Duke University Hospital New Junior Volunteer Application
|
|
- Lucy Stevens
- 6 years ago
- Views:
Transcription
1 Duke University Hospital New Junior Volunteer Application Contact Information Name Date (Print clearly) Date of birth Address Street City State Zip Code Telephone Birthday School Grade xx/xx/xxxx Gender Shirt size (Print clearly) ******************************************************************************************* Emergency Contact Person Name Relationship to volunteer Telephone Home Work Mobile ******************************************************************************************* Previous Experiences As a Volunteer Other Hobbies, Special Interests Availability Please note: Each student is required to commit to at least 12 hours per week. Students may not volunteer more than 32 hours per week. Please allow some flexibility. We are often short of volunteer commitment of volunteers on Mondays and Fridays. The more flexible you are, the more opportunities you will have. Circle all days and shifts you are available below. Only circle the times and days that you are actually able to volunteer. How many hours do you want to work each week between hours? Monday Mornings Afternoons Tuesday Mornings Afternoons Wednesday Mornings Afternoons Thursday Mornings Afternoons Friday Mornings Afternoons Saturday Mornings Afternoons Sunday Mornings Afternoons
2 List your preferred days if applicable, i.e as it pertains to transportation, etc. If accepted to the program, every effort will be made to accommodate your request; however, this is not always possible. Why do you want to be a volunteer? (Use the back of this sheet if you need more space) In joining the Duke University Hospital volunteer program, I agree to take my work seriously and take advantage of the opportunities the program offers in the hope that my service will be helpful not only to the hospital, but to the patients and community as well. o I acknowledge that I will commit to serve at least seven weeks of the eight-week program, or as approved by my supervisor. If I am accepted, I will notify the Volunteer Services manager if my summer schedule changes. I realize I may lose my spot if my new schedule does not fit with the program. o o I understand that I should arrive on time and stay on the hospital campus at all times (including lunch). I will ensure that my volunteer supervisor knows where I am at all times. I take responsibility for my actions while serving as a volunteer and will uphold these and all other hospital and departmental policies, as presented in volunteer orientation. I am aware that Duke University Hospital does not provide insurance coverage for volunteers if injured or if damage occurs to the worker s personal property while acting as a volunteer. I further understand that I am not entitled to worker s compensation benefits, health insurance benefits or any other benefit available to employees of Duke University Hospital. I agree that I will not hold Duke University Hospital or its officers or agents liable for any injury sustained to person or property while acting in a volunteer capacity. I understand that if I am accepted into the program there will be a mandatory orientation on Monday, June 11 th from 8am 11:30am that I must complete in order to volunteer the summer of I understand that there will be no alternative dates for this training. Applicant Signature Date Parent/Guardian Signature Date Application Requirements To be considered for volunteer placement, sign up for interview time online-note your interview time. Your interviewer is holding that time for you. Please complete the following: Please bring all completed forms to interview in order to be considered for placement. o Junior volunteer application o Health screen form completed by physician o Two reference forms (to be completed by non-family members) o School counselor form o Vacation form
3 DUKE UNIVERSITY HOSPITAL JUNIOR VOLUNTEER STUDENT COUNSELOR FORM For Junior volunteer: Please have your counselor and parent complete this form. Please do not mail this form. If you have questions, please call the Volunteer Services Office at (919) For Parent: As Parent/Guardian I hereby give my permission for the release of this requested information. Parent/Guardian Signature: Date THIS REPORT IS STRICTLY CONFIDENTIAL Dear Counselor: Please return directly to the student in a sealed envelope with your signature across the back of the envelope before March 9, The student named below is applying for the Junior Volunteer Program at Duke University Hospital. The following information is required: Student name: (please print) Name of School: (please print): Number of: Tardies Absences Suspensions Grade Point Average: Please comment on whether or not you would recommend this student to serve in the Duke University Hospital Junior Volunteer summer program. Counselor signature Counselor name and telephone number (Please print)
4 DUKE UNIVERSITY HOSPITAL JUNIOR VOLUNTEER PROGRAM REFERENCE FORM *Must be included with packet and brought by student to interview please do not mail. Dear, Your name has been given as a character reference for who has applied to be a Junior Volunteer at Duke University Hospital. Thank you for your time and assistance. Please complete the following information and return directly to the student in a sealed envelope with your signature across the back of the envelope before March 9, How do you know this person? How long have you known this person? Which extraordinary skills and/or attributes does this person have that may contribute to his/her service as a volunteer? Please circle a rating on this applicant on a scale of 1-4 with 4 as Excellent on the following attributes. Has a Positive Attitude Honest/Trustworthy Dependable Demonstrates Initiative Ability to follow instructions Ability to treat individuals with patience and compassion Do you know of any reason why this individual should not be accepted as a Junior Volunteer? _ Printed Name and Organization Name Address Signature Phone Number
5 DUKE UNIVERSITY HOSPITAL JUNIOR VOLUNTEER PROGRAM REFERENCE FORM *Must be included with packet and brought by student to interview please do not mail. Dear, Your name has been given as a character reference for who has applied to be a Junior Volunteer at Duke University Hospital. Thank you for your time and assistance. Please complete the following information and return directly to the student in a sealed envelope with your signature across the back of the envelope before March 9, How do you know this person? How long have you known this person? Which extraordinary skills and/or attributes does this person have that may contribute to his/her service as a volunteer? Please circle a rating on this applicant on a scale of 1-4 with 4 as Excellent on the following attributes. Has a Positive Attitude Honest/Trustworthy Dependable Demonstrates Initiative Ability to follow instructions Ability to treat individuals with patience and compassion Do you know of any reason why this individual should not be accepted as a Junior Volunteer? _ Printed Name and Organization Name Address Signature Phone Number
6 Duke University Hospital Junior Volunteer Physician form To be completed by your physician only Please note: We are unable to consider applicants who do not bring this signed form to their interview. **This is the only health screen form needed. Please do not bring individual immunization records** I, certify that (printed name of physician) (printed full name of student) (complete mailing address of student) Has received the following vaccinations and TB test: Provider initials Date 1) 2 varicella vaccines 2) 2 MMR vaccines 3) Tdap vaccine 4) Polio vaccine 5) Tb test within the last 90 days, with a negative result. *Date of TB test* (date must be completed) All of the above vaccinations and a TB test within the past 90 days are required to volunteer within Duke Health. By my signature below, I certify that this student has received all vaccines listed above and has had a negative TB test within the past 90 days. (Printed name physician) (Signature of physician) (Telephone number of medical practice) (Complete mailing address of medical practice)
7 Junior Volunteer Vacation form The 2018 Junior Volunteer Program is from June 11 th - August 3, **Mandatory orientation will be held on Monday, June 11 th from 8am -11:30am ** During the program, each Junior Volunteer is permitted to take one week of vacation. Additional time off can be discussed with supervisor. Regular attendance is a program requirement. If attendance becomes a concern, a Junior Volunteer may be asked not to continue in the program. Please list the dates you will be taking vacation below and turn this sheet in to your coordinator on the first day of your volunteer service. Please do not call, , or verbally tell your coordinator your vacation dates this form must be presented in writing the first day you volunteer. Please only list the dates that you would normally be scheduled to volunteer (i.e., if you will be away from June 20 25, only list those days you are actually scheduled to volunteer.) Our end of summer pizza party will be held on Wednesday, August 1st More details to be announced. Hope you can plan to be there to celebrate with your fellow junior volunteers! Name of student (please print) address (please print clearly) Cell phone number June vacation dates July vacation dates August vacation dates Volunteer Program: Coordinator Name: Coordinator address: Coordinator phone number: Your Volunteer Schedule:
8
STUDENT APPLICATION FORM 2016
Verizon Minority Male Maker Program Directed by Central State University STUDENT APPLICATION FORM 2016 Central State University, Wilberforce, OH 45384 June 19-July 1, 2016 Camp and once monthly sessions
More informationThe Foundation Academy
The Foundation Academy 3675 San Pablo Road South, Jacksonville, FL 32224 PH (904) 493-7300 FAX (904) 821-1247 www.foundationacademy.com Application for Admission School Year 2014-2015 Enrollment is capped
More informationLION KING, Jr. CREW PACKET
LION KING, Jr. CREW PACKET CHECKLIST FOR CREW SIGN-UP FOR Lion King, Jr. Please be sure to bring the following materials from this packet, completed and signed, to the crew sign-up in the WJHS auditorium
More informationFELLOWSHIP PROGRAM FELLOW APPLICATION
FELLOWSHIP PROGRAM 2016 17 FELLOW APPLICATION FELLOWSHIP PROGRAM ABOUT THE PROGRAM The Continuing Care Leadership Coalition (CCLC) Fellowship Program is a health care management experience designed to
More information2017 High School Summer School for Current 8 th 11 th Graders
2017 High School Summer School for Current 8 th 11 th Graders Original Credit Application Due: May 5, 2017 Grade/Credit Recovery Application Due: May 26, 2017 Locations Due to construction at Morro Bay
More informationEnrollment Forms Packet (EFP)
Enrollment Forms Packet (EFP) Based on r student(s) grade and applicable circumstances, complete one enrollment package and review the information below to determine what should submit for each student
More informationUW-Waukesha Pre-College Program. College Bound Take Charge of Your Future!
UW-Waukesha Pre-College Program College Bound 2017 Take Charge of Your Future! This is a great program to increase your knowledge on various subjects. Students will be engaged in workshops and hands-on
More informationInternship Program. Application Submission completed form to: Monica Mitry Membership and Volunteer Coordinator
Internship Program The Museum of Arts and Sciences offers a variety of internships on a flexible and ongoing basis. Internships offer the opportunity to gain valuable, practical experience while receiving
More informationLesson Plan. Preparation
General Housekeeping: Forms Practicum in Fashion Design Lesson Plan Performance Objective Upon completion of this lesson, each student will demonstrate the characteristics necessary to be a successful
More informationBoys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES
Boys & Girls Club of Pequannock 2017 Summer Camp Registration COMPLETE BOTH SIDES Child s Name: Date of Birth: Address: Age: Gender: City: State: Zip: Grade in Sept 17 : Home Phone: Emergency Phone: T-Shirt
More informationNew Student Application. Name High School. Date Received (official use only)
New Student Application Name High School Date Received (official use only) Thank you for your interest in Project SEARCH! By completing the attached application materials, you are taking the next step
More informationFor international students wishing to study Japanese language at the Japanese Language Education Center in Term 1 and/or Term 2, 2017
For international students wishing to study language at the Language Education Center in Term 1 and/or Term 2, 2017 Overview of the Intensive Language Course The Language Education Center at Saitama University
More informationCy-Fair College Teacher Preparation and Certification Program Application Form
Cy-Fair College Teacher Preparation and Certification Program Application Form Date Name (circle one) Mr. Mrs. Ms. Miss. (Last, First, Middle) Address (Number, Street, Apartment Number) (City, State, Zip)
More informationAnyone with questions is encouraged to contact Athletic Director, Bill Cairns; Phone him at or
SKYLINE GRIZZLIES ATHLETIC REQUIREMENTS and REGISTRATION FORMS 2017-18 According to School District #91 and Idaho High School Activities Association rules, all students interested in participating in athletics
More informationDepartment of Social Work Master of Social Work Program
Dear Interested Applicant, Thank you for your interest in the California State University, Dominguez Hills Master of Social Work (MSW) Program. On behalf of the faculty I want you to know that we are very
More informationEmergency Medical Technician Course Application
Community Health Network Emergency Medical Technician Course Application January 2018 First day of Class January 8,2018 EMERGENCY MEDICAL SERVICES & EDUCATION Thank you for your consideration in choosing
More information2012 Summer Fellowship in Translational Research & Bioethics International Institute of Bioethics & Patient Care Advancement
2012 Summer Fellowship in Translational Research & Bioethics Dominique Monlezun, Admissions Committee Coordinator #420 Deming Pavillion~204 S. Saratoga St~ New Orleans, LA 70112 E-Mail dmonlezu@tulane.edu
More informationDear Internship Supervisor:
Dear Internship Supervisor: Thank you for agreeing to supervise the internship of a Hunter College Geography student. I hope that this arrangement will benefit both your organization and our student. Student
More informationProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application
ProMedica Defiance Regional Hospital Physicians Scholarship Fund Guidelines and Application The purpose of the ProMedica Defiance Regional Hospital Physicians Scholarship Fund is to improve health care
More informationYouth Apprenticeship Application Packet Checklist
Youth Apprenticeship Application Packet Checklist Incomplete applications will not be forwarded to hiring companies and will delay the application process. A complete application packet should consist
More informationParent Information Welcome to the San Diego State University Community Reading Clinic
Parent Information Welcome to the San Diego State University Community Reading Clinic Who Are We? The San Diego State University Community Reading Clinic (CRC) is part of the SDSU Literacy Center in the
More informationDO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION
DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION The Coalition for Asian American Children and Families (CACF) is
More informationGRADUATE ASSISTANTSHIP
GRADUATE ASSISTANTSHIP Request to Post Position on Graduate Study Website Graduate Study 520 O Dowd Hall Eligibility and Requirements for an assistantship appointment 1) Students must have regular admission
More informationPlacentia-Yorba Linda Unified School District 1301 E. Orangethorpe Ave., Placentia, CA (714)
1 INTERNATIONAL STUDENTS Welcome to the. This information is for international students who are seeking a one year public high school experience for Grades 9-12. Esperanza High School (www.esperanzahs.net),
More informationPharmacy Technician Program
Pharmacy Technician Program 12800 Abrams Road Dallas, Texas 75243-2199 972.238.6950 www.richlandcollege.edu/hp Health Professions Division Pharmacy Technician Program Application Packet Equal Opportunity
More informationLoudoun Scholarship Application
Loudoun Scholarship Application Thank you for your interest in Loudoun Credit Union's scholarship program. Loudoun Credit Union will be offering two (2) $1,000 Scholarships for the class of 2017. Please
More informationINTERVIEW FORM FOR DIRECT CARE POSITIONS. Interviewer(s) Name(s)
INTERVIEW FORM FOR DIRECT CARE POSITIONS Applicant s Name: Interviewer(s) Name(s) 1. Are you able to perform the duties of the job as described in the job descriptions of with or without accommodation?
More informationMONTPELLIER FRENCH COURSE YOUTH APPLICATION FORM 2016
EIL Intercultural Learning 1 Empress Place, Summerhill North, Cork, Ireland Tel: +353 (0) 21 4551535 Fax: +353 (0) 21 4551587 info@studyabroad.ie www.studyabroad.ie www.volunteerabroad.ie a not-for-profit
More informationST. PAUL'S LUTHERAN WRESTLING BASIC INFORMATION
ST. PAUL'S LUTHERAN WRESTLING BASIC INFORMATION ELIGIBILITY: Open to all boys in grades 2 to 8 Must be enrolled at St. Paul's or Star of Bethlehem Must have good grade standing Must follow all rules and
More informationCalifornia State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science
Application must be completed in black or blue ink only. STUDENT INFORMATION Name: Social Security # - - First Middle Last Address: Apt.# Phone: ( ) City: State: Zip Code: Date of Birth: Place of Birth:
More informationTHE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. Policies and Procedures for Visiting International Exchange Students
THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY Policies and Procedures for Visiting International Exchange Students The following is a checklist of documents and information which we ask you to provide
More informationCIN-SCHOLARSHIP APPLICATION
CATAWBA INDIAN NATION SCHOLARSHIP COMMITTEE 2014-2015 CIN-SCHOLARSHIP APPLICATION The Catawba Indian Nation Higher Education Scholarship Committee Presents: THE CATAWBA INDIAN NATION SCHOLARSHIP PROGRAM
More informationPhase 3 Standard Policies and Procedures
Phase 3 Standard Policies and Procedures 2015 2016 The third year of the curriculum is one of the most exciting years of your medical education because it is the first real opportunity for you to be directly
More informationDuke University. Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke
Office Use Only Durham, North Carolina Application Fee $30 received Trinity College of Arts & Sciences/ Pratt School of Engineering Application for Readmission to Duke BEFORE completing this application,
More informationNortheast Credit Union Scholarship Application
Northeast Credit Union Scholarship Application DESCRIPTION This scholarship is for students who have demonstrated a strong commitment to their academic studies while participating in a variety of school
More informationCardiovascular Sonography/Adult Echocardiography (Diploma)
Forsyth Technical Community College 2100 Silas Creek Parkway Winston-Salem, NC 27103-5197 Cardiovascular Sonography/Adult Echocardiography (Diploma) Fall 2018 Deadline: March 22, 2018 ***Admissions Information
More informationWorkshop for Young Researchers on Comparative Social Security and Social Protection Research Graz, 2nd 7th of May 2011
Workshop for Young Researchers on Comparative Social Security and Social Protection Research Graz, 2nd 7th of May 2011 Dear professor, From the 2 nd until the 7 th of May 2011 the Austrian section of the
More informationAttendance. St. Mary s expects every student to be present and on time for every scheduled class, Mass, and school events.
Attendance ATTENDANCE PHONE NUMBER (24 HOURS) (248) 755-6376 St. Mary s expects every student to be present and on time for every scheduled class, Mass, and school events. Attendance is taken daily in
More informationCall for International Experts for. The 2018 BFSU International Summer School BEIJING FOREIGN STUDIES UNIVERSITY
Call for International Experts for The 2018 BFSU International Summer School BEIJING FOREIGN STUDIES UNIVERSITY OCTOBER 31, 2017 Beijing Foreign Studies University (BFSU) is a prestigious university in
More informationBRAG PACKET RECOMMENDATION GUIDELINES
BRAG PACKET RECOMMENDATION GUIDELINES If you are requesting a recommendation and/or secondary school report from your counselor to a college or university for admission or scholarship consideration, please
More informationTable of Contents. Internship Requirements 3 4. Internship Checklist 5. Description of Proposed Internship Request Form 6. Student Agreement Form 7
Table of Contents Section Page Internship Requirements 3 4 Internship Checklist 5 Description of Proposed Internship Request Form 6 Student Agreement Form 7 Consent to Release Records Form 8 Internship
More informationEMPLOYEE CALENDAR NOTES
Page 1 of 5 DEFINITIONS REGULAR HOURS: EMPLOYEE CALENDAR NOTES (For the 2017-18 School Calendar) The number of hours an employee normally works each regular work day. EXTENDED-HOUR DAY: For non-teaching
More informationCompleted applications due via online submission at by 11:59pm or to the SEC Information Desk by 7:59pm.
Center for Leadership Development Peer Leadership Consultants Recruitment and Selection Process Timeline 2015 2016 Academic Year Center for Leadership Development Student Leadership & Involvement DATES
More informationHIGH SCHOOL PREP PROGRAM APPLICATION For students currently in 7th grade
HIGH SCHOOL PREP PROGRAM APPLICATION For students currently in 7th grade APPLICATION CHECKLIST: Applications can be mailed, faxed, or dropped off to the address below. Proof of Income (Household income
More informationST. PAUL'S LUTHERAN WRESTLING BASIC INFORMATION
ST. PAUL'S LUTHERAN WRESTLING BASIC INFORMATION ELIGIBILITY: Open to all boys in grades 2 to 8 Must be enrolled at St. Paul's or Star of Bethlehem Must have good grade standing Must follow all rules and
More informationLAKEWOOD HIGH SCHOOL LOCAL SCHOLARSHIP PORTFOLIO CLASS OF
LAKEWOOD HIGH SCHOOL LOCAL SCHOLARSHIP PORTFOLIO CLASS OF Insert One Photo Applicant s Name First Middle Last Name of Applicant Birth date: Address: Phone: Age: Post High School Plans College or school
More informationThe Tutor Shop Homework Club Family Handbook. The Tutor Shop Mission, Vision, Payment and Program Policies Agreement
The Tutor Shop Homework Club Family Handbook The Tutor Shop Mission, Vision, Payment and Program Policies Agreement Our Goals: The Tutor Shop Homework Club seeks to provide after school academic support
More informationOpening up Opportunities for year olds
2016-17 Opening up Opportunities for 16-19 year olds What is the South Bucks Partnership? It s a group of schools that work together to widen the opportunities of all their students at Sixth Form level.
More informationJFK Middle College. Summer & Fall 2014
J F K M I D D L E C O L L E G E H I G H S C H O O L I M P O R T A N T D A T E S JFK Middle College May 20: 10th Grade Awards Assembly May 21: 11th Grade Awards Assembly; 12th Grade Awards Ceremony, 6pm
More information2017 TEAM LEADER (TL) NORTHERN ARIZONA UNIVERSITY UPWARD BOUND and UPWARD BOUND MATH-SCIENCE
2017 TEAM LEADER (TL) NORTHERN ARIZONA UNIVERSITY UPWARD BOUND and UPWARD BOUND MATH-SCIENCE The Academy (Upward Bound and Upward Bound Math-Science) is a five - week, comprehensive program that enables
More informationSecond Grade Saigling Elementary Back to School Night August 22nd, 2017
Second Grade 2017-2018 Saigling Elementary Back to School Night August 22nd, 2017 Kathy Thompson Team Leader 469-752-3025 Kathryn.thompson@pisd.edu Jessica Williams 469-752-3041 Jessica.williams2@pisd.edu
More informationThe Louis Stokes Scholar Internship A Paid Summer Legal Experience
The Louis Stokes Scholar Internship - 2016 A Paid Summer Legal Experience The Cleveland Metropolitan Bar Association s Louis Stokes Scholars Program is an amazing opportunity for college students or high
More informationArea XIV Northampton, Monroe, Carbon, Lehigh, and Schuylkill County Residents Only
Wrestlers who qualify for the STATE S will represent AREA 14 with these brand new singlets!!!!!!!!!! New Girls Exhibition Divisions THIS FORM IS FOR THE YOUTH TOURNAMENT ONLY!!! ALL REGISTRATIONS MUST
More informationAttach Photo. Nationality. Race. Religion
Attach Photo (FOUR copies of recent passport-sized photos) PC S/N C/N Class F/W For Office Use Date of Registration (dd/mm/yy) Year of Admission Programme - Primary 1 2 3 4 5 6 (circle the programme the
More informationCollege to Careers Academy
Thank you, for your interest in attending College to Careers Academy at Options High School The following documents need to be included with your application completely fill out. These documents are provided
More informationP A C E Program in America and California Explorations John F. Kennedy High School
Student Application Packet 2017-2018 Incoming Sophomore/Junior Application To ensure the submission of a complete application packet, please review the list below and check off each item. It is not necessary
More informationArizona GEAR UP hiring for Summer Leadership Academy 2017
GEAR UP Summer Leadership Academy (GUSLA) Arizona GEAR UP hiring for Summer Leadership Academy 2017 NAU/AZ GEAR UP will host a six (6) day summer enrichment experience for GEAR UP students on the NAU Mountain
More informationGraduate Student Travel Award
Minimum Requirements for Eligibility: Graduate Student Travel Award 2016-2017 The applicant must provide travel-related information in a timely basis to the administrative staff and complete the UTRGV
More informationUNDERGRADUATE SEMINAR
UNDERGRADUATE SEMINAR CHE 572-001 (1 st -time registrants) and 572-002 (2 nd -time registrants) Spring Semester 2012, Wednesday 4:00 p.m., CP-137 Instructors CHE 572-001 Prof. Mark D. Watson. CP-318, mdwatson@uky.edu.
More informationINDEPENDENT STUDY PROGRAM
INSTRUCTION BOARD POLICY BP6158 INDEPENDENT STUDY PROGRAM The Governing Board authorizes independent study as a voluntary alternative instructional setting by which students may reach curricular objectives
More informationLS 406: Classroom Experience
LS 406: Classroom Experience WHAT: This is an opportunity for pre-education students to experience and observe the teaching environment, network, and receive credit. CREDITS: This class can be taken any
More informationMATH 1A: Calculus I Sec 01 Winter 2017 Room E31 MTWThF 8:30-9:20AM
Instructor: Amanda Lien Office: S75b Office Hours: MTWTh 11:30AM-12:20PM Contact: lienamanda@fhda.edu COURSE DESCRIPTION MATH 1A: Calculus I Sec 01 Winter 2017 Room E31 MTWThF 8:30-9:20AM Fundamentals
More informationESL Summer Camp: June 18 July 27, 2012 Homestay Application (Please answer all questions completely)
ESL Summer Camp: June 18 July 27, 2012 Homestay Application (Please answer all questions completely) Family Name (Surname) First Name (Given name) Applicant s Complete Address Male: Female: REGISTRATION
More informationVocational Training. Pre-Application
Vocational Training Pre-Application 1 Vocational Training Application Checklist Dear Prospective Student: Congratulation on your choice to continue your education at an institute of Higher learning! Unfortunately,
More informationARKANSAS TECH UNIVERSITY
ARKANSAS TECH UNIVERSITY Procurement and Risk Management Services Young Building 203 West O Street Russellville, AR 72801 REQUEST FOR PROPOSAL Search Firms RFP#16-017 Due February 26, 2016 2:00 p.m. Issuing
More informationDEPARTMENT OF KINESIOLOGY AND SPORT MANAGEMENT
DEPARTMENT OF KINESIOLOGY AND SPORT MANAGEMENT Undergraduate Sport Management Internship Guide SPMT 4076 (Version 2017.1) Box 43011 Lubbock, TX 79409-3011 Phone: (806) 834-2905 Email: Diane.nichols@ttu.edu
More informationClass Schedule
Reach for a Star Effort Purpose Potential Dreams Relationship Ability Creativity Vision Commitment Celebrating 37 Years Come to The Center and be yourself! 2017-2018 Class Schedule Mission Statement The
More informationTHE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION. Name (Last) (First) (Middle) 3. County State Zip Telephone
THE LUCILLE HARRISON CHARITABLE TRUST SCHOLARSHIP APPLICATION 1. Name (Last) (First) (Middle) 2. Street City 3. County State Zip Telephone 4. Are you a permanent resident of Harrison County? 5. M F SSN
More informationPSYCHOLOGY 353: SOCIAL AND PERSONALITY DEVELOPMENT IN CHILDREN SPRING 2006
PSYCHOLOGY 353: SOCIAL AND PERSONALITY DEVELOPMENT IN CHILDREN SPRING 2006 INSTRUCTOR: OFFICE: Dr. Elaine Blakemore Neff 388A TELEPHONE: 481-6400 E-MAIL: OFFICE HOURS: TEXTBOOK: READINGS: WEB PAGE: blakemor@ipfw.edu
More informationGRADUATE SCHOOL DOCTORAL DISSERTATION AWARD APPLICATION FORM
READ THESE INSTRUCTIONS BEFORE FILLING IN THE APPLICATION Purpose The University of Florida (UF) Graduate School Doctoral Dissertation Award is a competitive, need based award program to provide final
More informationIntegral Teaching Fellowship Application Packet Spring 2018
Integral Teaching Fellowship Application Packet Spring 2018 Contents: Introduction to the ITF and BAC Programs Required Dates and Commitments Frequently Asked Questions Application Instructions Application
More informationMaster of Arts in Teaching with Elementary Teacher Certification Oakland and Macomb County Programs
Master of Arts in Teaching with Elementary Teacher Certification Oakland and Macomb County Programs PROGRAM OVERVIEW Oakland University s Master of Arts in Teaching in Elementary Education (MATEE) program
More informationSAMPLE AFFILIATION AGREEMENT
SAMPLE AFFILIATION AGREEMENT AFFILIATION AGREEMENT FOR USE WITH A FOREIGN STUDY PROGRAM W I T N E S S E T H and WHEREAS, cordial relations exist between the United Stated of America and France; WHEREAS,
More informationInterview Contact Information Please complete the following to be used to contact you to schedule your child s interview.
Cabarrus\Kannapolis Early College High School Interview Contact Information Please complete the following to be used to contact you to schedule your child s interview. Student Name Student Number Middle
More informationNATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION
NATIVE VILLAGE OF BARROW WORKFORCE DEVLEOPMENT DEPARTMENT HIGHER EDUCATION AND ADULT VOCATIONAL TRAINING FINANCIAL ASSISTANCE APPLICATION To better assist our Clients, here is a check off list of the following
More informationKeene State College SPECIAL PERMISSION FORM PRACTICUM, INTERNSHIP, EXTERNSHIP, FIELDWORK
Keene State College SPECIAL PERMISSION FORM PRACTICUM, INTERNSHIP, EXTERNSHIP, FIELDWORK DEPARTMENT NUMBER (Official use only) CREDITS COURSE TITLE: STUDENT NAME: (print) TERM: ID#: COURSE OUTLINE: Description
More informationWhite Mountains. Regional High School Athlete and Parent Handbook. Home of the Spartans. WMRHS Dispositions
White Mountains WMRHS Dispositions Grit Self Regulation Zest Social Intelligence Gratitude Optimism Curiosity Regional High School Athlete and Parent Handbook "Don't measure yourself by what you have accomplished,
More informationSCHOLARSHIP GUIDELINES FOR HISPANIC/LATINO STUDENTS
1 SCHOLARSHIP GUIDELINES FOR HISPANIC/LATINO STUDENTS See attached criteria for eligibility. 1. Previous winners of Casa Hispana scholarships must wait one academic year before they re-apply. 2. One (1)
More informationHOLLAND ELEMENTARY SCHOOL PARENT/TEACHER ORGANIZATION
HOLLAND ELEMENTARY SCHOOL PARENT/TEACHER ORGANIZATION 2010-2011 Welcome to the 2010-2011 school year! We look forward to meeting our new Holland Elementary families and seeing our existing families. We
More informationApplication. All original documents must be received at UC San Diego by February 23, 2018.
Application Instructions: 1. Scanned copies of this application must be emailed to enlace@ucsd.edu by the program deadline of February 9, 2018. The document must be sent as a single file attachment in
More informationMichigan Paralyzed Veterans of America Educational Scholarship Program
Michigan Paralyzed Veterans of America Educational Scholarship Program Introduction The Michigan Paralyzed Veterans of America (MPVA) is one of 34 Chapters of Washington D.C.-based Paralyzed Veterans of
More informationPOLSC& 203 International Relations Spring 2012
POLSC& 203 Spring 2012 Item number 5373 Denise Vaughan, PhD E mail: dvaughan@bellevuecollege.edu 425 564 2619 Office Hours: M/W 10:30 11:20 Attendance: Attendance is mandatory. Essays: Papers are due on
More informationADULT VOCATIONAL TRAINING (AVT) APPLICATION
Attention Education Department AVT 2468 West 11 th Eugene, OR 97402 ADULT VOCATIONAL TRAINING (AVT) APPLICATION The following documents or information will be required to complete the application: Documents
More informationLawyers for Learning Mentoring Program Information Booklet
Life-Changing 2016-2017 Lawyers for Learning Mentoring Program Information Booklet Be a part of the Lawyers for Learning experience Enlightening Exciting Rewarding I. Introduction- 2016-17 School Year
More informationAmerican Association of University Women Manhattan Branch KSU Scholarship Fund
The Manhattan Branch of the American Association of University Women was organized in 1920 as the fifth Kansas Branch of the Association of Collegiate Alumnae shortly before the national association changed
More informationNorth Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Student Application
North Carolina Community Colleges Golden LEAF Scholars Program Two-Year Colleges Student Application Instructions: Complete this application and return the completed application to the college s Financial
More informationHusky Voice enews. NJHS Awards Presentation. Northwood Students Fight Hunger - Twice
Dave Stenersen - Principal MAY 2015 Husky Voice enews Dear Parents, As we move into May, there are several important things happening or about to happen that impact our students, and in the process, you.
More informationTHIS KIT CONTAINS ALL THE INFORMATION YOU NEED
Invitation Ambassadors meet and collaborate with other driven students from across the state. September 2017 Dear Sophomore Counselor, We are excited to kick off the 2017 2018 HOBY program year and develop
More informationMSW Application Packet
Stephen F. Austin State University Master of Social Work Program Accredited by: The Council on Social Work Education MSW Application Packet P. O. Box 6104, SFA Station 420 East Starr Avenue Nacogdoches,
More informationNorthwest Georgia RESA
Northwest Georgia RESA Office of Executive Director 3167 Cedartown Hwy SE Rome, GA 30161 (706) 295-6189 Fax: (706) 295-6098 Date of Application: Date Available for Employment: Personal Information Full
More informationRe-envisioning library opening hours: University of the Western Cape library 24/7 Pilot Study
Re-envisioning library opening hours: University of the Western Cape library 24/7 Pilot Study Anwa Adriaanse www.lib.uwc.ac.za Overview About UWC Background to 24/7 library services Levels of service Costs
More informationInstructions & Application
2015-2016 St. Philip the Deacon Seminarian Scholarship Program Instructions & Application The John C. Kulis Charitable Foundation, a 501(c)(3) non-profit foundation, is commonly known as the Kulis Foundation.
More informationPlease complete these two forms, sign them, and return them to us in the enclosed pre paid envelope.
Anatomical Donation Program Jack and Pearl Resnick Campus 1300 Morris Park Avenue, Rm F627N Bronx, NY 10461 Phone: 718.430.3142 Fax: 718.430.8997 anatomical.gifts@einstein.yu.edu We sincerely thank you
More informationBusiness 4 exchange academic guide
Business 4 exchange academic guide KdG exchange programme for Business Academic year 2017-2018 Karel de Grote University College Campus of Business Management and Administration Nationalestraat 5 B-2000
More informationDecision Making. Unsure about how to decide which sorority to join? Review this presentation to learn more about the mutual selection process!
Decision Making Unsure about how to decide which sorority to join? Review this presentation to learn more about the mutual selection process! Mutual Selection Method utilized during recruitment in which
More informationInternational Seminar: Dates, Locations, and Course Descriptions
International Seminar: Dates, Locations, and Course Descriptions The Executive MBA Programs at Columbia Business School offer several International Seminar course options in different international locations.
More informationWARREN COUNTY PUBLIC SCHOOLS CUMULATIVE RECORD CHANGE CHANGE DATE: JULY 8, 2014 REVISED 11/10/2014
WARREN COUNTY PUBLIC SCHOOLS CUMULATIVE RECORD CHANGE CHANGE DATE: JULY 8, 2014 REVISED 11/10/2014 A team comprised of the following WCPS personnel came together to determine the value of the Warren County
More informationSan José State University
San José State University College of Humanities and the Arts Philosophy Department Philosophy 111:01; 27899; Gero 29012; HS 29010; Nurs 29011 Medical Ethics Spring 2017 Instructor: Office Location: Telephone:
More informationVSAC Financial Aid Night is scheduled for Thursday, October 6 from 6:30 PM 7:30 PM here at CVU. Senior and junior families are encouraged to attend.
Direction Center CVU Newsletter September 2011-2012 Seniors Welcome back to your last year of CVU! Congratulations! The Class of 2012 has come a long way, and we know you will be going much further. CVU
More information20 HOURS PER WEEK. Barcelona. 1.1 Intensive Group Courses - All levels INTENSIVE COURSES OF
Barcelona 2014 1.1 Intensive Group Courses - All levels These courses consist of 4 hours tuition per day, from 09.30 to 13.30, Monday to Friday. The average number of students per group is 7 and there
More information