PHILADELPHIA GAS WORKS BACKGROUND/PRE-EMPLOYMENT SCREENING SERVICES RFP # Questions & Answers May 13, 2015

Size: px
Start display at page:

Download "PHILADELPHIA GAS WORKS BACKGROUND/PRE-EMPLOYMENT SCREENING SERVICES RFP # Questions & Answers May 13, 2015"

Transcription

1 QUESTIONS ANSWERS Q1 Is there any way that the estimated volume can be disclosed? A1 The volume varies by year and need. On average, per year was a high volume year, with 300 backgrounds entered between Sept 2013 & Aug Q2 Q3 Q4 Are we required to run all 6 countywide searches on each applicant or should we conduct only the countywide searches that are associated with each individual applicant? How should we handle current employment verifications in which the applicant has requested we not contact their current employer? Should all additional research be including in the package price? A2 A3 A4 The 6-county search should be run for each applicant. If an applicant lists addresses outside of those counties, those additional counties should also be checked In this case, we will ask the applicant to provide proof of employment in the form of a paystub or W2. Q5 How would we be notified if a particular applicant would need additional research on their education verification? A5 PGW will notify the selected vendor by preferred communication Q6 When would the scope of work begin? A6 Appx mid-july 2015 Q7 What is your current average turnaround time for background investigations? A7 3-5 business days Q8 Are you currently using an ATS? A8 - icims

2 Q9 What is the estimated volume of searches by search type? A9 Q10 What is the current rate being paid? A10 Information not available. Q11 RFP No is formatted as a locked PFD file, is it possible for Creative Services, Inc. to receive the RFP as a Word document? This will enable us to utilize the attachment templates. Q12 Section of the RFP identifies the number of PGW clients; however, there is no discussion of anticipated volumes associated with the services to be provided. Is it possible for Creative Services, Inc. to be provided with anticipated annual volumes? Q13 Section 2.3 of the RFP states an initial term of up to four (4) years. Could you provide clarification of this statement? Q14 Q15 Section 2.4 of the RFP states pricing in a per person/per package format based on the scope of services requested. Would PGW entertain a fixed rate plus fees model? In addition to background investigation services, Creative Services, Inc. provides regulatory and company-mandated drug and alcohol testing for a significant number of our clients. Is PGW currently involved in substance abuse testing of its employees? If so, is substance abuse testing conducted under a separate contract, separate RFP? Would A11 A12 A13 Q14 A15 All PGW contracts are annual contracts with optional annual renewals. At the end of four years, PGW is required to conduct another RFP. Substance abuse testing is handled separately.

3 PGW consider combining these services under one supplier? Q16 Q17 Given the nature of the work performed and services provided by PGW, is regulatory-based DOT screening (background investigations and substance abuse testing) conducted under a separate contract, separate RFP? Would PGW consider combining these services under one supplier? Can you tell me the approximate number of candidates screened by PGW annually? A16 A17 Not at this time. Q18 Q19 What is your reason for initiating this RFP? For example are you having any issues with your current vendor (if so, what are they), or is your current contract up and you are evaluating vendors per your policy? what is your process for ordering and receiving your background checks right now A18 A19 Evaluating vendors per policy. Q20 Is the process paper-based, fax-based, or electronic? A20 Paper & Electronic Applicants complete a paper-based consent form upon interview. The information is then entered into the background screening company s website/database. Q21 Do you have integration with an online applicant tracking system? A21 Not at this time, but we are interested in integrating with our ATS (icims). Q22 What is your estimated volume of background checks needed on a monthly (or yearly) basis? A22

4 Q23 Q24 Do you want pricing for a National Criminal Database search included in your package? I see only county court and federal district records search requests. Most often, companies also include a national database search which will pick up any criminal activity (that was reported to the database) outside of the actual counties of history. Without a database product, criminal records could go undetected. Will you want National Sex Offender Search included in the package? This is a common search for most employers. A23 A24 Q25 Will you be providing answers to all questions submitted by participants or simply providing the requested answers to me A25 Answers are provided to all participants. Q26 Section Refers to the right to terminate negotiations with a selected proposer at any time. Is this in reference to negotiations prior to award only? A26 No. This refers to any time prior to execution of the agreement. Q27 Q28 Section 2.6 Refers to a required commercial activities license. Are all vendors required to have a license in Philadelphia or only those that are physically located in Philadelphia? Section Refers to disclosure of financial information. Will privately held vendor respondents be disqualified if all of the financial information requested is not provided? Who may request vendor respondent s financial information under the Philadelphia Home Rule Charter and/or Commonwealth Right to Know Act? A27 A28 The license is required if the vendor is a business as defined in The Philadelphia Code, Section Failure to provide the information will not disqualify a vendor but such failure will impact the amount of information PGW may rely on when determining the winning proposer, potentially negatively impacting the proposer.

5 Q29 Who is the current vendor provider and how long has the relationship been in place? A29 Information not available. Q30 What prompted the Background/Pre-Employment Screening Services RFP? A30 3 & Q18 Q31 What is the current contract Pricing? A31 Information not available Q32 Who is currently providing PGW s background checks? A32 Information not available Q33 How many checks does PGW anticipate annually? A33 Q34 How many checks were conducted last year and what was the total spent on these checks? A34 Q35 Would a foreign company need to be registered to do business with Pennsylvania at the time that the proposal is submitted, or once the contract is awarded? A35 Once the contract is awarded.

VOLUNTEER POLICY & PROCEDURES

VOLUNTEER POLICY & PROCEDURES 3-9 VOLUNTEER POLICY & PROCEDURES MISSION OF SPECIAL OLYMPICS COLORADO The Mission of Special Olympics Colorado (SOCO) is to provide year-round sports training and athletic competition in a variety of

More information

Present Address Telephone ( ) Street City State Zip. Permanent Address Telephone ( ) Social Security Number / / address

Present Address Telephone ( ) Street City State Zip. Permanent Address Telephone ( ) Social Security Number / /  address Application for Classified Personnel Minden Public Schools An Equal Opportunity/Affirmative Action Employer 543 West Third Phone: (308) 832-2440 Minden, NE 68959 Fax: (308) 832-2567 Please type or print

More information

Request for Proposals. For RFP # 2011-OOC-KDA-00

Request for Proposals. For RFP # 2011-OOC-KDA-00 Request for Proposals For Issued by: Pennsylvania State System of Higher Education RFP # 2011-OOC-KDA-00 Issue Date: Month, Day, 2011 Response Date: Month, Day, 2011 Page 1 of 14 Table of Contents Page

More information

Request for Proposal For Pre-Employment Screening Services. Allegheny County Airport Authority

Request for Proposal For Pre-Employment Screening Services. Allegheny County Airport Authority Request for Proposal Request for Proposal P a g e 2 Table of Contents Confidentiality Statement... 3 Submission Details... 3 Submission Deadlines... 3 Submission Delivery Address... 3 Submission Questions

More information

Time is of the essence, and any proposal received after the announced time and date for submittal will not be considered.

Time is of the essence, and any proposal received after the announced time and date for submittal will not be considered. REQUEST FOR PROPOSALS SCHOOL PHOTOGRAPHER RFP# 2016-02 Coastal Empire Montessori Charter School, CEMCO, acting by and through its Board of Trustees, is requesting qualified persons, firms, small businesses,

More information

WATERFRONT COMMISSION OF NEW YORK HARBOR

WATERFRONT COMMISSION OF NEW YORK HARBOR WATERFRONT COMMISSION OF NEW YORK HARBOR An Instrumentality of the States of New York and New Jersey Request for Proposal Group 79037Audit Services Classification Code(s): 84-Financial and Financial Related

More information

Hillsborough County Fire Rescue Reserve Responder Program 9450 E Columbus Ave Tampa, FL Office: Fax:

Hillsborough County Fire Rescue Reserve Responder Program 9450 E Columbus Ave Tampa, FL Office: Fax: Application For Reserve Responder Full Name: Last First M.I. Date Submitted: Street Address Apartment/Unit # City State ZIP Code Email Name As It Appears On Driver s License: Driver s License #: State

More information

REQUEST FOR PROPOSALS & QUALIFICATIONS TO PROVIDE Foreign Investment Compliance Analysis

REQUEST FOR PROPOSALS & QUALIFICATIONS TO PROVIDE Foreign Investment Compliance Analysis STATE OF RHODE ISLAND OFFICE OF THE GENERAL TREASURER REQUEST FOR PROPOSALS & QUALIFICATIONS TO PROVIDE Foreign Investment Compliance Analysis Rhode Island State Investment Commission 50 Service Avenue

More information

EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION Date: EMPLOYMENT APPLICATION Last Name: First Name: MI: Social Security Number: Home Phone: Driver s license #: Cell Phone: Email: Street Address: City: State: Zip: How long have you resided at your current

More information

HUMAN RESOURCES POLICY

HUMAN RESOURCES POLICY North of England Clinical Commissioning Groups HUMAN RESOURCES POLICY PROFESSIONAL REGISTRATION Policy Number: HR24 Version Number: 3.0 Issued Date: March 2017 Review Date: March 2020 Sponsoring Director:

More information

1 LAWS of MINNESOTA 2014 Ch 250, s 3. CHAPTER 250--H.F.No BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1 LAWS of MINNESOTA 2014 Ch 250, s 3. CHAPTER 250--H.F.No BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1 LAWS of MINNESOTA 2014 Ch 250, s 3 CHAPTER 250--H.F.No. 2467 An act relating to human services; modifying requirements for human services background studies;amending Minnesota Statutes 2012, sections

More information

STAFFORD & SURROUNDS PROFESSIONAL REGISTRATION

STAFFORD & SURROUNDS PROFESSIONAL REGISTRATION Stafford & Surrounds Clinical Commissioning Group STAFFORD & SURROUNDS PROFESSIONAL REGISTRATION Agreed at Governing Body 16 September 2013 Date:.. Signature:. Chair Stafford & Surrounds CCG Designation:.

More information

Campus Crime & Security Report Harrisburg Campus

Campus Crime & Security Report Harrisburg Campus Campus Crime & Security Report Harrisburg Campus Harrisburg University of Science & Technology strives to offer a safe and secure campus. The Director of Compliance has the primary responsibility for supervising

More information

Request for Proposal

Request for Proposal Request for Proposal Electronic Data capture and Data Management activities to support the conduction of a phase 2 trial in Chagas Disease Dated: 29 June 2015 Page 1 TABLE OF CONTENTS 1. PURPOSE... 3 2.

More information

Bureau of Diversity, Inclusion and Small Business Opportunities (BDISBO) Gayle Nuppnau Procurement Liaison

Bureau of Diversity, Inclusion and Small Business Opportunities (BDISBO) Gayle Nuppnau Procurement Liaison Bureau of Diversity, Inclusion and Small Business Opportunities (BDISBO) Gayle Nuppnau Procurement Liaison 1 Bureau of Small Business Opportunities Small Diverse Business Program (SDB) Program designed

More information

The Mayor s Fund for Philadelphia On behalf of The City of Philadelphia-Office of Community Empowerment and Opportunity

The Mayor s Fund for Philadelphia On behalf of The City of Philadelphia-Office of Community Empowerment and Opportunity REQUEST FOR PROPOSALS Project Management Services Delivered to the City of Philadelphia Office of Community Empowerment and Opportunity Issued by: The Mayor s Fund for Philadelphia On behalf of The City

More information

Aboriginal and Torres Strait Islander Health Practice Accreditation Committee - list of approved accreditation assessors

Aboriginal and Torres Strait Islander Health Practice Accreditation Committee - list of approved accreditation assessors Call for applications September 2016 Aboriginal and Torres Strait Islander Health Practice Accreditation Committee - list of approved accreditation assessors Guide for applicants This information package

More information

RECOVERY KENTUCKY ADMINISTRATIVE MANUAL INTRODUCTION

RECOVERY KENTUCKY ADMINISTRATIVE MANUAL INTRODUCTION RECOVERY KENTUCKY ADMINISTRATIVE MANUAL INTRODUCTION The Recovery Kentucky Administrative Manual is a tool to guide all Recovery Kentucky Programs when they prepare to open their new facility. It can be

More information

St. Jude Children s Research Hospital. Code of Conduct

St. Jude Children s Research Hospital. Code of Conduct 1 St. Jude Children s Research Hospital Code of Conduct 2 Dear Colleague: As a global leader in the research and treatment of pediatric catastrophic diseases, St. Jude Children s Research Hospital has

More information

Uniform Grants Guidance. Colorado Charter School Institute Cassie Walgren, Controller

Uniform Grants Guidance. Colorado Charter School Institute Cassie Walgren, Controller Uniform Grants Guidance Colorado Charter School Institute Cassie Walgren, Controller 1 Agenda 1. Introduction 2. EDGAR and C.F.R. 3. Financial Management Rules 4. Cost Principles 5. Procurement 6. Time

More information

REQUEST FOR PROPOSALS RFP# CAFTB

REQUEST FOR PROPOSALS RFP# CAFTB REQUEST FOR PROPOSALS RFP# CAFTB25092017-01 THE CHILDREN S AID FOUNDATION OF THE DISTRICT OF THUNDER BAY WEBSITE REDESIGN/DEVELOPMENT Issue Date: 25 September 2017 Closing Date: 20 October 2017 Submit

More information

Please print clearly as you fill out the application. Social Security #: Are you known by other names while previously employed?

Please print clearly as you fill out the application. Social Security #: Are you known by other names while previously employed? San Xavier District Tohono O'odham Nation Please print clearly as you fill out the application. Human Resources Office Only Date Received: Title of Position Desired: How did you learn about this vacancy:

More information

Employment Screening Packages

Employment Screening Packages Employment Screening Packages STANDARD ($39.95)!! Database check for criminal, terrorist, and sexual!! offender activity!! Typically used for entry-level and low-risk position PREFERRED ($69.95)!! National

More information

OWENS STATE COMMUNITY COLLEGE COMMERCIAL REALTOR SERVICES REQUEST FOR PROPOSALS

OWENS STATE COMMUNITY COLLEGE COMMERCIAL REALTOR SERVICES REQUEST FOR PROPOSALS OWENS STATE COMMUNITY COLLEGE COMMERCIAL REALTOR SERVICES REQUEST FOR PROPOSALS August 22, 2016 1 Table of Contents 1.0 REQUEST FOR PROPOSALS PROCESS 1.1 GENERAL INFORMATION 1.2 INQUIRIES 1.3 PROPOSAL

More information

Adult Drug Court Discretionary Grant Program FY 2018 Competitive Grant Announcement. Frequently Asked Questions

Adult Drug Court Discretionary Grant Program FY 2018 Competitive Grant Announcement. Frequently Asked Questions Adult Drug Court Discretionary Grant Program FY 2018 Competitive Grant Announcement Frequently Asked Questions The following are adapted from questions submitted by potential grant applicants and answers

More information

DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE DEVELOPMENTAL PROGRAMS BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE I NUMBER DATE OF ISSUE December 27,2007 J EFFECTIVE DATE January 1,2008 00-08-01 ------- SUBJECT' BY: Process for

More information

APPLICATION FOR CERTIFICATION

APPLICATION FOR CERTIFICATION APPLICATION FOR CERTIFICATION SEX OFFENDER TREATMENT PROVIDER ASSOCIATE PROVIDER LEVEL California 1608 T Street, Sacramento, CA 95811 Website: www.casomb.org Contact Information for Inquiries Regarding

More information

Tourism Marketing Strategy

Tourism Marketing Strategy RFP 2015 01 September 15, 2015 City of Duncan, Administration Attention: Peter de Verteuil, CAO City of Duncan, 200 Craig Street, Duncan, BC, V9L 1W3 Submission Deadline: October 15, 2015 TABLE OF CONTENTS

More information

Education and Training

Education and Training Cherriots accepts applications only for specific available positions. This application is valid only for the following position: (list specific position applied for) If offered position, length of time

More information

State of Florida Department of Health. Board of Osteopathic Medicine. Application for Registration as an Osteopathic Physician in Training

State of Florida Department of Health. Board of Osteopathic Medicine. Application for Registration as an Osteopathic Physician in Training State of Florida Department of Health Board of Osteopathic Medicine Application for Registration as an Osteopathic Physician in Training Board of Osteopathic Medicine 4052 Bald Cypress Way, #C-06 Tallahassee,

More information

Section VII Provider Dispute/Appeal Procedures; Member Complaints, Grievances, and Fair Hearings

Section VII Provider Dispute/Appeal Procedures; Member Complaints, Grievances, and Fair Hearings Section VII Provider Dispute/Appeal Procedures; Member Complaints, Grievances, and Fair Hearings Provider Dispute/Appeal Procedures; Member Complaints, Grievances and Fair Hearings 138 Provider Dispute/Appeal

More information

Commonwealth of Pennsylvania

Commonwealth of Pennsylvania Commonwealth of Pennsylvania Date: November 7, 2013 Subject: PLCB Regulatory Affairs System Solicitation Number: 20121101 Proposal Due 1:00 p.m. on December 11, 2013 Date/Time: Addendum Number: 2 To All

More information

353 Water Street Augusta, ME Request for Proposal (RFP) For Economic Impact Analysis and Technical Assistance

353 Water Street Augusta, ME Request for Proposal (RFP) For Economic Impact Analysis and Technical Assistance 353 Water Street Augusta, ME 04330-4633 www.mainehousing.org Request for Proposal (RFP) For Economic Impact Analysis and Technical Assistance Request for Proposals Economic Impact Analysis and Technical

More information

REQUEST FOR PROPOSAL INFORMATION SECURITY CONSULTANT FOR ILLINOIS VALLEY COMMUNITY COLLEGE PROPOSAL #RFP2013-P03

REQUEST FOR PROPOSAL INFORMATION SECURITY CONSULTANT FOR ILLINOIS VALLEY COMMUNITY COLLEGE PROPOSAL #RFP2013-P03 REQUEST FOR PROPOSAL INFORMATION SECURITY CONSULTANT FOR ILLINOIS VALLEY COMMUNITY COLLEGE PROPOSAL #RFP2013-P03 INTRODUCTION The purpose of this proposal process is to identify potential consultants to

More information

201 North Forest Avenue Independence, Missouri (816) [September 25, 2017] REQUEST FOR PROPOSAL GRADUATION CAPS AND GOWNS

201 North Forest Avenue Independence, Missouri (816) [September 25, 2017] REQUEST FOR PROPOSAL GRADUATION CAPS AND GOWNS 201 North Forest Avenue Independence, Missouri 64050 (816) 521-5300 [September 25, 2017] REQUEST FOR PROPOSAL GRADUATION CAPS AND GOWNS Sealed proposals will be received by the Independence School District

More information

Request for Proposals (RFP)

Request for Proposals (RFP) Request for Proposals (RFP) Bid Reference Unit Name IVB/DO Purpose of the RFP: Competitive bidding process for Graphic Designer to support the World Health Organization (WHO), Department of Immunization,

More information

BURKE REQUEST FOR PROPOSAL TO PROVIDE OFFICE PAPER PRODUCTS TO VARIOUS BURKE BUILDING LOCATIONS

BURKE REQUEST FOR PROPOSAL TO PROVIDE OFFICE PAPER PRODUCTS TO VARIOUS BURKE BUILDING LOCATIONS BURKE REQUEST FOR PROPOSAL TO PROVIDE OFFICE PAPER PRODUCTS TO VARIOUS BURKE BUILDING LOCATIONS Burke is a Community Mental Health and Mental Retardation Center authorized under Chapter 534 of the Texas

More information

Emergency Medical Services Division Policies Procedures Protocols

Emergency Medical Services Division Policies Procedures Protocols Emergency Medical Services Division Policies Procedures Protocols Patient Medical Record Security and Privacy Policies and Procedures (1003.00) I. GENERAL PROVISIONS: A. The intent of these policies and

More information

Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438

Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438 Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438 Application for Employment as a Probationary Police Officer Instructions: Before completing this form, carefully read

More information

Date:21/02/2018 This policy will be reviewed every 12 months. Review Date:21/02/2019

Date:21/02/2018 This policy will be reviewed every 12 months. Review Date:21/02/2019 SMART EDUCATION RECRUITMENT LIMITED Safeguarding policy Designated Safeguarding Officer: Francesca Sandiford Designated Safeguarding Officer Contact details:fran@smarted.co.uk 01213927114 Date:21/02/2018

More information

Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438

Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438 Township of Lower Salford, Montgomery County 379 Main Street, Harleysville PA 19438 Application for Employment as a Probationary Police Officer Instructions: Before completing this form, carefully read

More information

Testimony of Michael C. Potteiger, Chairman Pennsylvania Board of Probation and Parole House Appropriations Committee February 12, 2014

Testimony of Michael C. Potteiger, Chairman Pennsylvania Board of Probation and Parole House Appropriations Committee February 12, 2014 Testimony of Michael C. Potteiger, Chairman Pennsylvania Board of Probation and Parole House Appropriations Committee February 12, 2014 Good morning Chairman Adolph, Chairman Markosek and members of the

More information

Rutherford Co. Rescue

Rutherford Co. Rescue RCLAFA, INC. Rutherford Co. Rescue Application You are only allowed to check one that you are applying for: Reserve Status Specialty Rescue Team Part-Time Paid Employee This application must be completely

More information

SENATE, No STATE OF NEW JERSEY. 216th LEGISLATURE INTRODUCED APRIL 28, 2014

SENATE, No STATE OF NEW JERSEY. 216th LEGISLATURE INTRODUCED APRIL 28, 2014 SENATE, No. STATE OF NEW JERSEY th LEGISLATURE INTRODUCED APRIL, 0 Sponsored by: Senator LORETTA WEINBERG District (Bergen) Senator JOSEPH F. VITALE District (Middlesex) Senator JAMES W. HOLZAPFEL District

More information

Request for Proposal: Grant Writing Services

Request for Proposal: Grant Writing Services POSTED: 2/2018 Request for Proposal: Grant Writing Services - 2018 Contract Title: Grant Writing Services POWER 2018 Organization: Staff Contact: Friends of Southwest Virginia One Heartwood Circle Abingdon,

More information

WEDC REQUEST FOR PROPOSALS:

WEDC REQUEST FOR PROPOSALS: WEDC REQUEST FOR PROPOSALS: FINANCIAL ACCOUNTING SOFTWARE ISSUED: March 16, 2018 All questions regarding this RFP and vendors Intention to Submit a Proposal must be submitted in writing to natalya.krutova@wedc.org

More information

Oversight of Nurse Licensing. State Education Department

Oversight of Nurse Licensing. State Education Department New York State Office of the State Comptroller Thomas P. DiNapoli Division of State Government Accountability Oversight of Nurse Licensing State Education Department Report 2016-S-83 September 2017 Executive

More information

Weber Family Chiropractic PC Patient Right to Request Restrictions on Use and Disclosure of Health Information

Weber Family Chiropractic PC Patient Right to Request Restrictions on Use and Disclosure of Health Information Weber Family Chiropractic PC Patient Right to Request Restrictions on Use and Disclosure of Health Information Policy No.: 6 Issue Date: 04/14/03 Revision Date: 10/01/2013 Approvals: Dr. Scott Weber Title:

More information

State of Florida Department of Health. Board of Osteopathic Medicine. Application for Registration as an Osteopathic Physician in Training

State of Florida Department of Health. Board of Osteopathic Medicine. Application for Registration as an Osteopathic Physician in Training State of Florida Department of Health Board of Osteopathic Medicine Application for Registration as an Osteopathic Physician in Training Board of Osteopathic Medicine 4052 Bald Cypress Way, #C-06 Tallahassee,

More information

Professional Credential Services, Inc.

Professional Credential Services, Inc. Professional Credential Services, Inc. P.O. Box 198689 - Nashville, TN 37219-8689 www.pcshq.com Licensure Application for Athletic Trainers For the Massachusetts Board of Allied Health Professionals If

More information

Illinois State Credit Union Scholarship Program

Illinois State Credit Union Scholarship Program Illinois State Credit Union Scholarship Program These Official Rules are specific to the 2018 Illinois State Credit Union Scholarship Program. By participating in the program, each entrant agrees to be

More information

Emmanuel Hospice. Welcome to Emmanuel Hospice! Please follow these step by step directions to submit your application:

Emmanuel Hospice. Welcome to Emmanuel Hospice! Please follow these step by step directions to submit your application: Emmanuel Hospice St. Ann s Clark Porter Hills Sunset 2161 Leonard St. NW Grand Rapids, MI 49504 P. 616.719.0919 F. 616.719.0933 www.emmanuelhospice.org Welcome to Emmanuel Hospice! Please follow these

More information

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. WHAT IS A NOTICE

More information

Healthcare Effectiveness Data and Information Set (HEDIS)

Healthcare Effectiveness Data and Information Set (HEDIS) Healthcare Effectiveness Data and Information Set (HEDIS) IlliniCare Health is a proud holder of NCQA accreditation as a managed behavioral health organization (MBHO) and prioritizes best in class performance

More information

DOMESTIC VIOLENCE ACCOUNTABILITY PROGRAM (DVAP) 16-Week Program Guidelines Adopted February 16, 2016

DOMESTIC VIOLENCE ACCOUNTABILITY PROGRAM (DVAP) 16-Week Program Guidelines Adopted February 16, 2016 INTRODUCTION DOMESTIC VIOLENCE ACCOUNTABILITY PROGRAM (DVAP) 16-Week Program Guidelines Adopted February 16, 2016 Domestic Violence Accountability Programs (formerly known as CAP, Conflict Accountability

More information

JOINT NOTICE OF PRIVACY PRACTICES

JOINT NOTICE OF PRIVACY PRACTICES JOINT NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. Who Will Follow This Notice PLEASE REVIEW

More information

FY STRATEGIC BUSINESS PLAN

FY STRATEGIC BUSINESS PLAN FY2017-2019 STRATEGIC BUSINESS PLAN, North Carolina OUR Promote a culture of health and wellness. Championing Integrated Care Collaboration Integration Wellness Integrated Care is the organization and

More information

The Pennsylvania Global Access Program

The Pennsylvania Global Access Program The Pennsylvania Global Access Program Program Guidelines October 2015 Funded in part through a Cooperative Agreement with the U.S. Small Business Administration. Commonwealth of Pennsylvania Tom Wolf,

More information

EMPLOYMENT APPLICATION. Name Date Present Address Telephone ( ) Cell Phone ( )

EMPLOYMENT APPLICATION. Name Date Present Address Telephone ( ) Cell Phone ( ) COMMUNITY HEALTH PROFESSIONALS, INC. & Private Duty Services, Inc. Ada Archbold Bryan Celina Defiance Delphos Helping Hands/Lima Paulding Tri-County/Wapak Van Wert EMPLOYMENT APPLICATION Name Date Present

More information

New Patient Information

New Patient Information New Patient Information PATIENT INFORMATION M / F Last Name First Name Middle Name Suffix- Jr, Sr, etc. Mr, Mrs, Ms, Dr Sex Date of Birth Social Security Number Alias- Nickname (Last, First, Middle) Permanent

More information

GUILFORD COUNTY SCHOOLS RFP # 5189 Request For Proposal to provide Nursing/Nursing Assistant Services (CNA)

GUILFORD COUNTY SCHOOLS RFP # 5189 Request For Proposal to provide Nursing/Nursing Assistant Services (CNA) GUILFORD COUNTY SCHOOLS RFP # 5189 Request For Proposal to provide Nursing/Nursing Assistant Services (CNA) Proposals are being solicited for Nursing Services (CNA) for students in the Guilford County

More information

Request for Proposals

Request for Proposals Request for Proposals For the period May 1, 2018 August 31, 2021 Learn & Earn Summer Youth Employment Program Proposals Due: February 26, 2018 at 12:00 PM (noon) Partner4Work 650 Smithfield Street, Suite

More information

Sign and return included forms. (Authorization to Release Information Form, Background Check Form and Vehicle Use Agreement)

Sign and return included forms. (Authorization to Release Information Form, Background Check Form and Vehicle Use Agreement) To: Employees with Conditional Offers of Employment Re: Background Checks All offers of employment or participation in any activity involving minors in a University sponsored program with The University

More information

REQUEST FOR PROPOSALS

REQUEST FOR PROPOSALS REQUEST FOR PROPOSALS FOR DIALECTICAL BEHAVIORAL THERAPY (DBT) TRAINING AND CLINICAL SUPERVISION CONSULTANT SERVICES PHMC RFP #: IHW-2012-001 RELEASE DATE: MARCH 27, 2012 PROPOSAL DEADLINE: MONDAY, APRIL

More information

Transmittal for Handbook No: REV-1,CHG-4 Issued:

Transmittal for Handbook No: REV-1,CHG-4 Issued: U.S. Department of Housing and Urban Development Special Attention of: Regional Directors Multifamily Hub Directors Multifamily Program Center Directors Supervisory Project Managers Project Managers Contract

More information

Firefighter Application Packet City of Texarkana, Texas

Firefighter Application Packet City of Texarkana, Texas Firefighter Application Packet City of Texarkana, Texas Fire Department Human Resources 220 Texas Blvd. PO Box 1967 Texarkana, TX 75503 Texarkana, TX 75504 (903) 798-3994 (903) 798-3916 Thank you for your

More information

Request for Proposals for Transitional Living Centers

Request for Proposals for Transitional Living Centers Request for Proposals for Transitional Living Centers I. Introduction: Central Iowa Community Services (CICS) is announcing this Request for Proposals (RFP) for the following counties: Boone, Franklin,

More information

TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume.

TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume. TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume. Applicant Information Position Applied For: Are you employed now? Yes (

More information

Draft Code of Practice FOR PUBLIC CONSULTATION

Draft Code of Practice FOR PUBLIC CONSULTATION Draft Code of Practice FOR PUBLIC CONSULTATION Foreword Data Governance Australia DGA is committed to setting industry standards and benchmarks for the responsible and ethical collection, use and management

More information

APPLICATION FOR CERTIFICATION

APPLICATION FOR CERTIFICATION APPLICATION FOR CERTIFICATION SEX OFFENDER TREATMENT PROVIDER ASSOCIATE PROVIDER LEVEL California 1515 S Street, 212- North, Sacramento, CA 95811 Website: www.casomb.org Contact Information for Inquiries

More information

Request for Organizational Assessment

Request for Organizational Assessment Pantages Theater Rialto Theater Theatre on the Square Tacoma Armory 901 Broadway, Suite 700 Tacoma, Washington 98402 4415 Contact: hklindt@broadwaycenter.org www.broadwaycenter.org Issued: June 26, 2018

More information

AUSTIN ENERGY REQUEST FOR PROPOSALS (RFP) FOR THE PURCHASE OF RENEWABLE CAPACITY & ENERGY FROM RENEWABLE ENERGY RESOURCES

AUSTIN ENERGY REQUEST FOR PROPOSALS (RFP) FOR THE PURCHASE OF RENEWABLE CAPACITY & ENERGY FROM RENEWABLE ENERGY RESOURCES AUSTIN ENERGY REQUEST FOR PROPOSALS (RFP) FOR THE PURCHASE OF RENEWABLE CAPACITY & ENERGY FROM RENEWABLE ENERGY RESOURCES 1. PURPOSE A. Statement of Intent The City of Austin, Texas d/b/a Austin Energy

More information

GUILFORD COUNTY SCHOOLS RFP # 5189 Request For Proposal to provide Nursing/Nursing Assistant Services (CNA)

GUILFORD COUNTY SCHOOLS RFP # 5189 Request For Proposal to provide Nursing/Nursing Assistant Services (CNA) GUILFORD COUNTY SCHOOLS RFP # 5189 Request For Proposal to provide Nursing/Nursing Assistant Services (CNA) Proposals are being solicited for Nursing Services (CNA) for students in the Guilford County

More information

Member Application

Member Application Member Application 2016-2017 First Name: Last Name: Address (at time of application): Phone: Alternate Phone: Best Time(s) to Reach You: E-mail: Instructions Please carefully complete the entire application

More information

Patient Section. Patient Name: (Last) (First) (MI) Address: City: State: Zip: Date of Birth: / / Month Day Year Home Phone: ( ) - Cell Phone: ( ) -

Patient Section. Patient Name: (Last) (First) (MI) Address: City: State: Zip: Date of Birth: / / Month Day Year Home Phone: ( ) - Cell Phone: ( ) - Lilly Cares Foundation Patient Assistance Program PO Box 13185 La Jolla, CA 92039 1-800-545-6962 Fax: (844) 431-6650 www.lillycares.com Patient Name: (Last) (First) (MI) Address: City: State: Zip: Date

More information

ST. JOSEPH COUNTY, INDIANA REQUEST FOR PROPOSALS ST. JOSEPH COUNTY ELECTION BOARD ELECTRONIC POLL-BOOKS. RELEASED January 19, 2016

ST. JOSEPH COUNTY, INDIANA REQUEST FOR PROPOSALS ST. JOSEPH COUNTY ELECTION BOARD ELECTRONIC POLL-BOOKS. RELEASED January 19, 2016 ST. JOSEPH COUNTY, INDIANA REQUEST FOR PROPOSALS ST. JOSEPH COUNTY ELECTION BOARD ELECTRONIC POLL-BOOKS RELEASED January 19, 2016 PROPOSALS DUE February 2, 2016 ST. JOSEPH COUNTY, INDIANA REQUEST FOR PROPOSALS

More information

VOLUNTEER MANUAL PLEASE READ THIS MANUAL AND OBTAIN ALL REQUIREMENTS BEFORE RETURNING YOUR COMPLETED PACKET TO THE DISTRICT ADMINISTRATION OFFICE.

VOLUNTEER MANUAL PLEASE READ THIS MANUAL AND OBTAIN ALL REQUIREMENTS BEFORE RETURNING YOUR COMPLETED PACKET TO THE DISTRICT ADMINISTRATION OFFICE. VOLUNTEER MANUAL Due to the requirements set by Pennsylvania State Law, ALL Susquehanna Township School District Volunteers must be registered with the Volunteer Program. This Volunteer Manual contains

More information

REQUEST FOR PROPOSALS FOR YOUTH SERVICES COORDINATOR TOWN OF AVON, CONNECTICUT RFP 09/10-26

REQUEST FOR PROPOSALS FOR YOUTH SERVICES COORDINATOR TOWN OF AVON, CONNECTICUT RFP 09/10-26 REQUEST FOR PROPOSALS FOR YOUTH SERVICES COORDINATOR TOWN OF AVON, CONNECTICUT RFP 09/10-26 The Town of Avon is seeking written responses to a Request for Proposal (RFP) for a part-time Youth Services

More information

REQUEST FOR PROPOSALS. For: As needed Plan Check and Building Inspection Services

REQUEST FOR PROPOSALS. For: As needed Plan Check and Building Inspection Services Date: June 15, 2017 REQUEST FOR PROPOSALS For: As needed Plan Check and Building Inspection Services Submit Responses to: Building and Planning Department 1600 Floribunda Avenue Hillsborough, California

More information

Montgomery County Intermediate Unit 2 West Lafayette Street Norristown, Pa 19401

Montgomery County Intermediate Unit 2 West Lafayette Street Norristown, Pa 19401 The Montgomery County Intermediate Unit will receive sealed Request for Proposals on May 29, 2018 at 2:00 PM, for the 2018-2019 PA Fellowship Program on the following dates; September 12 & 13, 2018 December

More information

Privacy Policy - Australian Privacy Principles (APPs)

Privacy Policy - Australian Privacy Principles (APPs) Policy New England North West Health Ltd (Trading as HealthWISE New England North West) will be referred to as HealthWISE for the purposes of this document. HealthWISE recognises that Information Privacy

More information

Catholic Charities Disabilities Services. In-Home Behavioral Support Services (2017)

Catholic Charities Disabilities Services. In-Home Behavioral Support Services (2017) Catholic Charities Disabilities Services In-Home Behavioral Support Services (2017) A Program funded through a Family Support Services Grant from OPWDD Submit Application and supporting documentation to:

More information

NATIONAL ASSOCIATION FOR STATE CONTROLLED SUBSTANCES AUTHORITIES (NASCSA) MODEL PRESCRIPTION MONITORING PROGRAM (PMP) ACT (2016) COMMENT

NATIONAL ASSOCIATION FOR STATE CONTROLLED SUBSTANCES AUTHORITIES (NASCSA) MODEL PRESCRIPTION MONITORING PROGRAM (PMP) ACT (2016) COMMENT 1 NATIONAL ASSOCIATION FOR STATE CONTROLLED SUBSTANCES AUTHORITIES (NASCSA) MODEL PRESCRIPTION MONITORING PROGRAM (PMP) ACT (2016) SECTION 1. SHORT TITLE. This Act shall be known and may be cited as the

More information

Catholic Charities Disabilities Services 2017 Family Reimbursement Grant For Respite Funds 1 Park Place, Suite 200 Albany, NY (518)

Catholic Charities Disabilities Services 2017 Family Reimbursement Grant For Respite Funds 1 Park Place, Suite 200 Albany, NY (518) Catholic Charities Disabilities Services 2017 Family Reimbursement Grant For Respite Funds 1 Park Place, Suite 200 Albany, NY 12205 (518) 783-1111 Instructions (Please read thoroughly prior to completing

More information

A $ application fee in the form of a money order made payable to LSBN must accompany this form.

A $ application fee in the form of a money order made payable to LSBN must accompany this form. OFFICE USE ONLY: APPROVED BY (initial) DATE PERMIT ISSUED RN LICENSE NUMBER DATE RN LICENSE ISSUED ATTACH 2 X 2 PHOTO With tape only - Attach a 2 x 2 inch passport type, fade-proof photo taken in the last

More information

Dr. Kristin Heins, ND Thrive Natural Family Health 110 Eglinton Avenue East, Suite 502 Toronto, Ontario M4P 2Y1 Telephone: (647)

Dr. Kristin Heins, ND Thrive Natural Family Health 110 Eglinton Avenue East, Suite 502 Toronto, Ontario M4P 2Y1 Telephone: (647) Psychotherapy Client Information Today's date: A. Identification Your name: Date of birth: Age: Your nicknames/previous/maiden/aliases: Sex: [ ]Male [ ]Female Gender: Title: [ ]Mr. [ ]Mrs. [ ]Miss [ ]Ms

More information

Criminal History Screening Resource Guide An exclusive member product for Florida s long term care providers

Criminal History Screening Resource Guide An exclusive member product for Florida s long term care providers Criminal History Screening Resource Guide 2006 An exclusive member product for Florida s long term care providers 2006, Florida Health Care Association Criminal History Screening Resource Guide, Page 2

More information

LIVING WORD CHRISTIAN SCHOOL CODE OF ETHICS

LIVING WORD CHRISTIAN SCHOOL CODE OF ETHICS Living Word Christian School accepts this code of ethics put forth by the Department of Education with the exception that nothing in these paragraphs shall be construed as limiting our freedom to teach

More information

UMATILLA COUNTY EMPLOYMENT APPLICATION

UMATILLA COUNTY EMPLOYMENT APPLICATION DATE/TIME APPLICATION RECEIVED: BY: UMATILLA COUNTY EMPLOYMENT APPLICATION AN EQUAL OPPORTUNITY EMPLOYER REVISED 01/17 Human Resources Department Umatilla County Courthouse 216 SE 4 th Street, Pendleton,

More information

CODE OF MARYLAND REGULATIONS (COMAR)

CODE OF MARYLAND REGULATIONS (COMAR) CODE OF MARYLAND REGULATIONS (COMAR) Title 12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES Subtitle 10 CORRECTIONAL TRAINING COMMISSION Chapter 01 General Regulations Authority: Correctional Services

More information

AIT APPLICATION PACKAGE FOR REGISTRATION AS A PSYCHOLOGIST OR PSYCHOLOGICAL ASSOCIATE Version

AIT APPLICATION PACKAGE FOR REGISTRATION AS A PSYCHOLOGIST OR PSYCHOLOGICAL ASSOCIATE Version THE PSYCHOLOGICAL ASSOCIATION OF MANITOBA 208-584 Pembina Hwy., Winnipeg, Manitoba R3M 3X7 Phone: (204) 487-0784 Fax: (204) 489-8688 Email: pam@mts.net Website: www.cpmb.ca AIT APPLICATION PACKAGE FOR

More information

MSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015

MSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015 MSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015 This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

More information

REQUEST FOR PROPOSALS: NON-PROFIT GRANT WRITING SERVICES

REQUEST FOR PROPOSALS: NON-PROFIT GRANT WRITING SERVICES REQUEST FOR PROPOSALS: NON-PROFIT GRANT WRITING SERVICES About the Police Foundation: We are a national non-profit non-partisan organization that, consistent with its commitment to improve policing, has

More information

Request for Proposal

Request for Proposal Request for Proposal To Perform Services and Provide Products related to the Development and Creation of the Community Action Software Tool CASTiNET 3.0 RFP# 201708001 August 22, 2017 Table of Contents

More information

Sign and return included forms. (Background Check Form, Authorization to Release Information Form, and Vehicle Use Agreement)

Sign and return included forms. (Background Check Form, Authorization to Release Information Form, and Vehicle Use Agreement) To: Employees with Conditional Offers of Employment Re: Background Checks All offers of employment or participation in any activity involving minors in a University sponsored program with The University

More information

IDS CASE STUDY: Washington State

IDS CASE STUDY: Washington State IDS CASE STUDY: Washington State Washington State s Integrated Client Data Base and Analytic Capacity by Erika M. Kitzmiller APRIL 2014 University of Pennsylvania 3701 Locust Walk, Philadelphia, PA 19104

More information

Retrospective Review of Criminal Convictions in Nursing

Retrospective Review of Criminal Convictions in Nursing Retrospective Review of Criminal Convictions in Nursing 2012-2013 Elizabeth H. Zhong, PhD 2016 NCSBN Scientific Symposium, October 6, 2016, Chicago, IL Outline 1. Introduction 2. Methods 3. Main Findings

More information

Georgia Lottery Corporation ("GLC") PROPOSAL. PROPOSAL SIGNATURE AND CERTIFICATION (Authorized representative must sign and return with proposal)

Georgia Lottery Corporation (GLC) PROPOSAL. PROPOSAL SIGNATURE AND CERTIFICATION (Authorized representative must sign and return with proposal) NOTE: PLEASE ENSURE THAT ALL REQUIRED SIGNATURE BLOCKS ARE COMPLETED. FAILURE TO SIGN THIS FORM AND INCLUDE IT WITH YOUR PROPOSAL WILL CAUSE REJECTION OF YOUR PROPOSAL. Georgia Lottery Corporation ("GLC")

More information

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES NOTICE OF PRIVACY PRACTICES Effective Date: May 31, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW

More information

BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES

BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES TOWN OF KILLINGWORTH BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES DATE: February 14, 2018 1 I. INTRODUCTION A. General Information The Town of Killingworth is requesting proposals

More information