apparatus you plan to use is located. Project General Proposal Industry-Academia Collaboration Initiative Competitive Funding Proprietary Research Project Title Project Leader Name Affiliation Title Contact Information Address Phone Fax Remarks Project Name Affiliation Title Remarks Name of QST member whom you have had consultation with Name Affiliation Remarks (other important information) Trial use hope by ACNP leave May 2018 Call
V. INTERNATIONAL ACADEMIC EXPOSURE, IF ANY:- (Give full details in a separate sheet) No. of Papers presented in international conferences after getting Ph.D No. of international Academic / Research events conducted Additional particulars to be given separately against each of the item mentioned VI. ADMINISTRATIVE POST(S) HELD IN UNIVERSITIES, POST-GRADUATE COLLEGES AND PUBLICLY FUNDED RESEARCH INSTITUTIONS:- Post held Organization Date Total Experience (In & Months) From To VII. RESEARCH PROJECTS EXECUTED BY THE APPLICANT (Please attach List):- Completed (No.) Under progress (No.) Amount sanctioned (Rs. In National International VIII. NO. OF Ph.D., SCHOLARS SUCCESSFULLY GUIDED BY THE APPLICANT (Please attach List):- Awarded (In No.) Ph.D
Key responsibilities that you hold in your present post SECTION 4 – Details of PREVIOUS employment Please list in chronological order, starting with your most recent positions. Post Name and location of employer Full time / Part time Dates From / To mm/yy – mm/yy SECTION 5 – Qualifications / Education Please record all your qualifications below in chronological order starting with your most recent university/ further education qualifications, then secondary education qualifications and grades. University / college / secondary school details Dates mm/yy – mm/yy Details of qualifications achieved and examinations passed including grades