Jose Pepe Diaz District 12 Miami-Dade County Commissioner Mom And Pop Small Business Grant Program
|
|
- Samuel Carpenter
- 5 years ago
- Views:
Transcription
1 Jse Pepe Diaz District 12 Miami-Dade Cunty Cmmissiner Mm And Pp Small Business Grant Prgram Applicatin Submit 1 riginal cmpleted applicatin with requested dcuments. We suggest yu keep a cpy fr yur recrds.
2 Attentin Business Owners Mm and Pp Small Business Grant Prgram Fr Miami-Dade Cunty District 12 Grant Mney Available! Up t $2,500 Per Business Applicatins available January 5, 2017 thrugh January 18, 2017 PICK UP APPLICATIONS AT: Cmmissiner Jse Pepe Diaz s District Office 8345 NW 12 Street Miami, FL Phne: Attn: Olga L Hernandez r Online January 5, 2017 at There will be a mandatry meeting explaining the applicatin and requirements held n, January 18, 2017 at 6:30 p.m. at the Fire Fighters Memrial Bldg., 8000 NW 21 Street; Miami, FL Please be n time! Cmpleted applicatins will be accepted frm Jan. 19 Jan. 26, 2017 by 4:00pm Hand deliver applicatin t District Office N late applicatins will be accepted! Fr additinal infrmatin cntact: Ms. Glria Rice Neighbrs And Neighbrs Assciatin (NANA) Submit 1 riginal cmpleted applicatin with requested dcuments We suggest yu keep a cpy fr yur recrds!
3 CONTENTS Page Brief Descriptin 1 Guidelines 2 Infrmatin Meeting 3 Use f Funding 4 Applicatin Frms 5-8 Request fr Opinin 9 Jb Creatin 10-11
4 [- 1 -] MOM AND POP SMALL BUSINESS GRANT PROGRAM Brief Descriptin The Miami Dade Cunty Mm And Pp Small Business Grant Prgram was created by Neighbrs And Neighbrs Assciatin, Inc. in 1999 t prvide financial and technical assistance t qualified small businesses that are apprved fr funding. This prgram has allwed small wned and perated businesses the pprtunity t interact with lcal gvernment under favrable cnditins, and this relatinship will ultimately bridge the gap between the tw entities. The prgram prvides financial assistance t further the ecnmic viability f recipients. Funding can be used t purchase inventry/supplies, business equipment, marketing/advertising, building/business insurance, minr interir/exterir renvatins, security systems, wrk vehicle (pick-up truck r carg van) prfessinal services, (CPA, business training, and events). Technical assistance is made available at n charge, t small businesses in rder t create a better wrking and business envirnment, prmte ecnmic develpment pprtunities, educate wners abut varius cunty-funded prgrams and prjects, frm/fster better wrking relatinships amng small business wners, retain and eventually create mre jbs, ffer the necessary training that small business wners s desperately need t becme mre efficient and cmpetitive, etc. The prgram is ffered in each 13 Miami Dade Cunty Cmmissin District, as a result, we recgnize that the needs f each district are different and ur gal is t address this diversity. In rder t receive the crrect guidelines t be cnsidered fr funding, yu must apply in the cunty district where yur business is lcated. T lcate yur district where yur business is lcated, please call 311 r visit and click n Wh is my Cmmissiner? enter yur business address and submit. Applicatins and start date fr each district may differ, therefre, please be sure t pick up the apprpriate applicatin.
5 Mm and Pp Small Business Grant Prgram Miami-Dade Cunty [- 2 -] FY Guidelines Cmmissiner Jse Pepe Diaz Mm and Pp Small Business Grant Prgram is ffering grant applicatins fr small business wners. A mandatry meeting will be held n January 18, 2017 at 6:30 p.m. at the Fire Fighters Memrial Bldg., 8000 NW 21 Street; Miami, FL All businesses must be lcated in District 12 and meet the fllwing eligible criteria: Business must be in peratin fr at least 1 year. Must be a fr-prfit business. Cannt have mre than ten (10) emplyees A physical address is required. N P.O Bx as mailing address allwed. Businesses lcated in the NRSA (Neighbrhd Revitalizatin Strategy Area) will be given special cnsideratin. Hme base businesses can apply. Required applicatin prcedures and attachments (please include the fllwing dcuments belw alng with yur applicatin): Submit ne riginal cmpleted applicatin typed r printed with all requested dcuments. Submit prf that the business has been perating fr at least 1 year. (Example: any ld license, State Crpratins, Sales Tax, r utility bill), prf must be in business name (include cpy nly). Submit a current cpy f Miami Dade Cunty Business Tax receipt r a paid receipt (include cpy nly). If license nt required by Miami-Dade Cunty, applicant must prvide written prf frm Miami Dade Cunty Tax Cllectr s Department. Submit City License if business is lcated in a City within the Cunty r paid receipt (include cpy nly). Submit a cpy f yur active State f Flrida Crpratin and/r Fictitius Name (print cpy by visiting sunbiz.rg), in additin, a FEIN # must be listed n sunbiz print ut if business is incrprated. Prvide cpy f picture ID (driver s license r State ID). Submit utside picture f business lcatin (building, hme ffice, r wrk vehicle). Businesses that cmplete jb creatin frms and receive the full amunt are required t create a new jb. If yu are an elected fficial and/r a Gvernment Bard Appintee yu must get written apprval stating n cnflict f interest frm the Miami-Dade Cunty Cmmissin n Ethics. The Selectin Cmmittee can cnsider special prjects. AUTOMATIC DISQUALIFICATION: Businesses that relcate ut f the district during the prcess. Applicatins will nt be accepted after deadline. Businesses that received funding tw (2) years in a rw must sit ut ne year. Nn-prfit agencies can nt apply. Mre than ne applicatin submitted fr the same wner(s), family member, r partners. Must nt be part f a natinal chain. **The Selectin Cmmittee has the right t request additinal infrmatin, accept, r reject any and all applicatins.
6 [- 3 -] PLEASE BE AWARE OF THE FOLLOWING: Mandatry Meeting All businesses that are applying fr funding must attend this meeting, which will explain the prgram requirements. Please be prepared t stay at least 2 hurs, all questins will be answered nly at that time. Attending the preliminary meeting des nt guarantee that yu will receive funding. Mandatry Meeting January 18, 2017 at 6:30 p.m. Fire Fighters Memrial Bldg., 8000 NW 21 Street; Miami, FL PLEASE BE ON TIME If yu plan t attend the meeting, please bring a cpy f the applicatin, cpies may nt be available. We recmmend that yu d nt cmplete the applicatin befre the abve meeting.
7 [- 4 -] ELIGIBLE USE OF FUNDING: Inventry / Supplies Business Equipment Marketing / Advertising Liability Insurance Minr Interir / Exterir Renvatins Security System Wrk Vehicle (pick up truck r carg van) Prfessinal Services (Accunting, Business Training, and Seminars, and events) Lease r mrtgage fr cmmercial space nly INELIGIBLE USE OF FUNDING: Rental Depsits Late Payment Fees Purchase f Alchl, Tbacc r Medicine Salaries Debts And any and all thers nt listed in the eligible use abve.
8 District 12 [- 5 -] FY Applicatins Frms Mm and Pp Small Business Grant Prgram Date: A. Identifying Data Business Name (as it appears n incrpratin, r sunbiz) Business Address City & Zip Cde Business and Cell Phne # Address Kind f Business Operating President Name r Owner Name President r Owner Hme Address City & Zip Cde Data Universal Numbering System number, knwn as a DUNS number are REQUIRED at the time f applicatin please prvide. Apply via at: Print DUNS Number Here r via telephne at B. Amunt Requested Funding Request Amunt $
9 District 12 [- 6 -] C. Current Emplyee Rster 1. Number f emplyees? Full-time: Part-time: Nne: 2. Please prvide the fllwing infrmatin regarding yur current emplyees(s) add sheets if needed: Emplyee Name (Print) Date f Hire *Jb Title Full Time (FT) r Part Time (PT) **Race *Jb Title: Officials and Managers, Technicians, Craft Wrker (Skilled), Labrer (Unskilled), Sales Prfessinal, Office and Clerical, Operative (Semi-Skilled), Service Wrkers **Race W-White B-Black A-Asian AI-American Indian H-Hispanic O-Other I hereby certify that the infrmatin prvided is true and crrect. I further acknwledge that the infrmatin is subject t verificatin by authrized gvernment fficials. CERTIFICATION: President r Owner signature DATE:
10 District 12 [- 7 -] D. Business wners are required t prvide the fllwing infrmatin: 1. Hw lng have yu been in business? Number f years mnths 2. Have yu received Mm and Pp funding in the past? Yes N If yes, last time yu received funding (year) 3. Are yu r any f the sharehlders emplyed by Miami-Dade Cunty? Yes N If yes, what department? 4. Wuld yu be willing t participate in any ffered business wrkshp training? Yes N 5. If awarded the full amunt allwed by the prgram, knwing that the funding cannt be used fr salaries/payrll, wuld yu still be able t create a new jb? Yes N Will the new jb be full-time? Yes N If yes, cmplete page 11 and submit with the applicatin.
11 District 12 [- 8 -] E. BUSINESS INFORMATION 1. Describe yur Business: 2. What kind f gds r services yur business ffers t the cmmunity? 3. Briefly describe hw the funds, if awarded, will be used t help grw yur business: My signature belw indicates that I have read this dcument and fully understand its cntents. The infrmatin submitted n this dcument is true t the best f my knwledge. Signature Date
12 District 12 [- 9 -] Request fr Opinin frm Cmmissin n Ethics Acquiring Financial Interest I,, the wner r president f (Owner r President Name), whse business address is (Business Name), (Business Address, City, State, Zip) (Phne #) ( ) Include a shrt descriptin f the type f business perating Are yu currently an emplyee r bard member f any Miami Dade Cunty Bard? Yes N If yes, what Department r Bard? If yes, are yu seeking t cntract with Miami Dade Cunty? Yes N: I am being cnsidered fr funding thrugh the Mm and Pp Small Business Grant Prgram and request the clearance frm the Cmmissin n Ethics. Please review my request and frward t Neighbrs And Neighbrs Assciatin, Inc. t the attentin f Lery Jnes, Executive Directr, 180 NW 62 nd St., Miami, FL r fax (305) Thank yu in advance fr yur attentin t this very imprtant matter. Jse Pepe Diaz 111 NW 1 st Street Miami, FL This page must be cmpleted.
13 District 12 [- 10 -] The fllwing page must be cmpleted and returned with riginal applicatin ONLY if yur business will be able t create a new jb
14 District 12 [- 11 -] STATE OF FLORIDA) COUNTY OF MIAMI-DADE) JOB COMPLIANCE FORM Being duly swrn, n my ath declares: That, I, wner f agree t create ne new full-time r part-time jb fr a lw t mderate incme persn if awarded the maximum amunt under the Mm And Pp Small Business Grant Prgram within six mnths f my receipt f such award. If I fail t create the required new jb within the agreed upn time perid I will be in nn-cmpliance and will be required t pay the entire amunt f the grant back t Miami-Dade Cunty. IN WITNESS WHEREOF, I,, the undersigned Owner f, have signed this JOB COMPLIANCE FORM n this day f, 2017, and acknwledged the same t be my act. The freging instrument was acknwledged befre me this day f, 2017 by, wh persnally appeared Signature befre me at the time f ntarizatin, and wh is persnally knwn t me r wh prduced a FLORIDA DRIVER S LICENSE as identificatin. NOTARY PUBLIC: SIGN: PRINT: STATE OF FLORIDA AT LARGE
Audrey M. Edmonson Miami-Dade County Commissioner, District 3 Mom And Pop Small Business Grant Program
Audrey M. Edmonson Miami-Dade County Commissioner, District 3 Mom And Pop Small Business Grant Program Application Submit 1 original completed application with requested documents. We suggest you keep
More informationCITY OF MELBOURNE APPLICATION FOR OLDE EAU GALLIE RIVERFRONT CRA FAÇADE IMPROVEMENT PROGRAM
The Olde Eau Gallie Riverfrnt Cmmunity Redevelpment Agency (CRA) is pleased t ffer the Façade Imprvement Prgram fr cmmercial buildings lcated within the Olde Eau Gallie Riverfrnt CRA prgram area. This
More informationA retired employee or past employee who was employed full-time by a governmental entity in Broward County continuously for at least five years.
2017 2018 SCHOLARSHIP APPLICATION RALPH H. AND RUTH FRANK GROSS MEMORIAL SCHOLARSHIP Ralph and Ruth Frank Grss understd the value f a gd educatin. This schlarship was established in memry f them and is
More informationCITY OF MELBOURNE APPLICATION FOR DOWNTOWN MELBOURNE CRA RETAIL CORE COMMERCIAL LIGHTING PROGRAM
The Melburne Dwntwn Cmmunity Redevelpment Agency (CRA) is prviding funding fr a lighting enhancement prgram within the dwntwn retail cre. Grant funding is prvided t encurage building wners r businesses
More informationFLORIDA CHILD CARE DIRECTOR CREDENTIAL AND RENEWAL APPLICATION
FLORIDA CHILD CARE DIRECTOR CREDENTIAL RENEWAL APPLICATION RESOURCE PAGE A directr credential is required fr each licensed child care facility and Vluntary Pre-Kindergarten (VPK) Prgram. The directr credential
More informationValdez Beautification 2017 Matching Grant Program
Valdez Beautificatin 2017 Matching Grant Prgram Gd lks aren t everything, but they can definitely g a lng way especially when it cmes t the utside f a small business. Research was cmpleted n the fllwing
More informationQuincy University Grants Development & Management Guide
1 Quincy University Grants Develpment & Management Guide Intrductin The Office f University Advancement versees the grants prcess at Quincy University and is yur resurce fr seeking funding frm any external
More informationInstructions. Important Dates. Application Deadline: May 15, 2013 at 5:00 p.m. Grant Awards Announced: July 15, 2013
Instructins Imprtant Dates Applicatin Deadline: May 15, 2013 at 5:00 p.m. Grant Awards Annunced: July 15, 2013 Prject Cmpletin: December 31, 2014 CONTACT: Lancaster Cunty Cnservancy Fritz Schreder PO Bx
More informationTHE FOX THEATRE INSTITUTE
THE FOX THEATRE INSTITUTE GRANT DESCRIPTION This grant is designed t cmplete prjects and develp cmmunity-wide participatin at the lcal level. Als knwn as the brick and mrtar grant, this annual basis grant
More informationDenver Public Schools. Financial Services. Financial Services Manual. Grants
Denver Public Schls Financial Services Financial Services Manual Grants Table f Cntents Grants... 3 Prcedures GRC Website... 3 Step by Step Guide... 4 Federal Grants... 7 Title I... 7 Title II... 8 Time
More informationIHSS In Home Support Services
IHSS In Hme Supprt Services What is IHSS? The IHSS prgram is a statewide mandated prgram administered by each cunty under the directin f the Califrnia Department f Scial Services. It prvides thse with
More informationSAMPLE- Visit FirehouseSubsFoundation.org to apply online. Firehouse Subs Public Safety Foundation Grant Application
SAMPLE- Visit FirehuseSubsFundatin.rg t apply nline. Firehuse Subs Public Safety Fundatin Grant Applicatin 1 SAMPLE- Visit FirehuseSubsFundatin.rg t apply nline. Cngratulatins! Yur rganizatin has met Firehuse
More informationInterested individuals should submit their application, curriculum vitae, and letter of recommendation on or before March 31, 2018.
This is a fillable frm. Please dwnlad this pdf, cmplete the frm electrnically, save it t yur cmputer, and email the dcument t nminatins@nbcrna.cm. EMERGING LEADER FELLOWSHIP The NBCRNA is seeking applicants
More informationCommunity Health Worker / Certified Recovery Specialist Training Application
APPLICANTS REQUIRED TO COMPLETE APPLICATION WITHOUT ASSISTANCE FROM OTHERS $35 Applicatin Fee is nn-refundable Applying des NOT guarantee admissin int training Date f Applicatin: First Name: Last Name:
More informationOregon Registry. Infant Toddler Professional Credential. Overview. Oregon Center for Career Development in Childhood Care and Education
Oregn Registry Infant Tddler Prfessinal Credential Overview Oregn Center fr Career Develpment in Childhd Care and Educatin March 2011 Oregn Center fr Career Develpment in Childhd Care and Educatin SETTING
More informationTourism Events Grants. FY 2019 (July 1, 2018 June 30, 2019)
CITY OF PRESCOTT 201 S. Crtez St. Presctt, AZ 86303 928-777-1220 www.visit-presctt.cm Turism Events Grants FY 2019 (July 1, 2018 June 30, 2019) POLICIES, PROCEDURES and CRITERIA Dear TAC Grant Applicant:
More informationLoyola University Health System NURSING DEPARTMENT EDUCATION STIPEND GUIDELINES
Lyla University Health System NURSING DEPARTMENT EDUCATION STIPEND GUIDELINES Please fllw these guidelines when submitting an applicatin fr cnsideratin f funds frm the Nursing Department Educatin Stipend
More information2017 TOURISM DEVELOPMENT MATCHING GRANT PROGRAM PROGRAM GUIDELINES
2017 TOURISM DEVELOPMENT MATCHING GRANT PROGRAM PROGRAM GUIDELINES The Fauquier Cunty Department f Ecnmic Develpment has established a Turism Develpment Matching Grant Prgram. The grant prgram is administered
More informationSouth Lake Community Futures Development Corporation
Eastern Ontari Develpment Prgram Business Develpment Fund Purpse: The Business Develpment Fund supprts prjects that lead t the grwth f new and existing businesses within rural eastern Ontari cmmunities.
More informationSmall Business. Big Recognition.
Small Business Develpment Center Small Business. Big Recgnitin. The Small Business Develpment Center knws firsthand that small businesses are the backbne f American free enterprise. Every day, they re
More informationFinancial Officer 18 Applicant Inventory
Financial Officer 18 Applicant Inventry Frequently Asked Questins Why has an applicant inventry been created t fill Financial Officer 18 vacancies? The creatin f applicant inventries allws fr a mre cnsistent
More informationAPPLICATION FOR REGISTERED NURSING PROGRAM FALL 2017 (Filing deadline: February 10, 2017, 4:00 PM) PLEASE TYPE OR PRINT NEATLY
APPLICATION FOR REGISTERED NURSING PROGRAM FALL 2017 (Filing deadline: February 10, 2017, 4:00 PM) PLEASE TYPE OR PRINT NEATLY NOTE: N student may enrll in the Nursing Prgram unless he/she is admitted
More informationWood Windows and Doors Application
Wd Windws and Drs Applicatin Please read the attached Plicy Guidelines, Administrative Prcedures and prvide the requested infrmatin. 1. Address f Prperty: 2. Applicant/Owner name & mailing address: Telephne:
More informationSC Launch Grant Programs Qualifications and Processing Procedures Effective August 1, 2017
SC Launch Grant Prgrams Qualificatins and Prcessing Prcedures Effective August 1, 2017 SCRA s SC Launch Prgram supprts entrepreneurs, increases technlgy cmmercializatin, and fsters early-stage cmpany develpment
More informationDEADLINE FOR APPLICATION SUBMISSION is March 12, 2018.
Schlarship Awards DEADLINE FOR APPLICATION SUBMISSION is March 12, 2018. There is ne applicatin fr all fur schlarships, yu will be cnsidered fr any which yu are eligible. In additin t specific eligibility
More informationCommunity Development Small Grants Fund. Guidelines 2018
Cmmunity Develpment Small Grants Fund Guidelines 2018 This fund is pen t charitable nt-fr-prfit cmmunity welfare grups whse primary clientele cme frm within Palmerstn Nrth City Cuncil (PNCC) bundaries.
More informationGuide to Complete the Steps for Foreign-Trained Nurses to Obtain the Maryland Registered Nurse (RN) License
Guide t Cmplete the Steps fr Freign-Trained Nurses t Obtain the Maryland Registered Nurse (RN) License Welcme Back Center Suburban Maryland Mntgmery Cunty, Maryland Department f Health and Human Services
More informationA Grant Program for Neighborhood Residents
Lve My Neighbr! Example Grant Applicatin A Grant Prgram fr Neighbrhd Residents At Neighbrhd Allies, we believe n ne knws ur cmmunities as well as thse wh live in them. If yu are a resident and have an
More informationState of Florida Department of Children and Families
State f Flrida Department f Children and Families Rick Sctt Gvernr Mike Carrll Secretary Request fr Applicatins #11H20GN1 ADDENDUM #001 Criminal Justice Mental Health and Substance Abuse (CJMHSA) Reinvestment
More informationSmart Energy GB in Communities Fund Small grants. Grant Guidelines May 2016
Smart Energy GB in Cmmunities Fund Small grants Grant Guidelines May 2016 0 What can I d nw? Befre yu apply fr funding make sure yu have lked at the free resurces available. Yu can start using these immediately.
More informationFor purposes of this Security Agreement, the use of the terms you and your includes both the Oil and Gas Operator and the EFA when appropriate.
Oil and Gas Operatr and Electrnic Filing Administratr (EFA) Registratin and Security Agreement fr Oil and Gas Electrnic Filing Systems Oil and Gas Operatr (Primary Reprting Entity) Name f Oil and Gas Operatr:
More informationDirections & Instructions for Filing an Application to the Radiologic Technology Program
2018 Radilgic Technlgy Applicatin Infrmatin Page 1 f 7 Ls Angeles City Cllege Radilgic Technlgy Prgram APPLICATION INFORMATION PACKET Applicatin Filing Perid is February 1, 2018 t March 31, 2018 Directins
More informationResident Assistant Application
Resident Assistant Applicatin We are excited that yu have decided t apply t be a Resident Assistant (RA). It is a unique pprtunity t wrk with diverse grups f students and be actively invlved n the Queens
More informationResident Assistant Application
Resident Assistant Applicatin 2017-2018 We are excited that yu have decided t apply t be a Resident Assistant (RA). It is a unique pprtunity t wrk with diverse grups f students and be actively invlved
More informationAnnual South Carolina School Health LPN of the Year Award ( )
Annual Suth Carlina Schl Health LPN f the Year Award (2017-2018) The SC Schl Health LPN f the Year Award is presented annually by the SC Department f Health and Envirnmental Cntrl and the SC Department
More informationCOMMUNITY FOUNDATION OF BOONE COUNTY 2018 Competitive Grant Guidelines
COMMUNITY FOUNDATION OF BOONE COUNTY 2018 Cmpetitive Grant Guidelines Histry and Missin The Cmmunity Fundatin f Bne Cunty (CFBC) was funded in 1991 with gifts frm individuals, families, businesses, rganizatins
More informationChampions for Healthy Kids Grants
Champins fr Healthy Kids Grants 2015-2016 Champins fr Healthy Kids Grants Nw Available! $1 Millin Champins fr Healthy Kids grants available t nnprfit rganizatins fr prgrams perating June 1, 2015-May 31,
More informationLove My Neighbor! Grant Application
Lve My Neighbr! Grant Applicatin EXAMPLE A Grant Prgram fr Neighbrhd Residents At Neighbrhd Allies, we believe n ne knws ur cmmunities as well as thse wh live in them. If yu are a resident and have an
More informationGRANT APPLICATION. Sustainable Agricultural Land Strategy Grants SUSTAINABLE AGRICULTURAL LANDS CONSERVATION PROGRAM
SUSTAINABLE AGRICULTURAL LANDS CONSERVATION PROGRAM Sustainable Agricultural Land Strategy Grants GRANT APPLICATION Strategic Grwth Cuncil Califrnia Natural Resurces Agency Califrnia Department f Cnservatin
More informationH-1B PETITION EMPLOYEE QUESTIONNAIRE
H-1B PETITION EMPLOYEE QUESTIONNAIRE SUPPORTING DOCUMENTS CHECKLIST Please email the fllwing dcuments t Office f Internatinal Prgrams as scanned clr cpies. Cmpleted H-1B Emplyee Questinnaire Please als
More informationLSU HEALTH SHREVEPORT NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION
LSU HEALTH SHREVEPORT NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
More informationAccelerated Bachelor of Science in Nursing. Fall 2018 Application Packet
Accelerated Bachelr f Science in Nursing Fall 2018 Applicatin Packet WCU nursing faculty and staff welcme yur applicatin fr admissin t the Accelerated Bachelr f Science in Nursing (ABSN) Prgram. This applicatin
More informationGRANT GUIDELINES FOR ORGANIZATIONS 2017 CYCLE
GRANT GUIDELINES FOR ORGANIZATIONS 2017 CYCLE SUBMISSION DEADLINE Thursday, March 30, 2017 at 5:00 PM GRANTS PROGRAM OVERVIEW CultureWrks missin is t drive a vibrant cmmunity by inspiring, enabling and
More informationVantel Pearls International, Inc. 46 Eastman Street, South Easton, MA Tel Compensation Plan.
Vantel Pearls Internatinal, Inc. 46 Eastman Street, Suth Eastn, MA 02035 www.vantelpearls.cm Tel. 508.698.2220 (March, 2016) Welcme t Vantel Pearls! This dcument prvides an verview f the incme, benefits,
More informationTerminating the Provider- Patient Relationship. Provided by Coverys Risk Management
Terminating the Prvider- Patient Relatinship Prvided by Cverys Risk Management Terminating the Prvider-Patient Relatinship What s the Risk? An allegatin f abandnment may be brught against a prvider if
More informationThe information and instructions below are for College of Business Administration [Departmental] Scholarships only.
COLLEGE OF BUSINESS ADMINISTRATION DEPARTMENTAL SCHOLARSHIPS Cllege f Business Administratin departmental schlarships are available t business majrs in all cncentratins and are awarded t Business students
More informationVOLUNTEER SERVICES APPLICATION PACKAGE
VOLUNTEER SERVICES APPLICATION PACKAGE Applicatin Checklist Applicatin Frm Letter fr Criminal Recrd Check Vlunteer Reference Frm Infrmatin abut Immunizatins Infrmatin fr High Schl students VOLUNTEER SERVICES
More informationGrowing Enterprise ERDF GRANT FUNDING PROCEDURES
Grwing Enterprise ERDF GRANT FUNDING PROCEDURES Stage Actin By Actins Ensure that the business and prject meet the eligibility criteria. Pre-Applicatin Stage 1 Pre-Applicatin Stage 2 NBV Enquiry Hub /
More informationMEDI-CAL (MC051) ERA ENROLLMENT INSTRUCTIONS
MEDI-CAL (MC051) ERA ENROLLMENT INSTRUCTIONS WHICH FORM(S) SHOULD I DO? Electrnic Healthcare Claim Payment/Advice Receiver Agreement (ANSI ASC X12N 835-Transactin) WHERE SHOULD I SEND THE FORMS? Mail the
More informationEXPLANATORY NOTES. (applicable from 1 July 2015) STAGE 1 DESKTOP ASSESSMENT. for the RECOGNITION OF OVERSEAS OCCUPATIONAL THERAPY QUALIFICATIONS
Phne: +61-8-9368 2655 GPO Bx 959 Suth Perth WA 6951 Website: www.tcuncil.cm.au E-mail: admin@tcuncil.cm.au ABN 50 377 833 627 EXPLANATY NOTES (applicable frm 1 July 2015) STAGE 1 DESKTOP ASSESSMENT fr
More informationGovernment Equalities Office Returners Fund
Gvernment Equalities Office Returners Fund Overview In the Spring Budget 2017, the Prime Minister cmmitted 5 millin t prmte returnships t the public and private sectrs, helping peple back int emplyment
More informationHealth Commerce System (HCS)
New Yrk State Department f Health Divisin f ACF/Assisted Living Surveillance New Administratr/EHP Prgram Crdinatr and/r Operatr Checklist and Infrmatinal Guide As a new Administratr/EHP Prgram Crdinatr
More informationYOUTH What is Heads Up Football? What are the benefits of a youth football organization adopting Heads Up Football?
YOUTH What is Heads Up Ftball? Heads Up Ftball is a USA Ftball rganizatinal membership prgram designed t create a better, safer game. Key cmpnents f this prgram include caches cmpleting the nly natinally
More informationWe ve transformed Clare Nolan Program Manager, Toronto
We ve transfrmed Clare Nlan Prgram Manager, Trnt Wh are we? Agency f the Gvernment f Ontari Vlunteers acrss Ontari decide where ur funds g Largest grantmaker in Canada with ver 30 years f experience Investr
More informationBoston University. Advocate Applicant Information Packet Spring Tony Kushner
Bstn University The wrld is calling; heal the wrld and in the prcess heal yurself, find the human in yurself by finding the citizen, the activist, the her. Tny Kushner Advcate Applicant Infrmatin Packet
More informationEMPLOYEE INNOVATION GRANTS (EIG)
EMPLOYEE INNOVATION GRANTS (EIG) The Center fr Innvatin supprts creative excellence and celebrates ideas that inspire change, transfrmatin and prfessinal develpment fr all SLCC emplyees. Emplyee Innvatin
More informationWHAT IS CAL MEDICONNECT? Cal MediConnect is a health plan that combines all of the benefits you now get from Medicare and Medi-Cal into a single plan.
Last updated: 3/8/2016 5:25 PM DO YOU HAVE BOTH MEDICARE AND MEDI-CAL? Intrductin If s, yu may be eligible t jin a Cal MediCnnect health plan. WHAT IS CAL MEDICONNECT? Cal MediCnnect is a health plan that
More informationOLTL Transition Plan CMS HCBS Regulations. Introduction
OLTL Transitin Plan CMS HCBS Regulatins Intrductin New Centers fr Medicare and Medicaid Services (CMS) rules utlined at 42 CFR 441.301(c)(4) require public cmment n any new 1915(c) waivers, waiver renewals
More informationHealth Career Academy and Scholarship Program Dignity Health/Dominican Hospital and Cabrillo College Academic Year
Dignity Health/Dminican Hspital and Cabrill Cllege Academic Year 2013-2014 Are yu planning a career in the health ccupatins? Have yu taken at least ne pre-requisite curse fr an Allied Health prgram, OR,
More informationNOMINATE Recognition Promotion Celebration
NOMINATE Recgnitin Prmtin Celebratin Business Excellence Awards 2013 Award Nminatin Prcedure 36 Years f Excellence Part 1. Award Nminatin Deadline: 4:30p.m. Friday, Mnday, September 16, 2013 Upn the receipt
More informationCMS Change Request User Guide. Required April 1, Consolo Services CMS Change Request 8358 User Guide P a g e 1
CMS Change Request 8358 User Guide Required April 1, 2014 Cnsl Services CMS Change Request 8358 User Guide P a g e 1 CMS Change Request 8358 Required April 1, 2014 User Guide Overview: CMS Change Request
More informationREGIONAL ARTS FUND Quick Response Grant
REGIONAL ARTS FUND Quick Respnse Grant Intrductin The Reginal Arts Fund is an Australian Gvernment prgram that supprt sustainable cultural develpment in reginal and remte cmmunities in Australia. The prgram
More informationp so January 16, 2014
Public Disclsure Authrized Public Disclsure Authrized Public Disclsure Authrized Public Disclsure Authrized OFFICIAL p s The Wrld Bank IDOCU IA.I (202) 473-1000 INTERNATIONAL BANK FOR RECONSTRUCTION AND
More informationChanges in the Scope of Practice Environment for Nurse Practitioners in Michigan
Changes in the Scpe f Practice Envirnment fr Nurse Practitiners in Michigan It has been an exciting and interesting year in the plicy wrld fr NP practice in Michigan. The changes that have ccurred happened
More informationObtain an official copy of your PN transcript to submit with this packet.
Advanced Placement Packet fr LPNs fr Spring 2018 Deadline fr packet submissin: 11/16/17 It is pssible t receive credit fr yur LPN experience and begin the RN prgram at Crning Cmmunity Cllege. Advanced
More informationArchive and Destruction of Patient Records
Archive and Destructin f Patient Recrds If yu have run ut f rm t stre paper recrds yu may need t archive the riginal dcuments. A cmprehensive archive prcess, with written plicies and prcedures will help
More informationVoluntary Pre-Offer Self-Identification of Protected Veteran Status
Vluntary Pre-Offer Self-Identificatin f Prtected Veteran Status This emplyer is a Gvernment cntractr subject t the Vietnam Era Veterans' Readjustment Assistance Act f 1974, as amended by the Jbs fr Veterans
More informationPLACEMENT POLICIES FOR WORK & TRAVEL AND TRAINEE/INTERN PROGRAMS
PLACEMENT POLICIES FOR WORK & TRAVEL AND TRAINEE/INTERN PROGRAMS TABLE OF CONTENTS Wrk & Travel Prgram Submissin Prcess 1 Placement Prcedures 2 Trainee/Intern Prgram Submissin Prcess 3 Placement Prcedures
More informationAdmission Agreement (SMOKE FREE CAMPUSES)
Chse One: PEC PTCC Prvidence Extended Care, and Prvidence Transitinal Care Center, cllectively (d.b.a) Prvidence Anchrage Lng Term Care Services hereinafter referred t as PEC/PTCC/PALTCS respectively.,
More informationPractical Nursing Program Information (Revised March 2018)
Practical Nursing Prgram Infrmatin (Revised March 2018) Prgram Descriptin: The Practical Nursing (PN) Prgram prepares individuals t practice under the supervisin f a registered nurse, licensed physician
More informationAcademic and Career Advisement Center Jacobetti Center Office 103 Jacobetti TUTOR APPLICATION
Jacbetti Center Office 103 Jacbetti TUTOR APPLICATION Recmmended by Faculty: Name: Address: NMU Student Number: Declared Majr: Date: Phne: E-mail: NMU GPA: STATUS (circle ne): Freshman Sphmre Junir Senir
More informationYolo County Homeless and Poverty Action Coalition (HPAC)
Yl Cunty Hmeless and Pverty Actin Calitin (HPAC) FY 2017 Emergency Slutins Grant (ESG): Lcal Cmpetitin Timeline and Selectin Prcess Adpted June 9, 2017 Tentative Lcal Emergency Slutins Grant (ESG) Cmpetitin
More informationEnvironment, Health and Safety Policy Appendix B: Environment, Health and Safety Responsibilities
U f A Plicies and Prcedures On-Line (UAPPOL) Original Apprval Date: August 22, 2006 (frmerly a prcedure) Mst Recent Apprval Date: May 28, 2014 Parent Plicy: Envirnment, Health and Safety Plicy Envirnment,
More informationAPA Title Program. Information Booklet
APA Title Prgram Infrmatin Bklet This wrk is cpyright. Apart frm any use as permitted under the Cpyright Act 1968, n part may be reprduced by any prcess withut permissin frm the Australian Physitherapy
More informationState/City Specific Statutory Earned Sick Time Provision Policy for Store, Regional Office and DC Field Hourly Team Members
State/City Specific Statutry Earned Sick Time Prvisin Plicy fr Stre, Reginal Office and DC Field Hurly Team Members NOTE: If yu d nt wrk in a lcatin with a state r city specific Sick Pay law, please refer
More informationPatient Instructions for Home Medical Equipment
Patient Instructins fr Hme Medical Equipment In rder fr ABC Health Care t cmplete the request fr yur prescribed hme medical equipment, we will need the fllwing dcumentatin requirements cmpleted in full
More information2018 Scholarship Application Guidelines
2018 Schlarship Applicatin Guidelines The 2018 Castal Baldwin Educatinal Enrichment Fundatin (CBEE) schlarship applicatin is pen t all graduating senirs f Gulf Shres High Schl. The applicatin is used fr
More informationCity of Moncton Immigration Grants Policy 2018
IMMIGRATION GRANT POLICY Objectives a) T prvide guidance fr Mnctn City Cuncil when making funding decisins regarding Immigratin Grants. b) T establish the applicatin rules and prcedures fr rganizatins
More informationFulton-Montgomery Arts Grants-Arts Education 2015 Guidelines Letter of Intent Deadline: October 31, 2014 Application Deadline: November 28, 2014
Fultn-Mntgmery Arts Grants-Arts Educatin 2015 Guidelines Letter f Intent Deadline: Octber 31, 2014 Applicatin Deadline: Nvember 28, 2014 Saratga Arts ffers funding fr in-schl arts educatin prjects in Fultn
More informationPractical Nursing Program Information
Practical Nursing Prgram Infrmatin Prgram Descriptin: The Practical Nursing (PN) Prgram prepares individuals t practice under the supervisin f a registered nurse, licensed physician r dentist. Use f the
More informationRegional Sports and Recreation Grants Programme Application Guidelines
Reginal Sprts and Recreatin Grants Prgramme Applicatin Guidelines Aucklanders: mre active, mre ften Auckland ffers sprt and recreatin pprtunities withut equal in the suthern hemisphere which inspire and
More information2018 SCHOLARSHIP/INTERNSHIP APPLICATION DALLAS HISPANIC LAW FOUNDATION
2018 SCHOLARSHIP/INTERNSHIP APPLICATION DALLAS HISPANIC LAW FOUNDATION SCHOLARSHIP GUIDELINES: The Dallas Hispanic Law Fundatin awards schlarships and bar study grants t wrthy Hispanic law students. Applicatins
More informationScholarship Instructions
Timthy Beach, American Legin Auxiliary #175 Schlarship Instructins The Timthy Beach, American Legin Auxiliary #175 (ALA) Schlarship prgram is a prgram available t senirs, at Stw Munre Falls High Schl,
More informationCAMPBELL COUNTY GILLETTE, WYOMING
CAMPBELL COUNTY GILLETTE, WYOMING Cmmunicatins Technician I Cmmunicatins Technician II Cmmunicatins Technician III Class specificatins are intended t present a descriptive list f the range f duties perfrmed
More informationREGIONAL ARTS FUND Step Out
REGIONAL ARTS FUND Step Out Intrductin The Reginal Arts Fund is an Australian Gvernment prgram that supprts sustainable cultural develpment in reginal and remte cmmunities in Australia. The prgram is managed
More informationPLEASE PROVIDE THE FOLLOWING DOCUMENTS WITH YOUR HOUSING APPLICATION
A UNITED WAY COMMUNITY PARTNER Crispus Attucks Husing Department 613 Suth Gerge Street Yrk, PA 17401 (717) 848-3610 X 253 Fax (717)843-8966 PLEASE PROVIDE THE FOLLOWING DOCUMENTS WITH YOUR HOUSING APPLICATION
More informationDOCUMENT TITLE: Clarification of Bureau of Primary Health Care Credentialing and Privileging Policy outlined in Policy Information Notice
2002-22 DATE: July 10, 2002 DOCUMENT TITLE: Clarificatin f Bureau f Primary Health Care Credentialing and Privileging Plicy utlined in Plicy Infrmatin Ntice 2001-16 TO: Cmmunity Health Centers Migrant
More informationSummer Leisure 2018 Registration March 21, Adelaide Street, South 5 p.m. 7:00 p.m.
Summer Leisure 2018 Registratin March 21, 2018 190 Adelaide Street, Suth 5 p.m. 7:00 p.m. Cmmunity Living Lndn s Summer Leisure Prgram is a specialized day camp fr children with develpmental disabilities.
More informationSUMMER 2018 BACCALAUREATE TO ASSOCIATE DEGREE NURSE ACCELERATED PATHWAY APPLICATION
SUMMER 2018 BACCALAUREATE TO ASSOCIATE DEGREE NURSE ACCELERATED PATHWAY APPLICATION GENERAL INFMATION ABOUT OCCC HEALTH PROFESSIONS PROGRAMS Thank yu fr yur interest in ur health prfessins prgrams at Oklahma
More informationCALL FOR ABSTRACTS. Overview of Summit Themes. Skills-Based Workshops
CALL FOR ABSTRACTS Submissin will pen January 26, 2018 Submissin deadline is March 6, 2018 Presenters will be ntified April 6, 2018 Overview f Summit Themes Nexus Summit 2018 brings tgether a grwing cmmunity
More informationDown Payment Online Manual
Dwn Payment Online Manual Dwn Payment Online Manual Member cntacts may use this manual t help navigate Dwn Payment/Set Aside Prgram (DP) Online and perfrm the fllwing functins: 1. Lg int DP Online thrugh
More informationOriginal Date: January 27, 2010 Reviewed/Last Modified Date: September 15, 2015
Hme and Cmmunity Care - Feedback Reprting Prcess: Cmplaints, Cmpliments and Inquiries Manual: Administratin Sectin: Risk and Safety Management Subsectin: Original Date: January 27, 2010 Reviewed/Last Mdified
More informationCommunity Arts and Arts Education DEC Grant 2019 Guidelines New York State Council on the Arts Decentralization Program
95 Perry Street, Suite 402 Buffal, New Yrk 14203 (716) 362-8389 (p) natalie@asiwny.rg www.asiwny.rg NATALIE BROWN, INTERIM DEC COORDINATOR Cmmunity Arts and Arts Educatin DEC Grant 2019 Guidelines New
More informationCDDN/DDC RENEWAL APPLICATION
CDDN/DDC RENEWAL APPLICATION GUIDELINES Yur respnsibilities: It is yur respnsibility t actively maintain yur CDDN r DDC certificatin, which includes awareness f the expiratin date, gathering and cmpleting
More informationDepartment of Teacher Education Tentative Admission
Department f Teacher Educatin Tentative Admissin Requirements Must have cmpleted a minimum f 60 cllege credit hurs Minimum GPA f 2.75 Minimum cmpsite scre (r super scre) f 20 n the ACT Cmplete the Missuri
More informationMedical Assistance in Dying: Update Stakeholder Presentation
Medical Assistance in Dying: Update Stakehlder Presentatin Ministry f Health and Lng-Term Care and Ministry f the Attrney General Week f August 1, 2016 Implementatin Questins: What We Heard Frm Yu 1. Reprting:
More informationNightingale Healthcare Professionals
Nightingale Healthcare Prfessinals Phne: (510) 553-1800 Fax: (510) 553-1818 Email: inf@nightingalehealthcareprfessinals.cm Website: www.nightingalehealthcareprfessinals.cm NURSING ASSISTANT TRAINING PROGRAM
More informationIn-School Arts Education Grants
In-Schl Arts Educatin Grants 2018 In-Schl Arts Educatin Grants Fultn, Mntgmery, Saratga Cunties 2018 Guidelines Letter f Intent Deadline: September 15, 2017 Applicatin Review Deadline: Octber 12, 2017
More informationPatient Instructions for Home Medical Equipment
Patient Instructins fr Hme Medical Equipment In rder fr ABC Health Care t cmplete the request fr yur prescribed hme medical equipment, we will need the fllwing dcumentatin requirements cmpleted in full
More informationMedical Cannabis Program
Medical Cannabis Prgram Website: www.nmhealth.rg/g/mcp Telephne Number: 505-827-2321 Checklist fr Patient Applicatins This checklist is fr new applicants and current patients ( renewing patients). Yu can
More information