LETTER OF AGREEMENT AUTHORIZED PROVIDER. First Aid & Water Safety Services
|
|
- Timothy Nash
- 6 years ago
- Views:
Transcription
1 LETTER OF AGREEMENT AUTHORIZED PROVIDER National Authorized Provider Agreement Page 1
2 We thank you for considering the signing of an Authorized Provider Partnership Agreement with the Canadian Red Cross. The Agreement establishes the parameters encouraging continuous work relations based on mutual support and collaboration in order to provide and make accessible quality training to members of the community. MISSION OF THE CANADIAN RED CROSS We help people deal with situations that threaten: their survival and safety; their security and well-being; their human dignity in Canada and around the world. SUBJECT OF THE PRESENT AUTHORIZED PROVIDER AGREEMENT To describe the commitments and responsibilities of the Canadian Red Cross and the Authorized Provider as a partner in the delivery of First Aid and/or Water Safety programs. To describe the quality control measures that will ensure an on-going process of evaluation of First Aid and/or Water Safety programs. To explain the appropriate use of Canadian Red Cross materials, products and programs, while enhancing the ability of the Authorized Providers to promote and ensure the delivery of Red Cross First Aid and/or Water Safety programs. Our Mutual Commitments Our mutual commitments serve as the basis for the development of a strong, on-going partnership between the Canadian Red Cross and you, the Authorized Provider. We mutually agree to: National Authorized Provider Agreement Page 2
3 establish a relationship based on mutual respect and trust; provide communities with First Aid and/or Water Safety programs and products that are flexible, affordable, accessible and of high quality; expand and improve the Canadian Red Cross s delivery of educational services and training, while assisting Authorized Providers in increasing their community profile and program participation; provide on-going program evaluations to ensure that the needs of the Authorized Provider and participants are met; support national partnerships that provide program recognition and needed resources for on-going research and development; help people make wise choices that will allow them to lead safer, healthier lives. Responsibilities of the Canadian Red Cross The Canadian Red Cross agrees to: designate a resource person(s) who will be the primary contact(s) with the Authorized Provider and will offer assistance and support; provide the highest quality First Aid and/or Water Safety programs in Canada, based on the contribution of research in the fields of medicine and education, Authorized Providers, instructor/trainers and participants; National Authorized Provider Agreement Page 3
4 provide technical assistance, marketing materials and administrative support and course materials needed for the delivery of First Aid and/or Water Safety programs; inform the Authorized Provider, within 90 days, of any changes to the price list of products and educational services; process and deliver Leadership certifications; keep all Leadership course and certification documentation for at least (5) five years; provide the necessary materials to identify Canadian Red Cross First Aid and/or Water Safety programs; explain to the Authorized Provider the proper way to use the Red Cross artwork and registered trademarks; ensure program quality by means of on-going evaluations and research and development activities. With regard to instructors/trainers teaching Canadian Red Cross courses, the Canadian Red Cross agrees to: certify and re-certify those who meet the program requirements. The Authorized Provider can obtain the confirmation of a instructor/trainer s status upon request; provide program updates and revisions as required; National Authorized Provider Agreement Page 4
5 communicate opportunities for volunteer and professional skill development. Responsibilities of the Authorized Provider The Authorized Provider agrees to the following: designate a resource person who will be the primary contact with the Canadian Red Cross and will ensure the application of the partnership agreement; offer Canadian Red Cross programs employing only those instructor/trainers holding a valid certification issued by the Canadian Red Cross; offer approved Canadian Red Cross First Aid and/or Water Safety programs according to the standards outlined in the Authorized Provider s Guide, and all applicable Leadership manuals; offer only the Canadian Red Cross programs selected and approved upon this agreement; purchase only from the Canadian Red Cross all required and recommended program materials and distribute them to the participants. Payments to the Red Cross for products and services must be made according to administrative and payment guidelines; not reproduce, change or substitute materials produced by the Canadian Red Cross; ensure that Canadian Red Cross First Aid and/or Water Safety programs are identified as such and respect all the graphic standards, including the rules for National Authorized Provider Agreement Page 5
6 the use of the Red Cross artwork and registered trademarks, as defined by the Canadian Red Cross in the Authorized Provider s Guide, in all promotional materials and signage; submit, on request, copies of program promotional materials, including references to First Aid and/or Water Safety programs, to the Canadian Red Cross; take part, as requested by the Canadian Red Cross, in the gathering of statistical data necessary for the on-going evaluation of the programs; provide access for Canadian Red Cross representatives, following advisement, to the courses for purposes of quality evaluation. The evaluation results will be shared with the Authorized Provider. meet, in the case of Leadership courses, all the pre-course and post-course administrative requirements, in accordance with the Authorized Provider Guide; send the Leadership course roster, evaluation forms and course results to the Canadian Red Cross, in the 30 days following the end of the course; maintain a safe environment suitable for delivery of Red Cross First Aid and/or Water Safety programs. Safe environment is determined by the relevant provincial legislation and municipal regulations; provide a safe and secure environment for all participants by ensuring all instructor/trainers and other individuals having contact with participants have been properly screened; National Authorized Provider Agreement Page 6
7 represent yourself always as a First Aid and/or Water Safety Program Authorized Provider of the Canadian Red Cross, not as its spokesperson or representative; agree to obtain insurance coverage for the courses, services and activities delivered and submit proof. The Red Cross does not provide third party insurance for the Authorized Provider s courses, services and activities; accept responsibility for all costs, damages and expenses associated with the courses, services and activities provided (e.g., classrooms, advertising, hiring etc.). The Red Cross does not have direct control over the organization of courses, services and activities of the Authorized Providers; it therefore is not accountable for expenses or financial losses of the former relative to these activities; take responsibility for all the damages, legal fees, interest or losses that are a result of any error or omission on the part of the Authorized Provider or his instructors in the delivery of Canadian Red Cross First Aid and/or Water Safety programs. It is understood that the Canadian Red Cross will assume the same obligations toward its own liability; forward in writing complaints, comments and suggestions related to the Agreement to a Canadian Red Cross designated resource person or at the Red Cross Zone Office. abide by the policies and procedures of the Canadian Red Cross in the delivery of the programs, as defined in the Authorized Provider Guide. abide by all the terms of national/provincial training agreements established by the Canadian Red Cross where they exist. National Authorized Provider Agreement Page 7
8 This Authorized Provider Agreement is valid for one year, from April to March Either party may terminate this Agreement at any time upon 30 days written notice. In the event of such termination, neither of the two parties will be liable to the other by virtue of this Agreement. Accreditation fees are required to be paid in full on the day the agreement is signed. Accreditation fees are not refunded if the Authorized Provider chooses to terminate this agreement. This Agreement must be renewed March The Authorized Provider fee must be paid annually. If one or both parties propose changes to the Agreement, they must be submitted in writing, at least 30 days before the expiration of the Agreement. The present Agreement is governed by the laws of the province or territory in which it was signed. Issued in on CITY DAY, MONTH, YEAR Signature Name of Authorized Provider s Designate Title Signature Name of Zone Office Representative Title Date (DAY, MONTH, YEAR) Date (DAY, MONTH, YEAR) National Authorized Provider Agreement Page 8
9 AUTHORIZED PROVIDER REGISTRATION FORM Name of Provider: AP Number: 3-T Name of Designated Person: Title: Mailing address for Invoicing: City: Postal Code: Province: Website: Telephone (bus): ( ) Cell Phone: ( ) Fax: ( ) Do you want the information listed above posted on our website? Please list the cities you would like your listing under: Do you want to receive an electronic copy of our newsletter InfoFax? Proof of Insurance: Name of Insurance Company: Telephone: ( ) Policy#: National Authorized Provider Agreement Page 9
10 Same as billing address listed above Facility Information Please provide all additional shipping addresses below that are associated with your account. Attach additional pages as necessary. Facility Name: Contact Person: Address: City & Postal Code: Phone: Fax: Bill to facility: Yes No Facility Name: Contact Person: Address: City & Postal Code: Phone: Fax: Bill to facility: Yes No Facility Name: Contact Person: Address: City & Postal Code: Phone: Fax: Bill to facility: Yes No Facility Name: Contact Person: Address: City & Postal Code: Phone: Fax: Bill to facility: Yes No National Authorized Provider Agreement Page 10
11 AUTHORIZED PROVIDER ACCREDITATION FEE PAYMENT FORM Accreditation fees First Aid programs $ Accreditation fees Water Safety programs $ Combined fees First Aid and Water Safety programs $ Seasonal Water Safety program fee $ * This Authorized Provider Agreements is valid for one year, from April to March Accreditation fees are required to be paid in full on the day the agreement is signed. Accreditation fees are not refunded if the Authorized Provider chooses to terminate this agreement. This agreement must be renewed March 31, The Authorized Provider Fee must be paid annually. If one or both parties propose changes to the Agreement, they must be submitted in writing, at least 30 days before the expiration of the Agreement. Red Cross Authorized Provider Number: T Method of Payment: Cheque (please attach) Money Order Credit Card: Visa MC Amex Card#: Expiry Date: Name of Card Holder: Card Holder s Signature: All cheques and money orders are payable to: Canadian Red Cross Safety Services, Ontario Zone National Authorized Provider Agreement Page 11
12 WATER SAFETY PROGRAMS SELECTED BY AUTHORIZED PROVIDER The Authorized Provider is approved to offer the Water Safety programs selected on this form during the time stipulated in this Agreement. New Red Cross Swim Program Red Cross Swim Preschool: Starfish Duck Sea Turtle Salamander Sunfish Crocodile Whale Red Cross Swim Kids: AquaSquirts AquaSquirts Too Swim@School Red Cross Instructor Development Program: AWSI WSI WSIT On Board On Board Exam & retail: On Board retail only: National Authorized Provider Agreement Page 12
13 FIRST AID PROGRAMS SELECTED BY THE AUTHORIZED PROVIDER The Authorized Provider is approved to offer the First Aid programs selected on this form during the time stipulated in this Agreement. First Aid Programs Emergency First Aid: Standard First Aid: CPR/AED (CPR all levels): AED: Marine First Aid courses: ChildSafe: First Responder: Babysitting: PeopleSavers: Preventing Disease Transmission: Oxygen Administration: On Board On Board Exam & retail: On Board retail only: National Authorized Provider Agreement Page 13
EVENT DEVELOPMENT GRANT 2016 Application Package
EVENT DEVELOPMENT GRANT 2016 Application Package The City of Thunder Bay s Event Hosting Strategy supports community organizers to host events which contribute to the local economy, enhance volunteerism,
More informationGiant Tiger s Home for the Holidays Christmas Contest Official Rules
Giant Tiger s Home for the Holidays Christmas Contest 2017 Official Rules 1. NO PURCHASE OR PAYMENT NECESSARY TO ENTER OR WIN. A PURCHASE OR PAYMENT OF ANY KIND WILL NOT INCREASE YOUR CHANCES OF WINNING.
More informationWe have many sponsors and exhibitors who have returned every year for the past 10 years! Here are a few comments from our sponsors/exhibitors:
12 th Annual Southern Obesity Summit October 22-24, 2018 Charleston Civic Center 200 Civic Center Dr. Charleston, West Virginia 25301 www.southernobesitysummit.org Who attends the Southern Obesity Summit?
More informationApplication Form for Registration as a Social Worker
Registered Social Worker in a Canadian Province (other than Ontario), the rthwest Territories or the Yukon Application Form for Registration as a Social Worker General Certificate of Registration for Social
More information2018 Status Change Form Inactive to General Certificate (IN to GC)
2018 Status Change Form Inactive to General Certificate (IN to GC) A. Personal Information If your name has changed since you last held a General Certificate, please contact the College for information
More informationFrederick Street Kitchener, ON N2H 2M
500-151 Frederick Street Kitchener, ON N2H 2M2 519-742-8610 dianne@volunteerkw.ca facebook.com/volunteerwr twitter.com/volunteerwr instagram.com/volunteerwr The Volunteer Action Centre, in partnership
More informationIndustrial Optimization Program: Feasibility Study
Industrial Optimization Program: Feasibility Study The Feasibility Study is a detailed study of a specific process or system within an industrial facility to fully investigate an opportunity to use natural
More informationRegistration and Licensure as a Pharmacy Technician
Registration and Licensure as a Pharmacy Technician For applicants who are currently licensed to practise as a pharmacy technician in a Canadian jurisdiction outside New Brunswick. Please read all pages
More informationCSME IME BOOTCAMP THURSDAY, NOVEMBER 30, 2017
CSME IME BOOTCAMP A Head on Approach to Understanding Moderate to Severe Traumatic Brain Injury in the Medicolegal Setting CSME IME BOOTCAMP THURSDAY, NOVEMBER 30, 2017 OVERVIEW: This interactive workshop
More informationCONTEST RULES. To be valid, entries must be received by Thursday November 30, 2017 at 6:00 p.m.
CONTEST RULES CBC s The First Page Youth Writing Challenge 2017 ( Contest ) From Thursday, November 9, 2017 at 9:00 a.m. ET to Thursday, November 30, 2017 at 6:00 p.m. ET ( Contest Period ) Canadian Broadcasting
More informationCertified Pain Educator (CPE) Examination Application. Applicant Name:
Certified Pain Educator (CPE) Examination Application Applicant Name: Application Checklist 1. What to Send Copy of this Application Form Your Documentation Copy of your healthcare professional license.
More informationCONTEST RULES. CBC Saskatchewan Future 40 Under 40 ( Contest )
CONTEST RULES CBC Saskatchewan Future 40 Under 40 ( Contest ) Phase I From 9:00 a.m. on Monday, March 3, 2014 CT to 6:30 p.m. on Friday, March 14, 2014 CT ( Phase I Contest Period ) Phase II From 6:00
More informationNew Registrant Application Form
Prince Edward Island Occupational Therapists Registration Board New Registrant Application Form Personal Information Ms. Mrs. Miss Mr. Dr. Legal First Name Middle Name Legal Last Name Commonly Used FIRST
More informationNNevada State Board of
CONTINUING EDUCATION PROVIDER APPLICATION Instructions for Completion 1. Completed Application for Approval as a Continuing Education Provider, including Course Information (Page 3) and Instructor Information
More informationTraining Centre Administrative Manual
EMP Canada 2013 Training Centre Administrative Manual STANDARDS AND GUIDELINES FOR QUALITY ASSURANCE We Make Learning to Save Lives Easy Table of Contents Training Centre Administrative Manual (TCAM) Overview...
More informationDENTIST INSTRUCTIONS FOR APPLICATION FOR TRANSFER
500 1765 West 8th Avenue Vancouver BC Canada V6J 5C6 Phone 604 736 3621 Toll Free 1 800 663 9169 www.cdsbc.org College of Dental Surgeons of British Columbia DENTIST INSTRUCTIONS FOR APPLICATION FOR TRANSFER
More informationBUILDING EXPERTISE NATIONAL CONFERENCE
June 13-15, 2018 Disney s Coronado Springs Resort Lake Buena Vista, Florida SPONSORSHIP OPPORTUNITIES ABOUT BUILDING EXPERTISE Annual International Educators Conference The Building Expertise conference
More informationMembership Application Package
Membership Application Package Proud member of: 1 What is a Chamber of Commerce? A Chamber of Commerce is an association of businesspeople who have joined together to promote the civic, commercial and
More informationClient name:... Billing name:... Address:... address:... ABN/ACN:... Contact name:... Phone number:... Cost register (office use):...
terms of business australia This document sets out the terms and conditions ( Terms of Business ) upon which Randstad Pty Limited ABN 28 080 275 378 with its registered office at Level 5, 109 Pitt Street,
More informationNational Education Initiative Event Application
National Education Initiative Event Application This application is for GMOs or GMO chapters who wish to host a USDF National Education Initiative program. Program organizers must be affiliated with a
More informationThe Charity Duck Drive (hereafter CDD ) benefiting The Hospital for Sick Children on August 1, 2017 to August 31, 2017 (the "Contest").
RULES AND REGULATIONS 2017 Charity Duck Drive OFFICIAL CONTEST RULES The Charity Duck Drive (hereafter CDD ) benefiting The Hospital for Sick Children on August 1, 2017 to August 31, 2017 (the "Contest").
More informationAPPLICATION FOR REGISTRATION
INTERNATIONALLY EDUCATED NURSES APPLICATION FOR REGISTRATION Below is a brief description of what is required to begin the application and what to expect throughout the process. Please read through carefully.
More informationAPPLICATION FOR REGISTRATION TO OPERATE A PRIVATE CAREER COLLEGE
Ministry of Training, Colleges and Universities Private Institutions Branch APPLICATION FOR REGISTRATION TO OPERATE A PRIVATE CAREER COLLEGE To be completed by the APPLICANT (sole proprietor in a sole
More informationRBC Show Arbie and WIN Student Photo Contest Official Rules and Regulations. Questions:
RBC Show Arbie and WIN Student Photo Contest Official Rules and Regulations Questions: socialmedia@rbc.com The sponsor of the RBC Show Arbie and WIN Student Photo Contest (the Contest ) is Royal Bank of
More informationCentral Area Community Improvement Plan
Central Area Community Improvement Plan Facade Improvement Grant Program Application Package Program Guide Application Process Chart Application Form General Administration Provisions Facade Improvement
More informationAPPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY
APPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY Legal Name of Organization Business License / Registration Number Mailing Address City Phone Postal Code Email The above
More informationCertified Aboriginal Professional Administrator (CAPA) In-Person Program
Certified Aboriginal Professional Administrator (CAPA) In-Person Program PROGRAM OVERVIEW AFOA Canada is pleased to offer the CAPA In-Person Program as a CAPA Certification option for Senior Administrators,
More informationINDIGENOUS DAY LIVE 2018 ROCK YOUR MOCS OFF CONTEST RULES AND REGULATIONS
INDIGENOUS DAY LIVE 2018 ROCK YOUR MOCS OFF CONTEST RULES AND REGULATIONS The Indigenous Day Live 2018 Rock Your Mocs Off Contest {the "Contest") is held by Aboriginal Peoples Television Network Incorporated
More informationPersonal Care Home Regulation
Summary Introduction The Health and Community Services Act (the Act) provides the Department of Health and Community Services (the Department) with the overall responsibility of regulating Personal Care
More informationQuick Facts. For Start-up and Expanding Businesses
Quick Facts For Start-up and Expanding Businesses Contents The Business Centre...2 Choosing a Business Structure...3 Licenses, Permits, & Inspections...4 Choosing a Location...5 Insurance/HST...6 Hiring
More informationExpression of Interest. for. Canada 150 Coordinator Bridging Meaning in Niagara Project
Expression of Interest for Bridging Meaning in Niagara Project Request for Quotation No.: 2017-EOI-06 Issued: Friday May 26, 2017 Submission Deadline: 2:00pm Thursday June, 15, 2017 Submission Location:
More informationPROCESSOR PROGRAM GUIDE. Working together for the future
PROCESSOR PROGRAM GUIDE Working together for the future Introducing the Canadian Agricultural Partnership The Canadian Agricultural Partnership (CAP) is a five-year federal-provincial-territorial initiative
More informationClient name:... Billing name:... Address:... address:... ABN/ACN:... Contact name:... Phone number:... Cost register (office use):...
terms of business education australia This document sets out the terms and conditions ( Terms of Business ) upon which Randstad Pty Limited ABN 28 080 275 378 with its registered office at Level 5, 109
More informationAPPLICATION FOR TITLE AND DESIGNATION AS A CHARTERED MANAGER (C.Mgr.) Procedure M 111(16) GIVEN NAME(S)
PLEASE PRINT OR TYPE IN BLOCK LETTERS AND PROVIDE ALL DATA REQUESTED Established Under Federal and Provincial Charter HST # 127177145 CANADIAN INSTITUTE OF MANAGEMENT INSTITUT CANADIEN DE GESTION Dr. Mr.
More informationOUT OF PROVINCE PRACTICAL NURSE
OUT OF PROVINCE PRACTICAL NURSE APPLICATION INSTRUCTIONS Effective January 1, 2018 This instruction guide provides general information to assist you in the application process. Further information will
More informationFrequently Asked Questions (FAQ) NWT Health Care Card Renewal November 2015
Frequently Asked Questions (FAQ) NWT Health Care Card Renewal November 2015 Q1: Why do I need a Health Care Card? Q2: Why do Health Care Cards expire? Q3: When does my NWT Health Care Card expire? Q4:
More informationDeadline: Thursday, March 29, Applicant Business Information. Application 2018 Outside Mural and Street Art Grant
Deadline: Thursday, March 29, 2018 Note: This program is offered subject to funding availability Please submit application to: Michael Saunders Economic Development & Culture Business Growth Services BIA
More informationWelcome to the 2017 Training Center Administrative Manual (TCAM)
Welcome to the 2017 Training Center Administrative Manual (TCAM) This version of the TCAM removes discontinued Guidelines 2010 program standards and replaces them with updated Guidelines 2015 program standards.
More informationCity of London Affiliate Program
City of London Affiliate Program Background The City of London Affiliate Program allows non-profit minor, and non-profit adult sports groups to register with the City to receive reduced fees and priority
More informationBegins 7am on applicable registration date, then available 24/7. 24 lines & available 24/7!
Registration Methods Method How to Register Benefits Online RecEnrollVaughan.ca It s fast*, easy and secure! Not Available for Kid s Club Registration. Begins 7am on applicable registration date, then
More informationCanadian Parks and Recreation Association Harry Boothman Bursary Application/Follow Up Forms
1 Canadian Parks and Recreation Association Harry Boothman Bursary Application/Follow Up Forms The Canadian Parks and Recreation Association (CPRA) is the national voice on the social, health, economic,
More informationALBERTA PRACTICAL NURSE STUDENTS TEMPORARY & CPNRE REGISTRATION
ALBERTA PRACTICAL NURSE STUDENTS TEMPORARY & CPNRE REGISTRATION APPLICATION INSTRUCTIONS Effective Date: January 1, 2018. This instruction guide provides general information to assist you in the application
More informationProcessor Application
Processor Application Version 1.2 Step 1 Enrolment I confirm that the applicant has completed or updated a Growing Forward 2 (GF2) Enrolment. Step 2 Basic Eligibility Requirements I confirm, on behalf
More informationDAVIDsTEA + ME to WE Contest OFFICIAL CONTEST RULES NO PURCHASE NECESSARY TO ENTER OR WIN. A PURCHASE WILL NOT INCREASE YOUR CHANCES OF WINNING.
DAVIDsTEA + ME to WE Contest OFFICIAL CONTEST RULES NO PURCHASE NECESSARY TO ENTER OR WIN. A PURCHASE WILL NOT INCREASE YOUR CHANCES OF WINNING. 1. CONTEST PERIOD The DAVIDsTEA + ME to WE Contest (the
More informationWelcome to the 2017 Training Center Administrative Manual (TCAM)
Welcome to the 2017 Training Center Administrative Manual (TCAM) This version of the TCAM corrects some typographical errors and fixes broken hyperlinks. This version also: 1. Adds the highlighted language
More informationISMP Canada Workshop Medication safety: Incident analysis and prospective risk assessment
This 1.5 day workshop provides healthcare practitioners with background theory and hands-on practice in incident analysis (root cause analysis, RCA) and prospective risk assessment using failure mode and
More informationStudy of Registration Practices of the
COLLEGE OF MIDWIVES OF ONTARIO, 2007 This study was prepared by the Office of the Fairness Commissioner (OFC). We encourage its citation and distribution for non-commercial purposes, provided full credit
More informationHow to become a CIWM. Business Partner. Business Partner
How to become a CIWM Business Partner As the professional institution for resource and waste management, CIWM champions the success of organisations working in our industry. Why join CIWM? For any organisation
More informationPolicy/Program Memorandum No. 161
Ministry of Education Policy/Program No. 161 Date of Issue: February 28, 2018 Effective: September 1, 2018 Subject: Application: SUPPORTING CHILDREN AND STUDENTS WITH PREVALENT MEDICAL CONDITIONS (ANAPHYLAXIS,
More informationREGISTRATION FORM 2018
STUDENT: REGISTRATION FORM 2018 *Please note registrations are accepted on a first come first served basis. All sections on registration form must be completed. PARENT/GUARDIAN: Date of Birth: (yyyy/mm/dd)
More informationIntroduction. It promises to be thought provoking and productive day.
Introduction In response to demand from facility management professionals, FMA is proud to present the latest event in our Future FM National Summit Series. This one day summit will focus on Good Practice
More informationGUEST TERMS OF AGREEMENT
GUEST TERMS OF AGREEMENT I agree for the initial evaluation in order to determine if I'm eligible for admission to Emedi Concierge (hereafter EC ) services. I request admission to the Agency and consent
More information2. PROOF OF DATE OF BIRTH: Proof of date of birth is required. Photocopies of birth certificate, passport or driver s licence are accepted.
Name of Applicant (please print) Date of Application INSTRUCTIONS FOR COMPLETING APPLICATION 1. APPLICATION APPROVAL: Please allow four to eight weeks for processing your application from the date of receipt
More informationSAMPLE CARE COORDINATION AGREEMENT
SAMPLE CARE COORDINATION AGREEMENT This sample Care Coordination Agreement is between a fictional Certified Community Behavioral Health Clinic (CCBHC), Behavioral Health Clinic, and a fictional hospital,
More information2.3. Any amendment to the present "Terms and Conditions" will only be valid if approved, in writing, by the Agency.
TERMS AND CONDITIONS Nanny Agency Portugal develops its activity based on the conditions set out in this document. In order to protect your interests, read this document carefully. 1. Definitions 1.1.
More informationterms of business Client Details Client name:... Billing name:... Address:... address:... NZBN/NZCN:... Contact name:... Phone number:...
terms of business new zealand This document sets out the terms and conditions ( Terms of Business ) upon which Randstad Limited NZBN 9429037147334 ( Randstad ) will introduce and supply Candidates, Contractors
More informationISMP Canada Workshop Medication safety for pharmacy practice: Incident analysis and prospective risk assessment
This 1.5 day workshop provides pharmacists, pharmacy technicians and pharmacy assistants with background theory and hands-on practice in incident analysis (root cause analysis) and prospective risk assessment
More informationGrant Agreement (London Community Grants Program)
SCHEDULE B1 THIS IS A STANDARD FORM AGREEMENT TERMS CANNOT BE ALTERED WITHOUT THE APPROVAL OF MUNICIPAL COUNCIL Grant Agreement (London Community Grants Program) THIS AGREEMENT dated the day of, 20. Between
More informationUnifor Local 88 Memorial Bursary. Information and Application
Unifor Local 88 Memorial Bursary Information and Application 2018 UNIFOR LOCAL 88 MEMORIAL BURSARY Information and Guidelines Unifor Local 88 annually funds four (4) bursaries for the sum of $750.00 each.
More informationGuidance Notes on Assessment of Continuing Professional Development (CPD) Activities under the CPD Programme of the Insurance Intermediaries Quality
Guidance Notes on Assessment of Continuing Professional Development (CPD) Activities under the CPD Programme of the Insurance Intermediaries Quality Assurance Scheme (IIQAS) Version 1.0 August 2018 Table
More informationILAC Leadership Scholarships for Hispanic Women
ILAC Leadership Scholarships for Hispanic Women OFFICIAL RULES & REGULATIONS NO PURCHASE NECESSARY TO ENTER OR WIN. THE APPLICATION IS OPEN TO RESIDENTS OF ANY SPANISH SPEAKING COUNTRY. APPLICANTS MUST
More informationINFORMATION FOR TRADE FAIR EXHIBITORS
Navigating Our World Through the Lens of Early Childhood. It s Our Moment. Early Childhood Educators of British Columbia s 47 th Annual Conference May 3 to 5, 2018 Radisson Vancouver Airport Hotel 8181
More informationThird Party Event Manual
Third Party Event Manual Table of Contents Purpose of this Manual...2 Event Ideas List... 3 Third Party Event Agreement... 4 Resources from Us...... 9 Promoting your Event....10 Event Planning Checklist...
More informationMusic Care Conference Mississauga 2015
MCC Marketing Package Conference Overview The Music Care Conference will be held on Saturday, November 7, 2015 at the Mississauga Living Arts Centre. Building on the success of six previous conferences
More informationINFORMATION FOR TRADE FAIR EXHIBITORS
Pathways to Professionalism: Believe, Be Hopeful, Be Bold Early Childhood Educators of British Columbia s 46 th Annual Conference May 4 to 6, 2017 Radisson Vancouver Airport Hotel 8181 Cambie Road, Richmond,
More informationOntario Indigenous Travel Grant
Purpose Ministry of Training, Colleges and Universities Student Financial Assistance Branch 2018-19 Ontario Indigenous Travel Grant The Ontario Indigenous Travel Grant can assist you with the cost of travelling
More informationOFFICIAL CONTEST RULES WIN ONE OF THREE UNIQUE AND AUTHENTIC SUROÎT PACKAGES
OFFICIAL CONTEST RULES WIN ONE OF THREE UNIQUE AND AUTHENTIC SUROÎT PACKAGES 1. CONTEST PERIOD Win One of the three unique and authentic Suroît packages contest (hereinafter the Contest ) is sponsored
More informationAffordable Concierge New Patient Registration
Affordable Concierge New Patient Registration Patient Information Last name: First name: MI: DOB: [ ] Male [ ] Female Home address: City: State: Zip: Billing address: [ ] Same as home City: State: Zip:
More information2018 Tamara Gordon Foundation Scholarship Application Form
2018 Tamara Gordon Foundation Scholarship Application Form www.tgfoundation.ca The Tamara Gordon Foundation was established in 2013, to assist students with permanent physical disabilities who wish to
More informationCAP FARM WATER SUPPLY PROGRAM Terms and Conditions
1.0 PURPOSE CAP FARM WATER SUPPLY PROGRAM Terms and Conditions The objective of the Farm Water Supply Program is to provide technical assistance and incentive for the creation of a Long Term Water Management
More informationRegistration and Licensure as a Pharmacist
Registration and Licensure as a Pharmacist For applicants who are currently licensed to practise as a pharmacist in a Canadian jurisdiction outside New Brunswick. Please read all pages carefully to be
More informationCORPORATE MEMBERSHIP APPLICATION
CORPORATE MEMBERSHIP APPLICATION 1. Corporate Information Company Name Doing Business As Address Province Postal Code Website The Canadian chamber network is a three tier network with chambers working
More informationSt Johns Primary School
St Johns Primary School St Patricks Day Autumn Fair Saturday 19 th March 2016 From 3.30 to 6.30pm The St Johns Primary St Patrick s Autumn Fair will be promoted to appeal to all ages and will maintain
More informationThe Air Cadet League of Canada VOLUNTEER REGISTRATION AND SCREENING APPLICATION FORM
PROTECTED B DATE: PROVINCE: SQUADRON: VOLUNTEER REGISTRATION AND SCREENING APPLICATION FORM APPLICANT INFORMATION LAST NAME: FIRST NAME: MIDDLE NAMES: ALIASES: DATE OF BIRTH: MR: MRS: MS: ADDRESS (Number/Street/P.O.Box/Apt.#):
More informationENTER FOR YOUR CHANCE TO WIN A 2017 FIAT 500 POP CONTEST
ENTER FOR YOUR CHANCE TO WIN A 2017 FIAT 500 POP CONTEST Contest Rules 1. The Contest is organized by Sobeys Québec Inc. (the "Contest Organizer"). The Contest starts on Thursday, April 6, 2017 at 12:01
More informationDoors Open Belleville 2017 c/o Belleville Downtown Improvement Area 267 Front Street, Belleville, ON K8N-2Z
Doors Open Belleville 2017 c/o Belleville Downtown Improvement Area 267 Front Street, Belleville, ON K8N-2Z6 613-968-2242 Greetings, January, 2017 Your site has been suggested as a possible candidate for
More information10 th Annual Southern Obesity Summit November 13-15, 2016 JW Marriott Houston Houston, Texas
10 th Annual Southern Obesity Summit November 13-15, 2016 JW Marriott Houston Houston, Texas www.southernobesitysummit.org We invite you to support the 10 th Annual Southern Obesity Summit (SOS) as an
More informationartsvest Ontario Guidelines
artsvest Ontario Guidelines 2014-15 artsvest Program Overview artsvest is a national sponsorship training and matching fund incentive program created by Business for the Arts and funded in Ontario by the
More informationWednesday, March 7 th, 2018
2018 OWMA ANNUAL MEETING Wednesday, March 7 th, 2018 9:00 a.m. 8:30 p.m. Holiday Inn Toronto Airport Hotel 970 Dixon Road (Airport) ANNOUNCEMENT! Program & Registration Attached The OWMA 2018 Annual Meeting
More informationEarly Defibrillation Program Registration Guidelines
Early Defibrillation Program Registration Guidelines West Virginia Department of Health and Human Resources Bureau for Public Health Office of Emergency Medical Services WVOEMS Table of Contents Introduction.........................................................
More informationmicrofit FAQ Version 4.1
microfit FAQ Version 4.1 July 14, 2017 Introduction The microfit program is a stream of the (FIT) Program for renewable energy in Ontario. It is intended to encourage the development of micro-scale renewable
More informationCONTEST RULES. Organized by Canadian Broadcasting Corporation ( CBC )
CONTEST RULES CBC s Shakespeare Selfie Youth Writing Challenge 2018 ( Contest ) From Friday, April 6, 2018 at 9:00 a.m. ET to Friday, April 27, 2018 at 6:00 p.m. ET ( Contest Period ) Organized by Canadian
More informationBANGOR REGION YMCA CHILDCARE REGISTRATION FORM
On-Site Registration Required BANGOR REGION YMCA CHILDCARE REGISTRATION FORM Childcare Information & Program Attending - Please Print ( )Early Childhood Education ( )Y-Works ( )Before School ( )After School
More informationPlease Return TERMS OF BUSINESS FOR SUPPLYING TEMPORARY STAFF SERVICES 1. DEFINITIONS. 1.1 In these Terms of Business the following definitions apply:
TERMS OF BUSINESS FOR SUPPLYING TEMPORARY STAFF SERVICES 1. DEFINITIONS 1.1 In these Terms of Business the following definitions apply: Assignment : Client : The Employment Business : Engages/ Engaged/
More information2016 Sponsorship Opportunities: Building Bridges for a Better Tomorrow, Today
2016 Sponsorship Opportunities: Building Bridges for a Better Tomorrow, Today NACCED s 41st Annual Educational Conference and Training takes place September 11-14, 2016 at the Marriott City Center Pittsburgh.
More informationMROCC'S 5 th edition MRO Manual Self-Study CME Activity (maximum 25 hours)
MROCC'S 5 th edition MRO Manual Self-Study CME Activity (maximum 25 hours) This activity is based on The Medical Review Officer s Manual: MROCC s Guide To Drug Testing, 5 th edition, and fulfills both
More informationCONNECT with the world s airports
Airports Council International Asia-Pacific World Business Partners (WBP) Programme The easiest way to CONNECT with the world s airports What is WBP Programme? ACI Asia-Pacific World Business Partners
More informationApplication for registration in New Zealand for orthodontic auxiliaries with prescribed qualifications
Application for registration in New Zealand for orthodontic auxiliaries with prescribed qualifications April 2018 This application is to be used by applicants with prescribed qualifications for the orthodontic
More informationOrdering Secure Exams
NLN Testing Policies and Procedures for Institutions Effective January 1, 2017 Ordering Secure Exams NLN secure exams are available for purchase by state board approved schools of nursing. These exams
More informationApplication for Employment Police Cadet
Halton Regional Police Service Application for Employment Police Cadet Dear Applicant: Return application package with photocopies of the following documents if you have not already provided them: OACP
More informationEMERGENCY NURSE PRACTITIONER (ENP) CERTIFICATION BY EXAMINATION PAPER APPLICATION
EMERGENCY NURSE PRACTITIONER (ENP) CERTIFICATION BY EXAMINATION PAPER APPLICATION Applicants must meet eligibility options and criteria in order to apply to take the Emergency Nurse Practitioner certification
More informationRegulations governing the use of the Professional Standards Authority for Health and Social Care Accreditation Mark ("the Regulations")
Regulations governing the use of the Professional Standards Authority for Health and Social Care Accreditation Mark ("the Regulations") 1 DEFINITIONS "Accreditation" means the confirmation by the Authority
More informationFill Your Fall Contest OFFICIAL RULES
Fill Your Fall Contest OFFICIAL RULES NO PURCHASE OR PAYMENT NECESSARY. A PURCHASE OR PAYMENT OF ANY KIND WILL NOT INCREASE YOUR CHANCES OF WINNING. The Fill Your Fall Contest (the Contest ) is sponsored
More information2016 Young Lions Competition OFFICIAL COMPETITION RULES
2016 Young Lions Competition OFFICIAL COMPETITION RULES By entering this competition, the entrants and participants automatically agree to accept and abide by these Official Rules. All decisions of the
More informationInvitation to Exhibit or Sponsor. Pennsylvania Decentralized Wastewater Conference and Trade Show. January 29-30, 2018
Invitation to Exhibit or Sponsor Pennsylvania Decentralized Wastewater Conference and Trade Show January 29-30, 2018 Red Lion Hotel 4751 Lindle Road, Harrisburg PA Brought to you by: Don t miss the 2018
More information1 Customer and Contact Information
Appalachian Power C&I Program Rebate Application Before you start Review the eligibility detail requirements and terms and conditions at the end of this application to verify that you are eligible for
More informationCONGRESS OF BLACK WOMEN OF CANADA MISSISSAUGA & AREA CHAPTER
News Release 2017 Adult Scholarship Award February 2017 The Congress of Black Women of Canada, Mississauga and Area Chapter is pleased to announce that applications are being accepted for the 2017 Adult
More informationNCLEX-RN Exam Eligibility and Graduate Nurse Register 2017
NCLEX-RN Exam Eligibility and Graduate Nurse Register 2017 Application Package Student Instructions Application for Exam Eligibility Application for Registration on the Graduate Nurse Register Request
More information2017 ANNUAL CONFERENCE
BEYOND THE HORIZON S 2017 ANNUAL CONFERENCE EXHIBITING AT THE 2017 ANNUAL CONFERENCE WALT DISNEY WORLD SWAN AND DOLPHIN RESORT ORLANDO, FLORIDA DEC. 2 6, 2017 #LEARNFWD17 www.learningforward.org/conference
More informationCANADIAN PARKS AND RECREATION ASSOCIATION. October 2015 A Year in Review
CANADIAN PARKS AND RECREATION ASSOCIATION October 2015 A Year in Review Our Collective Mission Advancing the recreation and parks sectors in Canada to support the development of healthy Canadian citizens,
More information