NO LATE WORK will be ACCEPTED NONE!!!!!!!!!!!!! This portfolio will count as your Foundations of Health SEMESTER EXAM, which is 20% of your grade.

Size: px
Start display at page:

Download "NO LATE WORK will be ACCEPTED NONE!!!!!!!!!!!!! This portfolio will count as your Foundations of Health SEMESTER EXAM, which is 20% of your grade."

Transcription

1 10th Grade Requirements NO LATE WORK will be ACCEPTED NONE!!!!!!!!!!!!! This portfolio will count as your Foundations of Health SEMESTER EXAM, which is 20% of your grade. Be sure to put dividers at the beginning of each assignment. Put assignment in a three prong folder with pockets to turn in. Bold and highlight all questions. 1

2 H e a l t h c a r e S c i e n c e / P r e - M e d P r o g r a m HOSA JOURNAL This year each Healthcare Science/Pre-Med/HOSA Member will be responsible for keeping a journal. The journal will consist of an essay, a list of personal goals, and documentation of the various events and activities done throughout the year. The items must be placed in your portfolio. Your work must be typed neatly and legibly, with correct grammar and spelling. This is WORTH 3950 POINTS. PORTFOLIO CONTENTS I. Opening Essay How will I be a contributing member of HOSA? Guidelines: [200 points] 1. Essay will have 5 paragraphs [3-5 sentences in length] 2. Think of a statement that summarizes your answer to the question How will I be a contributing member of HOSA? 3. Think of 3 main points/examples that support your thesis. Each of these points you wish to make will be the main ideal of each paragraph in the body of the essay. 4. Write three main paragraphs [body] 5. Write an introduction paragraph, which will include your thesis [main idea/answer to question] 6. Write a conclusion paragraph. This should describe how the three points you made support your thesis. 7. Proof read grammar spelling and clarity!! 8. Rewrite and submit essay [At least one full page, no more than two.] II. III. IV. Person Goals: These are things that you hope to accomplish for yourself within the next year, as well as in the next five years. EXAMPLES- [100 points] 1. List short term goals [graduating high school, bring up GPA] 2. List long term goals [college, career] Documentation of events and activities You are to create a scrapbook documenting the activities you have done throughout the current year. You may be creative with documenting these activities. HINT: SCRAPBOOK at least five (6) pages not to include cover page. [600 points] 1. Must include title of activity example: American Red Cross Blood Drive, HOSA Class Debate 2. Date of Activity 3. You may use pictures, drawings, business card, flyer, or an essay; be creative to capture that activity. Interview of Nursing Home Resident [500 points] V. Complete 25 hours of community service [1250 points] 2

3 H e a l t h c a r e S c i e n c e / P r e - M e d P r o g r a m Nursing Home Resident Questionnaire Student Name: Resident (first name initial only and last name Use the following questions to interview a nursing home resident or an elder in the community that is not related to you by blood. This is a guideline. You may use all of these questions and add some of your own. You may include a picture. Be sure to get permission from the individual and have them sign the picture release form. Include your answers with your questionnaire. It must be typed neatly, legibly, with correct grammar, spelling and punctuation. 1. Where were you born? 2. When were you born? 3. Where did you live growing up? 4. What was it like growing up in your home? 5. Do you have siblings? If, so how many Boys / Girls? Where are you in the birth order? 6. What did you do for fun as a child/teenager? 7. How far did you get in school? 8. What kind of job(s) did you have? 9. Did you or your spouse serve in the military? 10. How did you meet your spouse? 11. Did you have any children? How many? 12. Do you have grandchildren, great grandchildren? 13. Do you like to travel? What are some memorable vocations? 14. What historical moments do you remember? (JFK, WWII, Vietnam)? 15. What are your proudest accomplishments? 3

4 7 0 0 D o n a l d S t r e e t M o b i l e, A l a b a m a T e l e p h o n e P I C T U R E R E L E A S E F O R M I, g i v e p e r m i s s i o n f o r m y p i c t u r e a n d i n t e r v i e w t o b e u s e d b y t h e H e a l t h c a r e S c i e n c e / P r e - M e d s t u d e n t a t J o h n L. L e F l o r e M a g n e t H i g h S c h o o l. I u n d e r s t a n d t h a t b y s i g n i n g t h i s r e l e a s e t h i s i n f o r m a t i o n w i l l b e u s e d f o r e d u c a t i o n a l p u r p o s e s o n l y. I c e r t i f y t h a t I w i l l n o t b e c o m p e n s a t e d i n a n y w a y f o r u s i n g m y i n f o r m a t i o n. S i g n a t u r e D a t e 4

5 H e a l t h c a r e S c i e n c e / P r e - M e d P r o g r a m COMMUNITY SERVICE GUIDELINES Community service is volunteer service within the school, church or community. Hours may be accumulated at various acceptable places. You MUST send me an to kshelton2@mcpss.com at least one week prior to community service activity to get my approval AND include that along with your community service form in portfolio. FAILURE TO DO SO WILL RESULT IN DENIED COMMUNITY SERVICE HOURS for that activity. Any project performed for community service hours must meet the definition and guidelines as stated by the instructor. A student should complete the minimum of 25 hours of service for 9 th grader by the date assigned 25 hours of service for 10 th grader by the date assigned 50 hours of service for 11 th graders by the date assigned 50 hours of service for 12 th graders by the date assigned ALL community service MUST be pre-approved by the site supervisor before starting the service Community service can be performed after school, evenings, weekends and during spring/summer/holiday breaks The community service must be completed and documented before the portfolio is submitted by the student The student CANNOT profit monetarily or receive credit in another way for the service. Written verification of the completed hours is necessary for completion of the program. The service MUST benefit others The service CANNOT be something that is required by someone else Examples of Community Services Activities. The following categories present some samples of community service. Maintenance and cleanup Tutor Elder service/activities Food Drive for the holidays Toy Drive for the holidays Blood Drive Clothes/Coat Drive Disaster Relief help 5

6 H e a l t h c a r e S c i e n c e / P r e - M e d P r o g r a m COMMUNITY SERVICE FORM Student: Grade Level: Type of service activity: Group sponsoring the activity: Date/Time you participated: Number of hours spent: / Explain IN DETAIL your participation or voluntary role. Be as specific as possible. YOU WILL BE EVALUATED ON BOTH YOUR ACTIVITY AND RESPONSE. The below area must be filled out by adult supervisors/sponsors that helped you have the opportunity to complete service. Failure to have all the proper information included will make your form invalid. By signing this statement, you are confirming that as a part of your relationship with the student who submitted this form, he or she has spent at least the number of hours listed above contributing to that activity, and served satisfactorily in that activity. Name of Adult Supervisor/Title [print please] [Signature] Phone Number Address 6

7 Name Date Ms. K. Shelton, Dean of Healthcare Science/Pre-Med INTRODUCTION: A basic knowledge of human anatomy and physiology is essential for almost every health care provider. It is important that we as healthcare provider learn as much as possible about the human body and the careers that go along with each. For this project you will discover the structure and function of each system and diseases that go with each system..all information must have a header, be done in question/ answer format, bold print and highlighted. START EARLY! [Total Possible Points 1600] INSTRUCTIONS: 1. Check out the web sites or use any other resource that you may need to complete this assignment. No more than one paragraph per question. DO NOT COPY and PASTE. 2. Your report must be typed [No fancy cursive writing] and double spaced written in 12 point font. In your research you must discover and provide the information listed. Remember ALL work must be turned in on time. Please come to me if you need help, I am available. Your report must be done in the order listed below. Be sure to sign off your diseases. [Good Luck! Ms. K. Shelton, Instructor] [100] Rubric turned in with parent signature [Will NOT grade if Rubric not turned in with Project] [300]Project BINDED together [40] Title page [include student name, name of project, advisor/teacher name, and date] I. Basic Structure of [10] Tab divider The Human Body [10] Define Anatomy [10] Define Physiology [10] Define Protoplasm [10] Define Pathophysiology [10] Define Cells [10] Define Tissues [10] Define Organs [10] Define Systems II. Body Planes, Directions [10] Tab divider And Cavities [10] Define Body Planes and Body Cavities [10] What are the nine abdominal regions called? [10] Define Anterior [10] Define Distal [10] Define Dorsal / Posterior [10] Define Frontal [10] Define Lateral [10] Define Superior 7

8 III. Integumentary System [10] Tab divider IV. Skeletal System [10] Tab divider [10] Describe the basic structure and function of the System V. Muscular System [10] Tab divider VI. Nervous System [10] Tab divider VII. Special Senses [10] Tab divider VIII. Circulatory System [10] Tab divider IX. Lymphatic System [10] Tab divider 8

9 X. Respiratory System [10] Tab divider XI. Digestive System [10] Tab divider XII. Urinary System [10] Tab divider XIII. Endocrine System [10] Tab divider XIV. Reproductive [10] Tab divider System Due FIRST FRIDAY IN DECEMBER ***********Must be turned in on time. Start working on this project early. Remember this project counts at your Semester EXAM which is twenty [20] percent of your final grade. NO LATE WORK will be ACCEPTED. This project will count as your 2 nd quarter EXAM grade, which is 20% of your grade. ************** Please make sure that you complete your own assignment. PLAGIARISM is PROHIBITED! If you look as though you copy and paste your information, or if any two students have the same information a letter grade of ZERO will be given with the same information. Student Signature Date Parent Signature Date 9

LIFE INSURANCE UNDERWRITING SYLLABUS

LIFE INSURANCE UNDERWRITING SYLLABUS LIFE INSURANCE UNDERWRITING SYLLABUS Note: Candidate passed Licentiate in Life Branch i.e. Subject No. 01, 02 and 14 or any other subjects of 20/30/40 Credit Points is eligible for Diploma in Life Insurance

More information

ECONOMICS SEMESTER PROJECT

ECONOMICS SEMESTER PROJECT ECONOMICS SEMESTER PROJECT It is time to take some of what you have learned and combine it into a Real Life Economics Project. This has multiple parts and will count as a project grade. Each part needs

More information

Stock Market Project!

Stock Market Project! Stock Market Project! How do stock brokers and financial analysts determine what stocks to buy? What do they investigate when looking at a company? As you work through the activities, you will collect

More information

Course Title: Fire Prevention Organization & Management (3082) ( )

Course Title: Fire Prevention Organization & Management (3082) ( ) Course Title: Fire Prevention Organization & Management (3082) Course Number: FST - 3082 Course Credit Hours: (3) Three Semester Hours Instructor Information: Bernard W. Becker, III, MS (937-751-7371)

More information

Education Program Curriculum

Education Program Curriculum Academy of Life Underwriting Education Program Curriculum ALU CURRICULUM The ALU curriculum offers study materials and a series of ALU exams which allow a student to gain a broad understanding of the requirements

More information

Project: The American Dream!

Project: The American Dream! Project: The American Dream! The goal of Math 52 and 95 is to make mathematics real for you, the student. You will be graded on correctness, quality of work, and effort. You should put in the effort on

More information

Education Program Curriculum

Education Program Curriculum Academy of Life Underwriting Education Program Curriculum ALU CURRICULUM The ALU curriculum offers study materials and a series of ALU exams which allow a student to gain a broad understanding of the requirements

More information

credit crunch lesson 6: student outcomes Chapter 30 from Reality Check time relationship to national standards assessment materials

credit crunch lesson 6: student outcomes Chapter 30 from Reality Check time relationship to national standards assessment materials Chapter 30 from Reality Check time 50 minutes relationship to national standards FCS National Standards: 2.1.2, 2.6.2, 3.3.3 JumpStart Financial Literacy Standards PMM3, CD 1 assessment Do I Have to Have

More information

AWAY FROM HOME CARE GUEST MEMBERSHIP APPLICATION

AWAY FROM HOME CARE GUEST MEMBERSHIP APPLICATION AWAY FROM HOME CARE GUEST MEMBERSHIP APPLICATION Please print clearly. Application must be completed and signed by the subscriber. All five pages must be completed and returned. Today s date: Guest membership

More information

WEST VIRGINIA STATE UNIVERSITY PETITION FOR RETROACTIVE WITHDRAWAL DUE TO CATASTROPHIC CIRCUMSTANCES

WEST VIRGINIA STATE UNIVERSITY PETITION FOR RETROACTIVE WITHDRAWAL DUE TO CATASTROPHIC CIRCUMSTANCES Process for submitting a Retroactive Withdrawal Petition: 1. Complete the Petition for Retroactive Withdrawal Form. 2. Attach supporting and official documentation which demonstrates serious and compelling

More information

Experiential Learning Portfolio for Medical Insurance Claims

Experiential Learning Portfolio for Medical Insurance Claims Experiential Learning Portfolio for 10106134 Medical Insurance Claims Student Contact Information: Name: Student ID# Email: Phone: It is highly recommended that you speak with the Academic Dean or instructor

More information

CEO AMERICA, Lehigh Valley

CEO AMERICA, Lehigh Valley CEO AMERICA, Lehigh Valley 33 SOUTH SEVENTH STREET, SUITE 300, ALLENTOWN, PA 18101 Phone (610) 776-8740 ~ www.ceoamerica.net 2015 Student Scholarship Application ------------------------------------------------------------------------------------------------------------

More information

Franchise Application

Franchise Application Franchise Application We are excited that you are considering business ownership with one of the HomeTask brands of service. Providing the following information will help us to evaluate your qualifications

More information

Writing Skills. Are writing skills really that important? Take the survey below to find out! Answer T for True or F for False

Writing Skills. Are writing skills really that important? Take the survey below to find out! Answer T for True or F for False Writing Skills Content Writing Skills Survey...1 Writing an Essay... 2 Writing Tips... 3 Boost your writing skills... 4 Writing Skills Survey Answers...5 Writing Skills Checklist... 6 Writing Skills Templates......7-9

More information

Administrative Leave (Faculty and Staff)

Administrative Leave (Faculty and Staff) Administrative Leave (Faculty and Staff) Original Implementation: September 1, 1981 Last Revision: July 25, 2017 This policy describes administrative leave for both faculty and staff employees. It excludes

More information

( ) Textbook: Forensic Fire Scene Reconstruction, David Icove, John De Haan, ISBN-13:

( ) Textbook: Forensic Fire Scene Reconstruction, David Icove, John De Haan, ISBN-13: Course Title: Fire Scene Reconstruction: CSI (3088) Course Number: FST - 3088 Course Credit Hours: (3) Three Semester Hours Instructor Information: Bernard W. Becker, III, MS (937-751-7371) ccfdchiefbecker@yahoo.com

More information

Walter F. Ehrnfelt Recreation Center Royalton Road, Strongsville, Ohio

Walter F. Ehrnfelt Recreation Center Royalton Road, Strongsville, Ohio Annual Membership Packages for the Walter F. Ehrnfelt Recreation Center 18100 Royalton Road, Strongsville, Ohio 44136 440.580.3260 www.strongsville.org Fees effective as of October 1, 2014 You now have

More information

Recreational Dance & Acrobatic Class Policies

Recreational Dance & Acrobatic Class Policies 2016-2017 Recreational Dance & Acrobatic Class Policies Welcome to EXPRESS Dance & Acrobatics. Our mission is to teach the fundamentals of dance and acrobatics, with an emphasis on commitment, education,

More information

MassHealth. Advocacy Guide. An Advocates Guide to the Massachusetts Medicaid Program. Vicky Pulos Massachusetts Law Reform Institute.

MassHealth. Advocacy Guide. An Advocates Guide to the Massachusetts Medicaid Program. Vicky Pulos Massachusetts Law Reform Institute. MassHealth Advocacy Guide An Advocates Guide to the Massachusetts Medicaid Program Vicky Pulos Massachusetts Law Reform Institute 2012 Edition 2012 by Massachusetts Law Reform Institute and Massachusetts

More information

Phone Fax

Phone Fax Please fill out application completely, even if your resume is attached. : Today s Date LAST FIRST MIDDLE : Street: City: State: Zip: ( ) ( ) ( ) Cell Phone Home Phone Business Phone Social Security Number

More information

New Patient Registration Packet

New Patient Registration Packet New Patient Registration Packet Our Office Hours and Contact Information Monday thru Thursday 8:30 AM to 4:30 PM... riday 8:30 Am to 12:00 Noon... Holidays and Weekends Closed Phone (478) 471-6217... ax

More information

Manatee River Fair Association (Beef or Swine) Care and Feed Record Book

Manatee River Fair Association (Beef or Swine) Care and Feed Record Book Manatee River Fair Association (Beef or Swine) Care and Feed Record Book Circle One Beef Swine Circle One Junior Intermediate Senior Name Age (September 1) Club Years in Project I hereby certify that I

More information

RYLA 2018 Camper Application Rotary District 5520

RYLA 2018 Camper Application Rotary District 5520 RYLA 2018 Camper Application Rotary District 5520 RYLA Boys Camp - Sunday, July 15th - Saturday, July 2 1st RYLA Girls Camp - Saturday, July 21st- Friday, July 27th Applicant must have completed their

More information

Senior Record Book (for youth ages 14-19)

Senior Record Book (for youth ages 14-19) Virginia 4-H Beef Heifer Project Senior Record Book (for youth ages 14-19) Name Date of Birth Age Physical Address Mailing Address (if different) What county/city 4-H program are you enrolled in with this

More information

P&C Insurance Operations FINA 446 Spring 2017

P&C Insurance Operations FINA 446 Spring 2017 P&C Insurance Operations FINA 446 Spring 2017 Instructor: Frank Heaps Meeting Room: Darla Moore School of Business 133 Meeting Time: M & W (8:05 AM 9:20 AM) Office / Hours: By appointment e-mail: HEAPSF@mailbox.sc.edu

More information

Apply Online For Social Security Benefits

Apply Online For Social Security Benefits Apply Online For Social Security Benefits Apply Online For Social Security Benefits Why should I apply for benefits online? Applying for benefits online offers several advantages, among them: You apply

More information

OBJECTIVES. The BIG Idea. How can I find scholarships that suit my situation, and how do I keep track of my efforts? Searching for Scholarships II

OBJECTIVES. The BIG Idea. How can I find scholarships that suit my situation, and how do I keep track of my efforts? Searching for Scholarships II 3 Financial Aid Searching for Scholarships II The BIG Idea How can I find scholarships that suit my situation, and how do I keep track of my efforts? AGENDA Approx. 45 minutes I. Warm Up (5 minutes) II.

More information

Special Circumstances Form

Special Circumstances Form 2019-2020 Special Circumstances Form Occasionally, unusual circumstances exist that may warrant reconsideration of financial aid eligibility. If the information you reported on your Free Application for

More information

Date of Submission* *Submission must be prior to the Curriculum Committee Meeting for Informational Review of Program.

Date of Submission* *Submission must be prior to the Curriculum Committee Meeting for Informational Review of Program. CSS 9.26.14 Caldwell University Center for Student Success Program Coordinator Application for Short Term Study Abroad Programs Index Contact: Jennifer M Kim-Lee, Director of Advisement & Study Abroad

More information

Budget Project. Part 2 Your goals. Part 1 Dream Essay. Part 3 Your road to life. Part 4-Personality Test

Budget Project. Part 2 Your goals. Part 1 Dream Essay. Part 3 Your road to life. Part 4-Personality Test Objective: to write down your hopes and dreams for the future This is your chance to write about the dream life you would like to have. When you close your eyes and imagine the life you could have what

More information

Sacred Heart Tutorials A Catholic Homeschool Cooperative. Application for Admission

Sacred Heart Tutorials A Catholic Homeschool Cooperative. Application for Admission Application for Admission 2015-2016 Father s Name: Mother s Name: Home Phone: Cell Phone: (Father) (mother) Home Address: E-mail address: Please list the first name and current grade of each child enrolling

More information

Heartland Monitor Poll XXI

Heartland Monitor Poll XXI National Sample of 1000 AMERICAN ADULTS AGE 18+ (500 on landline, 500 on cell) (Sample Margin of Error for 1,000 Respondents = ±3.1% in 95 out of 100 cases) Conducted October 22 26, 2014 via Landline and

More information

Money Management Choices

Money Management Choices SS6E4 & SS7E4 Money Management Choices Standards SS6E4 The student will explain personal money management choices in terms of income, spending, credit, saving, and investing. SS7E4 The student will explain

More information

Special Circumstances Form

Special Circumstances Form 2018-2019 Special Circumstances Form Occasionally, unusual circumstances exist that may warrant reconsideration of financial aid eligibility. If the information you reported on your Free Application for

More information

Internship Proposal Submission Form Master of Science Degree in Applied Marine and Watershed Science

Internship Proposal Submission Form Master of Science Degree in Applied Marine and Watershed Science Internship Proposal Submission Form Master of Science Degree in Applied Marine and Watershed Science This form must be signed by all parties before the start of the internship Student Name Student ID Date

More information

Supplement to IRA, 403(b) and 457(b) Custodial Agreements

Supplement to IRA, 403(b) and 457(b) Custodial Agreements Supplement to IRA, 403(b) and 457(b) Custodial Agreements The updates below apply to the American Century Investments custodial agreements for the following retirement accounts: SEP IRA, SARSEP IRA, SIMPLE

More information

Judge InvestWrite Essays in Three Easy Steps

Judge InvestWrite Essays in Three Easy Steps Generously underwritten for the SIFMA Foundation by Judge InvestWrite Essays in Three Easy Steps Step One The student essays you will judge are based on the InvestWrite assignment below. Please familiarize

More information

Policy: Effective Date: 12/2016

Policy: Effective Date: 12/2016 Human Resources CLINICAL LOAN FORGIVENESS PROGRAM Housewide Manual Policy: Effective Date: 12/2016 Southeast Alabama Medical Center (SAMC) is dedicated to providing quality professional nursing care to

More information

Checklist for Financial Clearance

Checklist for Financial Clearance Checklist for Financial Clearance Student Name: Student ID# (if known): Housing Yes No Will you be residing in campus housing? Medical/Health Insurance Do you need a Hellenic College sponsored health insurance

More information

Banks and Paychecks Role Play

Banks and Paychecks Role Play Banks and Paychecks Role Play Part I: Getting Paid Roles: Employer, Employee Employer: Thank you for your hard work for the last 2 weeks. Here is your paycheck. The Employer hands the sample paycheck to

More information

Policies of the University of North Texas Chapter 5. Human Resources Sick Leave. Policy Statement.

Policies of the University of North Texas Chapter 5. Human Resources Sick Leave. Policy Statement. Policies of the University of North Texas Chapter 5 05.050 Sick Leave Human Resources Policy Statement. Application of Policy. All Faculty and Staff Definitions. 1. Spouse. Spouse means a person in a legally

More information

Bill 148 Employment Standards Act What s in Your Collective Agreement? A Check List

Bill 148 Employment Standards Act What s in Your Collective Agreement? A Check List Bill 148 Employment Standards Act What s in Your Collective Agreement? A Check List The Ontario Employment Standards Act (ESA) sets out the minimum standards for workers in Ontario. Every CUPE Collective

More information

Economics 4500/6500: Health Economics and Policy

Economics 4500/6500: Health Economics and Policy 1 Spring 2015 Tulane University Department of Economics Economics 4500/6500: Health Economics and Policy Monday, Wednesday and Friday 1:00-1:50 PM. Room: F. Edward Hebert Hall 210 (Updated on Jan. 13,

More information

COLORADO JOHN R. JUSTICE PROGRAM REQUEST FOR APPLICATIONS. Overview, Eligibility and Application Instructions 2017 (FY17 Funds)

COLORADO JOHN R. JUSTICE PROGRAM REQUEST FOR APPLICATIONS. Overview, Eligibility and Application Instructions 2017 (FY17 Funds) COLORADO JOHN R. JUSTICE PROGRAM REQUEST FOR APPLICATIONS Overview, Eligibility and Application Instructions 2017 (FY17 Funds) Colorado Division of Criminal Justice Deadline for Submission: 10:00 p.m.

More information

School of Integrative Studies George Mason University INTERNSHIP SITE APPLICATION

School of Integrative Studies George Mason University INTERNSHIP SITE APPLICATION INTERNSHIP SITE APPLICATION Please E-mail a LEGIBLE scanned copy of this completed application packet to: Marlon Dortc h @ mdortc h@gmu.edu OR deliver to the School of Integrative Studies in Enterprise

More information

J-1 Internship Program Overview

J-1 Internship Program Overview J-1 Internship Program Overview Welcome to the J-1 Visa information site of International Educational Exchange, Inc. In this section, you will learn more about how to apply for a J-1 visa in the Intern

More information

Frequently Asked Questions - COBRA and How to Continue Your Healthcare Coverage

Frequently Asked Questions - COBRA and How to Continue Your Healthcare Coverage Frequently Asked Questions - COBRA and How to Continue Your Healthcare Coverage Many people have health insurance through their employer's group plan. When they no longer qualify for coverage through this

More information

BECAUSE KEEPING PROMISES REQUIRES PLANNING

BECAUSE KEEPING PROMISES REQUIRES PLANNING BECAUSE KEEPING PROMISES REQUIRES PLANNING Voluntary Group Term Life Insurance Issued by The Prudential Insurance Company of America (Prudential) 0290127 American Foreign Service Protective Association

More information

Case 2: Motomart INTRODUCTION OBJECTIVES

Case 2: Motomart INTRODUCTION OBJECTIVES Case 2: Motomart INTRODUCTION The Motomart case is designed to supplement your Managerial/ Cost Accounting textbook coverage of cost behavior and variable costing using real-world cost data and an auto-industryaccepted

More information

Home Discussion: Part 1

Home Discussion: Part 1 1.4.1.A4 Worksheet Home Discussion: Part 1 Total Points Earned 7 Total Points Possible Percentage Name Date Class Directions: Work with a parent, guardian, or adult family member to answer the following

More information

INSULATORS LOCAL NO. 53 PENSION PLAN. Summary Plan Description. Revised January 1, 2016

INSULATORS LOCAL NO. 53 PENSION PLAN. Summary Plan Description. Revised January 1, 2016 INSULATORS LOCAL NO. 53 PENSION PLAN Summary Plan Description Revised January 1, 2016 A Defined Benefit Pension Plan For Participants of the Insulators Local No. 53 Pension Plan September 2, 2016 TABLE

More information

FINANCIAL AFFIDAVIT FAQ

FINANCIAL AFFIDAVIT FAQ FINANCIAL AFFIDAVIT FAQ What is the Financial Affidavit? The Financial Affidavit is a form that allows international students to provide proof of funding. You will only need to provide funding for year

More information

Portfolio Project: What s More Economical? Purchasing or Leasing a Car?

Portfolio Project: What s More Economical? Purchasing or Leasing a Car? Portfolio Project: What s More Economical? Purchasing or Leasing a Car? When you are an adult, your success in life is going to depend on math. After all, some of the most important numbers in an adult

More information

City of Atlanta Firefighters Pension Plan. SUMMARY PLAN DESCRIPTION (Revised July 1, 2013)

City of Atlanta Firefighters Pension Plan. SUMMARY PLAN DESCRIPTION (Revised July 1, 2013) City of Atlanta Firefighters Pension Plan SUMMARY PLAN DESCRIPTION (Revised July 1, 2013) September 4, 2013 TABLE OF CONTENTS Letter from the Chairman of the Board of the Trustees... iii PART I: City of

More information

THE CITY AND COUNTY OF SAN FRANCISCO SECTION 125 CAFETERIA PLAN HIPAA PRIVACY POLICIES & PROCEDURES

THE CITY AND COUNTY OF SAN FRANCISCO SECTION 125 CAFETERIA PLAN HIPAA PRIVACY POLICIES & PROCEDURES THE CITY AND COUNTY OF SAN FRANCISCO SECTION 125 CAFETERIA PLAN HIPAA PRIVACY POLICIES & PROCEDURES Effective: November 8, 2012 Terms used, but not otherwise defined, in this Policy and Procedure have

More information

Your Guide to Life Insurance for Families

Your Guide to Life Insurance for Families Your Guide to Life Insurance for Families (800) 827-9990 HealthMarkets.com Your Guide to Life Insurance for Families Contents Does My Family Need Life Insurance? 4 Types of Life Insurance for Families

More information

Comprehensive Protection Plan

Comprehensive Protection Plan Caring For Those Who Serve Comprehensive Protection Plan A Church Welfare Benefits Plan for Clergy Associated with a Jurisdictional Conference of The United Methodist Church As Adopted by the 2000 General

More information

Background Information. Instructions. Problem Statement. HOMEWORK INSTRUCTIONS Homework #2 Healthcare Expenditures Problem

Background Information. Instructions. Problem Statement. HOMEWORK INSTRUCTIONS Homework #2 Healthcare Expenditures Problem Background Information Today, there are two major problems in healthcare plaguing the nations around the world. The first, found primarily in developed countries such as the United States and Europe, is

More information

SECTION 5 RIGHTS, PRIVILEGES AND BENEFITS

SECTION 5 RIGHTS, PRIVILEGES AND BENEFITS SECTION 5 RIGHTS, PRIVILEGES AND BENEFITS 5.1 ACADEMIC FREEDOM Colorado law vests the instructional power of CSM in its faculty. In carrying out their instructional responsibilities at CSM, faculty members

More information

New Patient Registration Form. New Patient Update Date: / /

New Patient Registration Form. New Patient Update Date: / / New Patient Registration Form New Patient Update Date: / / Children s Names Gender Birthdate Race* Ethnicity *Race = White American, Native American, Alaska Native, Asian American, Black or African American,

More information

1. Referrals 2. Earn your business as clients 3. We are expanding & need help

1. Referrals 2. Earn your business as clients 3. We are expanding & need help 3 Reasons Why We Are Here Tonight: 1. Referrals 2. Earn your business as clients 3. We are expanding & need help Do you have someone right now who handles your current financial needs other than yourselves?

More information

Undergraduate Students Graduate Students International Students Graduating Students Developing a CPI Position...

Undergraduate Students Graduate Students International Students Graduating Students Developing a CPI Position... CPI GUIDELINES Revised July 2018 TABLE OF CONTENTS About the Program... 2 Student Information... 2 All Students... 2 1 Undergraduate Students... 4 Graduate Students... 4 International Students... 5 Graduating

More information

500.2 Group Insurances The College currently offers life, medical, and disability insurances to eligible full-time regular employees.

500.2 Group Insurances The College currently offers life, medical, and disability insurances to eligible full-time regular employees. Allegheny College PERSONNEL POLICIES & BENEFITS HANDBOOK Subject: EMPLOYEE BENEFITS 500 POLICY NUMBER 9/01/02 EFFECTIVE DATE 500 Employee Benefits While it is expected that the benefit plans described

More information

WORTH UNLIMITED INDEPENDENT AGENT CAREER PLAN

WORTH UNLIMITED INDEPENDENT AGENT CAREER PLAN WORTH UNLIMITED INDEPENDENT AGENT CAREER PLAN Compensation Overview Welcome to the Worth Unlimited family! As a Worth Unlimited Independent Agent, you have the potential to not only help others get out

More information

Instructions for completing the HINT application and verification of requirements form

Instructions for completing the HINT application and verification of requirements form Instructions for completing the HINT application and verification of requirements form Initial requests for coverage will require completion of both the HINT application and the verification of requirements

More information

Christmas Daughters of the King

Christmas Daughters of the King 1 Devotion on the Theme Verse Jennifer Benson Schuldt, Our Daily Bread, 2017 by Our Daily Bread Ministries, Grand Rapids, MI. Reprinted by permission. All rights reserved. 2 Calvary Chapel of Philadelphia

More information

HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices HIPAA Notice of Privacy Practices THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. This HIPAA Notice

More information

Credit Cards Friend or Foe? An exploration of credit cards and debit cards utilizing Internet resources and spreadsheets.

Credit Cards Friend or Foe? An exploration of credit cards and debit cards utilizing Internet resources and spreadsheets. Credit Cards Friend or Foe? An exploration of credit cards and debit cards utilizing Internet resources and spreadsheets. Day One Investigating Credit Cards and Debit Cards The students will need access

More information

Employment Application

Employment Application Title of Positions Applying for: Employment Application Please use this APPLICATION to enter all requested information. An inaccurate or incomplete application may result in delayed processing or non-consideration

More information

Background Information. Instructions. Problem Statement. HOMEWORK INSTRUCTIONS Homework #3 Federal Budget Problem

Background Information. Instructions. Problem Statement. HOMEWORK INSTRUCTIONS Homework #3 Federal Budget Problem Background Information The United States federal debt is an increasingly growing and well-known issue. Every year when governmental expenditures exceed revenues, the debt is increased. On the occasions

More information

Initial COBRA Notification Continuation Rights Under COBRA

Initial COBRA Notification Continuation Rights Under COBRA Introduction Initial COBRA Notification Continuation Rights Under COBRA Below is the Group Health Continuation under COBRA - notice. The purpose of this initial notice is to acquaint you with the COBRA

More information

DEERFIELD USD #216 NEGOTIATED AGREEMENT

DEERFIELD USD #216 NEGOTIATED AGREEMENT DEERFIELD USD #216 NEGOTIATED AGREEMENT 2011-2012 Ratified by Deerfield USD 216 Board of Education August 17, 2011 DEERFIELD USD #216 NEGOTIATED AGREEMENT TABLE OF CONTENTS Article I Recognition Page 1

More information

Chapter Recommendation Interview Worksheet

Chapter Recommendation Interview Worksheet Chapter Recommendation Interview Worksheet This worksheet is a template for filling out the online Chapter Recommendation Form and Letter. It is important that this worksheet be printed and used during

More information

Studio Policies

Studio Policies 2018-19 Studio Policies Welcome to EXPRESS Dance & Acrobatics. Our mission is to teach the fundamentals of dance and acrobatics, with an emphasis on commitment, education, safety, and fun in a healthy

More information

UNIVERSITY OF MASSACHUSSETS DARTMOUTH College of Business Department of Accounting and Finance

UNIVERSITY OF MASSACHUSSETS DARTMOUTH College of Business Department of Accounting and Finance UNIVERSITY OF MASSACHUSSETS DARTMOUTH College of Business Department of Accounting and Finance Summer 2018 COURSE: FIN 670, Investment Analysis, Online section PREREQUISITES: FIN 500 and graduate standing

More information

AGREEMENT TO TERMS AND CONDITIONS OF CPCC EDUCATION ABROAD AND WORK-RELATED TRAVEL PROGRAMS

AGREEMENT TO TERMS AND CONDITIONS OF CPCC EDUCATION ABROAD AND WORK-RELATED TRAVEL PROGRAMS Please initial each page. 1 AGREEMENT TO TERMS AND CONDITIONS OF CPCC EDUCATION ABROAD AND WORK-RELATED TRAVEL PROGRAMS I, (print your name), in consideration of Central Piedmont Community College ( CPCC

More information

Central Florida Fair Youth Record Book

Central Florida Fair Youth Record Book Circle One Exhibitor Age on September 1, 2017 Date of Birth Rabbit/ Cavy/Sheep Central Florida Fair Youth Record Book Format provided for use with permission of Florida State Fair Exhibitor Name Age Club

More information

APPLICATION FORM for the designation CHARTERED ARBITRATOR (C.Arb)

APPLICATION FORM for the designation CHARTERED ARBITRATOR (C.Arb) APPLICATION FORM for the designation CHARTERED ARBITRATOR (C.Arb) If you wish to type in the document, ensure you have saved it to your computer before you start and again after you have completed it,

More information

International Student and Scholar Services

International Student and Scholar Services Fall 2017 Pre-departure Webinar Benefits Taivna Mills: Well, hello everyone and thank you so much for joining our webinar. We will - today's webinar is about benefits and health insurance and, we will

More information

500.2 Group Insurances The College currently offers life, medical, and disability insurances to eligible full-time regular employees.

500.2 Group Insurances The College currently offers life, medical, and disability insurances to eligible full-time regular employees. Allegheny College PERSONNEL POLICIES & BENEFITS HANDBOOK Subject: EMPLOYEE BENEFITS 500 POLICY NUMBER 9/01/02 EFFECTIVE DATE 500 Employee Benefits While it is expected that the benefit plans described

More information

1. The name on the Financial Declaration MUST match the spelling and format as it exists on your passport.

1. The name on the Financial Declaration MUST match the spelling and format as it exists on your passport. Overview The International Applicant Financial Declaration is required before a Certificate of Eligibility for a student visa can be issued. Admitted students are advised to fill out the form and print

More information

2017 BUSINESS & TAX CONSULTANTS, INC.

2017 BUSINESS & TAX CONSULTANTS, INC. 2017 BUSINESS & TAX CONSULTANTS, INC. Questionnaire 2017 Please check the appropriate box and include all necessary details When in doubt, please check the Not Sure box so that we can discuss the issue

More information

I-20 Request Form for F-1 Visa

I-20 Request Form for F-1 Visa I-20 Request Form for F-1 Visa Congratulations on your admission to CCA! Now that you have been accepted, the next step is to fill out this I-20 Request Form and submit it, along with supporting documentation,

More information

T. Rowe Price Traditional and Roth IRA Disclosure Statement and Custodial Agreement T. Rowe Price Privacy Policy

T. Rowe Price Traditional and Roth IRA Disclosure Statement and Custodial Agreement T. Rowe Price Privacy Policy T. Rowe Price Traditional and Roth IRA Disclosure Statement and Custodial Agreement T. Rowe Price Privacy Policy Effective November 2016 TABLE OF CONTENTS DISCLOSURE STATEMENT Introduction 3 Section I

More information

» 2009 Benefits Summary. for U.S. Full-Time Hourly & Salaried Associates

» 2009 Benefits Summary. for U.S. Full-Time Hourly & Salaried Associates » 2009 Benefits Summary for U.S. Full-Time Hourly & Salaried Associates What s inside 1 Life Events 12 Eligibility and Enrollment 27 Benefits for Same-sex Domestic Partners 34 Medical 114 California Medical

More information

EARLY FINANCIAL AID APPLICATION

EARLY FINANCIAL AID APPLICATION 2016 2017 EARLY FINANCIAL AID APPLICATION INSTRUCTIONS RECRUITED ATHLETES ONLY Step 1 COMPLETE THE 2016 2017 EARLY FINANCIAL AID APPLICATION Complete all four pages of this application. Please do not leave

More information

Economics. Course Syllabus Coach Westbrook Room:

Economics. Course Syllabus Coach Westbrook Room: Economics Course Syllabus 2018 2019 Coach Westbrook Room: 104 Email: pwwestbrook@mabankisd.net COURSE PURPOSE Economics curriculum at Mabank High School follows State of Texas mandated curriculum that

More information

InnoWorks 2017 Student Application Information and Instructions

InnoWorks 2017 Student Application Information and Instructions InnoWorks 2017 Student Application Information and Instructions Welcome to the 2017 InnoWorks Workshop Student Application! Since 2003, InnoWorks has successfully conducted 50+ summer workshops, serving

More information

NAME: DATE: ADDRESS: City: State: Zip: PHONE #: Cell#

NAME: DATE: ADDRESS: City: State: Zip: PHONE #: Cell# APPLICANTS ARE CONSIDERED FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, AGE, GENDER, SEXUAL ORIENTATION, VETERAN STATUS, DISABILITY OR OTHER CLASSIFICATIONS PROTECTED BY APPLICABLE

More information

Muret CPA, PLLC Page Tax Questionnaire

Muret CPA, PLLC Page Tax Questionnaire Muret CPA PLLC 2014 Tax Organizer Please complete and bring to your appointment, or fax to us at 918-517-3000. You can also scan and email to paul@muretcpa.com Muret CPA, PLLC Page 1 2014 Tax Questionnaire

More information

SOCIAL SECURITY DISABILITY BENEFITS

SOCIAL SECURITY DISABILITY BENEFITS Y OUR SOCIAL SECURITY DISABILITY BENEFITS This Guide Is Provided By EDWARDS & PATTERSON LAW FIRM 321 S. Third, Suite 1 McAlester, OK 74501 1831 East 71st St. Tulsa,OK 74136 Toll Free: 877-761-5059 What

More information

Document guidelines: Tier 4 visa application

Document guidelines: Tier 4 visa application Document guidelines: Tier 4 visa application Within this leaflet you will find information and examples of documents that will assist you in making sure that your documents meet the requirements for making

More information

If you have questions about how much your fee will be, you may stop by or call with your income information before your appointment.

If you have questions about how much your fee will be, you may stop by or call with your income information before your appointment. 238 Arsenal Street, Watertown, NY Family Practice Office: (315) 782-6400 Fax: (315) 782-1330 Adult Office: (315) 782-9903 Fax: (315) 788-0087 Dental Office: (315) 788-9834 Fax: (315) 788-5456 7785 N. State

More information

SSN Birth Date / / Spouse s Name: Legal Address: City State Zip Country. Mailing (or secondary) Address: City State Zip Country

SSN Birth Date / / Spouse s Name: Legal Address: City State Zip Country. Mailing (or secondary) Address: City State Zip Country Client Profile Form Establish a new client Update an existing client* * All sections required for new client relationships. For client updates, please complete the applicable sections only. The signature

More information

PATIENT REGISTRATION AND HISTORY FORM ~ FAMILY EYE HEALTH ASSOCIATES

PATIENT REGISTRATION AND HISTORY FORM ~ FAMILY EYE HEALTH ASSOCIATES PATIENT REGISTRATION AND HISTORY FORM ~ FAMILY EYE HEALTH ASSOCIATES PATIENT INFORMATION: Name (Last, First, MI) Date: Address: City State Zip Home Phone 2nd Phone Work Cell E-Mail Gender: M F Birthdate

More information

Checklist Revising or Drafting Effective Releases

Checklist Revising or Drafting Effective Releases Checklist Revising or Drafting Effective Releases A release is a multipurpose risk management tool that can benefit both the people who participate in an activity and the educational institutions that

More information

A TO Z OF CONTINUING EDUCATION AND RECERTIFICATION AST. Association of Surgical Technologists

A TO Z OF CONTINUING EDUCATION AND RECERTIFICATION AST. Association of Surgical Technologists A TO Z OF CONTINUING EDUCATION AND RECERTIFICATION AST Association of Surgical Technologists TABLE OF CONTENTS Introduction Who is AST?...2 Who is NBSTSA?...2 Recertification General Information...3 Submitting

More information

OUTPATIENT SERVICES CONTRACT AND CLIENT INFORMATION

OUTPATIENT SERVICES CONTRACT AND CLIENT INFORMATION Tawnya S. Foster, Psy.D., LLC Child & Adolescent Psychology 11 West Cooke Road, Suite 6 Columbus, Ohio 43214 614.947.0918 614.564.9416 fax www.drtsfoster.com OUTPATIENT SERVICES CONTRACT AND CLIENT INFORMATION

More information

City of Atlanta Police Officers Pension Plan. SUMMARY PLAN DESCRIPTION (Revised July 1, 2013)

City of Atlanta Police Officers Pension Plan. SUMMARY PLAN DESCRIPTION (Revised July 1, 2013) City of Atlanta Police Officers Pension Plan SUMMARY PLAN DESCRIPTION (Revised July 1, 2013) September 4, 2013 TABLE OF CONTENTS PART I: City of Atlanta Police Officers Pension Plan... 1 Introduction...

More information

The Savings Bank's Online Banking Electronic Service Agreement and Disclosure

The Savings Bank's Online Banking Electronic Service Agreement and Disclosure The Savings Bank's Online Banking Electronic Service Agreement and Disclosure This Agreement between you and The Savings Bank ("TSB") governs the use of Online Banking services provided by TSB. These services

More information