Q1 In which year did you qualify?
|
|
|
- George Small
- 5 years ago
- Views:
Transcription
1 Q1 In which year did you qualify? Answered: 68 Skipped: % % % % % % 33 TOTAL 68 1 / 13
2 Q2 Have you managed to get any paid work since qualifying (if no, please go to question 11) Answered: 68 Skipped: % % 4 TOTAL 68 2 / 13
3 Q3 Is this as an Art Therapist? (If yes, please go to question 6) Answered: 64 Skipped: % % 19 TOTAL 64 3 / 13
4 Q4 If no to question 3, please specify which job title you are currently employed as or were employed as post qualification Answered: 25 Skipped: 43 4 / 13
5 Q5 answered no to question 3, as part of your job role, do you or did you: (please tick appropriate box or boxes and go to question 7) Answered: 30 Skipped: 38 Work solely as an Art... Mix art therapy with... Work therapeutica... Work in a job with generic... Work in an unrelated... Work in an unrelated... Work solely as an Art Therapist? Mix art therapy with other approaches but your job is mostly art therapy Work therapeutically with art as part of your role but do not consider it to be Art Therapy? Work in a job with generic title and role but also provide art therapy? Work in an unrelated profession however the skills and knowledge acquired from your training course has proven useful? Work in an unrelated profession. Eg administrator? 16.67% % % % % % 1 TOTAL 30 5 / 13
6 Q6 If yes to question 3, how long did it take you to find employment as an Art Therapist? (please give your answer in months from qualification and go to question 8) Answered: 46 Skipped: AVERAGE NUMBER TOTAL NUMBER qualified in qualified in 2015 qualified in , Total Respondents: 46 6 / 13
7 Q7 If no to question 3, how long did it take you find employment? (please answer in months) Answered: 24 Skipped: AVERAGE NUMBER TOTAL NUMBER qualified in qualified in 2015 qualified in , Total Respondents: 24 7 / 13
8 Q8 How many hours per week are you working? (either as an Art Therapist or other job title) Answered: 63 Skipped: AVERAGE NUMBER TOTAL NUMBER qualified in qualified in 2015 qualified in Total Respondents: 63 8 / 13
9 Q9 Do you have several part time posts? Answered: 65 Skipped: % % 29 Total Respondents: 65 9 / 13
10 Q10 Are you? Answered: 66 Skipped: 2 working on a voluntary ba... employed on a temporary... Self-employed Employed as a permanent... Seeking more paid work? working on a voluntary basis (including Honorary Art Therapist posts) employed on a temporary contract Self-employed Employed as a permanent staff? Seeking more paid work? 16.67% % % % % 17 Total Respondents: / 13
11 Q11 are still unemployed, please tell us about your experiences of seeking work (eg. number of interviews, skills which you feel you would need etc) Answered: 4 Skipped: / 13
12 Q12 Are you a member of Unite or any other Trade Unions? Please specify Answered: 66 Skipped: % % 57 Total Respondents: / 13
13 Q13 Please add any comments which you feel would be useful for BAAT to know about your experience of seeking employment. Answered: 31 Skipped: / 13
BUSINESS FINANCIAL QUESTIONNAIRE (NOVEMBER 2015)
Plan number BUSINESS FINANCIAL QUESTIONNAIRE (NOVEMBER 2015) Important Note: Please answer all of the questions on this form honestly and in full. If you miss any information out, or give us misleading
I m on to it one of these days
I m on to it one of these days Who will look after you in your retirement? The current State social welfare pension is 209.30 per week or 10,883 per year (as of Jan 2007) will this be enough for you to
Healthcare Experience and Concerns September Consumer Reports National Research Center
care Experience and Concerns September 2009 1 Method Telephone surveys utilizing a random probability sample of telephone households were conducted among 1,002 adults 18+ years of age to assess their behaviors
Q1 In your opinion, should municipal governments continue to provide discounts to seniors regardless of income?
Q1 In your opinion, should municipal governments continue to provide discounts to seniors regardless of income? Answered: 6,514 Skipped: 66 t Sure t Sure 71.57% 4,662 18.27% 1,190 10.16% 662 TOTAL 6,514
The CSP welcomes the opportunity to respond to the Healthcare Professions Indemnity Consultation.
Health and Care Professions Council (HCPC) Consultation on guidance for registrants to hold statutory indemnity to practice Chartered Society of Physiotherapy Consultation response To: Consultation on
Kidney Disease and Working Kidney and Urinary Program St. Joseph's Hospital Hamilton, Ontario
Kidney Disease and Working Kidney and Urinary Program St. Joseph's Hospital Hamilton, Ontario St. Joseph's Healthcare Hamilton PD 3078 (2008-01) File: printing Notes: Inside this book Introduction.............................
Number 32 of Health and Social Care Professionals (Amendment) Act 2017
Number 32 of 2017 Health Social Care Professionals (Amendment) Act 2017 Number 32 of 2017 HEALTH AND SOCIAL CARE PROFESSIONALS (AMENDMENT) ACT 2017 Section 1. Definitions CONTENTS 2. Amendment of section
Guidance on options for flexible retirement
Document level: Trustwide (TW) Code: HR2.12 Issue number: 3 Guidance on options for flexible retirement Lead executive Director of Nursing Therapies Patient Partnership Author and contact number Human
Kelly Murray MA, LPC 4531 SE Belmont St #203 Portland, OR Ph#
Kelly Murray MA, LPC 4531 SE Belmont St #203 Portland, OR 97215 Ph# 971-258-1712 kellymurraylpc@gmail.com www.kellymurraytherapy.com INTAKE PACKET Please fill out this intake paperwork to provide me with
SHARED OWNERSHIP REGISTRATION FORM
Office Use Only: Date Received SHARED OWNERSHIP REGISTRATION FORM The information on this form is important therefore if you require any help in completing it please contact our Glenrothes office for assistance
Draft Enfield Transport Policy Adult Social Care
Draft Enfield Transport Policy Adult Social Care Easy Read www.enfield.gov.uk 2 What s in this document: Why we need a policy Page 4 Policy Summary Page 6 Questionnaire Page 9 3 Why we need a policy The
Full Name: / / / (Legal Last Name) (Legal First Name) (Middle Initial) (Preferred First Name)
Patient Name Full Name: / / / (Legal Last Name) (Legal First Name) (Middle Initial) (Preferred First Name) Date of Birth: / / Age: Sex/Gender: Address: / / / (Street/PO Box) (City) (State) (Zip Code) Phone
UNEMPLOYMENT COVER CLAIM FORM
PruCustomer Line: 1800-333 0 333 UNEMPLOYMENT COVER CLAIM FORM This form must be completed by the Life Assured who is at least 18 years old or the policyowner if the Life Assured is below 18 years old
APPENDIX I. 11. Do you know about the scheme of lottery :Yes No. 12. How did you came to have about lottery :Advertisements Friends
200 APPENDIX I Survey Conducted to know the behaviour and attitudes of ticket buyers of State lottery 1. Name : 2. Address : 3. Religion : 4. Age : 5. Male/Female Male Female 6. Educational Qualification
Now I have some questions about work and family
PEW SOCIAL & DEMOGRAPHIC TRENDS WORK/WOODSTOCK/GENERATION GAP SURVEY TOPLINE FOR SELECTED QUESTIONS July 20-Aug. 2, 2009 N=1,815 U.S. residents, ages 16+ (1,164 landline and 651 cell RDD) 1 NOTE: ALL NUMBERS
Colchester Institute
Colchester Institute Free College Meals and 16-19 Bursary Fund Guidelines for 2017 18 These guidelines apply to students who are aged 16, 17 or 18 on the 31 st August 2017. If you turn 19 on or before
Baldwin Counseling Payment Agreement
Baldwin Counseling Payment Agreement Baldwin Counseling believes that a clear understanding of our financial policies is important for both client and therapist. We are fully committed to helping you accomplish
Have Your Say on the Council Tax Reduction Scheme. Our Proposed Changes to the Scheme
Have Your Say on the Council Tax Reduction Scheme Blackpool Council's local Council Tax Reduction Scheme replaced council tax benefit in 2013. Government announced a number of changes to the Housing Benefit
Colchester Institute
Colchester Institute Free College Meals and 16-19 Bursary Fund Guidelines for 2018 19 These guidelines apply to students who are aged 16, 17 or 18 on the 31 st August 2018. students aged 19 on 31 st August
Part D Coverage Determination/Formulary Exception Process
question mark. Have Part D Coverage Determination/Formulary Exception Process SECTION 7 Your Part D prescription drugs: How to ask for a coverage decision or make an appeal you read Section 5 of this chapter
PPI Consumer Questionnaire
PPI Consumer Questionnaire Providing as much information as possible about the sale of your PPI will assist us in conducting a thorough investigation of your PPI complaint. If you can't remember all the
2016 AARP Arizona Voter Retirement Security Survey Annotation
2016 AARP Arizona Voter Retirement Security Survey Annotation Registered Voters Age 35-70 Sampling Questions 1. Age of Respondents [35-70 Registered Voters] 35-49 37.3% 50-64 44.8% 65-70 17.9% 2. Are you
Pennsylvania Amend Instructions:
Pennsylvania Amend Instructions: NOTE: If you used TurboTax CD/Download product to prepare and file your original return: Be sure to update your product. Go to Online and click on Check for Update. 1)
Summary Results Survey of Members of The State Bar of California December, 2011
Summary Results Survey of Members of The State Bar of California December, 2011 1. Since you were admitted to the State Bar of California, how many years have you been practicing law? 1. Less than 1 year
ANZ KiwiSaver Scheme INformAtIoN for employers
ANZ KiwiSaver Scheme Information for employers One KiwiSaver scheme makes it easy KiwiSaver is a voluntary savings initiative, designed to make it easier for New Zealanders to save for their retirement.
Attitude to Risk Questionnaire Trustee
Attitude to Risk Questionnaire Trustee About Risk At Cornerstone we believe that correctly understanding investment risk is a fundamental part of creating the most appropriate financial plan. It is for
It explains what this requirement means for registrants. This document will also be helpful for individuals applying for registration with us.
Information for registrants Professional indemnity cover and your registration 1. Introduction About this document We have written this document about the requirement for registrants to have appropriate
What America Is Thinking On Energy Issues. Production & Infrastructure: New Jersey
Nielsen What America Is Thinking On Energy Issues Production & Infrastructure: New Jersey August 2014 Methodology Audience: 602 Registered Voters Methodology: Telephone interviews Interview Dates: July
What America Is Thinking On Energy Issues. Production & Infrastructure: Missouri
Nielsen What America Is Thinking On Energy Issues Production & Infrastructure: Missouri August 2014 Methodology Audience: 614 Registered Voters Methodology: Telephone interviews Interview Dates: July 29
Patient Information Form
Patient Information Form General Information Today s date / / Patient s name Last name First name Middle initial Address Street City State Zip code # ( ) # ( ) Work # ( ) Preferred telephone contact Work
Acknowledgement That You Have Received Our HIPAA Privacy Notice
Acknowledgement That You Have Received Our HIPAA Privacy Notice Simply Spoken Therapy is required by law to keep your health information and records safe. This information may include: Notes from your
Social Workers Benevolent Trust APPLICATION FOR ASSISTANCE
(OFFICE USE ONLY) REFERENCE NUMBER: / 1 Surname: First Name: Title: Current address (inc postcode): Phone: Mobile: E-mail: 2 Household members (please state relationship to you) (See note 1) 3 Are you
EMPLOYEE WORKERS COMPENSATION HANDBOOK 2018
EMPLOYEE WORKERS COMPENSATION HANDBOOK 2018 The City of Stockton is self-insured for Workers' Compensation benefits. The City pays benefits directly to injured employees, rather than purchasing an insurance
payment protection insurance: consumer questionnaire
our ref: By completing the PPI Questionnaire we will have all the information we need to assess your complaint. Don t worry if you can t remember all of the information, or you do not have any paperwork,
T R U I N S U R E A P P L I C A T I O N F O R E M P L O Y M E N T
T R U I N S U R E A P P L I C A T I O N F O R E M P L O Y M E N T Our agency is an equal opportunity employer. All applicants will be considered regardless of race, color, religion, sex, national origin,
Need help with frequent crisis, housing, transportation?
Need help with frequent crisis, housing, transportation? Kentucky Counseling Center will provide help FREE of charge to qualifying Medicaid recipients. Our Case Management program may assist in the following
Maine Department of Health and Human Services Office of Aging and Disabilities Services
Maine Department of Health and Human Services Office of Aging and Disabilities Services Shared Living Rate Study Prepared by: 3030 NORTH THIRD STREET, SUITE 200 PHOENIX, ARIZONA 85012 (602) 241-8520 Maine
*1. Are you currently working part time?
Netmums have joined forces with the Resolution Foundation to find out more about mums who work part time. We know that over one third of women in the UK work part time, but little is known about whether
CREDIT INSURE TPD/TTD CLAIM FORM
Please tick [ ] in the appropriate box. An extract of some of the Benefits which will not be payable, namely : (a) Pre-existing condition (see item 2.12 ON Illness of the Certificate). (b) for first 30
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
Who referred you to us? Who shall we contact in case of emergency? Phone:
Client Information Sheet (Leslie Jensby -Wichita Counseling and Coaching Center) Client: Last Name: First Name: MI Street: City: State: Zip Home Phone: Cell Phone SSN# - - Birth Date: Age: Sex: M / F Work
HART RESEARCH ASSOCIATES Study # page 1
HART RESEARCH ASSOCIATES Study #12269--page 1 1724 Connecticut Avenue, NW Interviews: 400 registered voters Washington, DC 20009 Dates: November 18-21, 2017 (202) 234-5570 FINAL Study #12269--Arizona State
PUBLIC LIABILITY INSURANCE FOR EVENTS
PUBLIC LIABILITY INSURANCE FOR EVENTS CONTACT DETAILS Insured name: First Name: Family Name: Postal Address: State: Phone: Email: Postcode: Mobile: Website: ABN: EVENT AND COVER REQUIREMENTS 1. Type of
Personal Sick Pay. Paying you an income if you can t work because of an accident or illness
Personal Sick Pay Paying you an income if you can t work because of an accident or illness Personal Sick Pay How it works when you can t Personal Sick Pay is a type of income protection insurance which
Application for Top Up Fees Assistance In Confidence
FOR HELP FILLING IN THIS FORM, PLEASE REFER TO THE GUIDANCE NOTES PROVIDED Application for Top Up Fees Assistance In Confidence Nursing Home Residential Care Home Care Package (Own Home) Care Package (Sheltered
Education and Training Committee, 12 September Outcomes of consultation on guidance on professional indemnity
Education and Training Committee, 12 September 2013 Outcomes of consultation on guidance on professional indemnity Executive summary and recommendations Introduction A consultation was held between 10
Airport Drayage NE 112 th Ave Portland, OR 97220
Airport Drayage 6331 NE 112 th Ave Portland, OR 97220 APPLICATION FOR CUSTOMER SERVICE/OPERATIONS POSITIONS (Answer all questions Please Print Incomplete applications will not be considered) In compliance
Claim Form Freedom Protection Plan Accidental Injury Cover - Part A
Claim Form Freedom Protection Plan Accidental Injury Cover - Part A Plan Number Plan Owner (Claimant) Life Insured (Injured Person) Claim Type BROKEN BONE Important information about completing this form
Application for a State Pension forecast
Application for a State Pension forecast When to use this form Use this form to apply for a State Pension forecast. You can get a Pension forecast if you are more than four months from State Pension age.
NHS Pensions - Consideration of entitlement to ill health retirement benefits (AW33E) Important: Please complete this form in BLACK INK
SD / EA Ref EA Code NHS Pensions - Consideration of entitlement to ill health retirement benefits (AW33E) Important: Please complete this form in BLACK INK NHS Pensions PO Box 2269 Bolton BL6 9JS www.nhsbsa.nhs.uk/nhs-pensions
MT. EPHRAIM BOARD OF EDUCATION Mt. Ephraim, New Jersey REQUESTS FOR PROPOSALS NOTICE OF SOLICITATION
MT. EPHRAIM BOARD OF EDUCATION Mt. Ephraim, New Jersey 08069 REQUESTS FOR PROPOSALS NOTICE OF SOLICITATION PHYSICAL THERAPY SERVICES OCCUPATIONAL THERAPY SERVICES SPEECH THERAPY SERVICES Notice is hereby
Vulnerability Notification Form Telling us about your personal circumstances
Vulnerability Notification Form Telling us about your personal circumstances Why give us this information? To offer you the right support, we ll need to understand your circumstances. We know that you
Patient Demographics
Patient Demographics Name / / How do you prefer to be verbally addressed? Address City State Zip Phone: Home Work Cell Email SSN of birth / / Age Marital Status: M S W D Other Spouse s Name: Employer Address
ASSEMBLY BILL No. 483
california legislature 2015 16 regular session ASSEMBLY BILL No. 483 Introduced by Assembly Member Patterson (Principal coauthor: Assembly Member Gordon) (Coauthors: Assembly Members Chang, Chávez, Grove,
Pre-Qualification Questionnaire : Provision of Architectural Services for the redevelopment of the Windermere Steamboat Museum
Pre-Qualification Questionnaire : Provision of Architectural Services for the redevelopment of the Windermere Steamboat Museum To be completed by the architect leading the design team. A condition of teams
City of San Rafael: 2011 City Satisfaction Survey Topline Report March 2011
Godbe Research City of San Rafael: 2011 City Satisfaction Survey Topline Report March 2011 The City of San Rafael commissioned Godbe Research to conduct a telephone survey of voters to assess overall perceptions
2017 Publication 4942, VITA/TCE Specialty Course Health Savings Accounts (HSA)
2017 Publication 4942, VITA/TCE Specialty Course Health Savings Accounts (HSA) Publication 4942 35 HSA Test Scenario 1 interview notes, change seventh bullet to: Change Question #2, answer C to: C. $1,900
20% 40% 60% 80% 100% AARP
AARP Survey of Idaho Registered Voters ages 30 64: State Health Insurance Exchange Prepared by Jennifer H. Sauer State Research, AARP State health insurance exchanges are a provision of the new health
Employment Application
Employment Application Tuscaloosa County Park & Recreation Authority Human Resources Manager P.O. Box 2496 Tuscaloosa, AL 35403 (205) 562-3220 INSTRUCTIONS: Answer every question. Leave no blank spaces.
Why do we conduct therapy reassessment visits? o
HCHB Frequently Asked Questions: Therapy Reassessment Why do we conduct therapy reassessment visits? o Under the 2011 Home Health PPS Final Rule, CMS has detailed new requirements that home health agencies
COMMERCIAL INSURANCE Patient & Payor Information Form All Patients or Patients Legal Representative, please complete all Sections
COMMERCIAL INSURANCE Patient & Payor Information Form All Patients or Patients Legal Representative, please complete all Sections ( 1 ) Patient: (Full Legal Name or as on Insurance Card ) Name: Last First
Application for Employment
Application for Employment Please complete this form fully, using block capital letters. The information that you supply on this form will be treated in confidence. Applications are invited from people
PATIENT INFORMATION. Name Soc. Sec. # - - Last Name First Name Initial Address. City State Zip code. E mail address Sex M F Age Birth date
PATIENT INFORMATION Name Soc. Sec. # - - Last Name First Name Initial Address City State Zip code E mail address Sex M F Age Birth date Home phone Mobile phone Work phone In case of emergency who should
Florida Medicaid. Respiratory Therapy Services Coverage Policy. Agency for Health Care Administration
Florida Medicaid Respiratory Therapy Services Coverage Policy Agency for Health Care Administration Table of Contents Florida Medicaid 1.0 Introduction... 1 1.1 Description... 1 1.2 Legal Authority...
City of Port Moody Citizen Survey. Presented by: Catherine Knaus, Ipsos Reid
City of Port Moody Citizen Survey Presented by: Catherine Knaus, Ipsos Reid Objectives and Methodology 2 Objective Provide a comprehensive overview of citizens satisfaction levels, attitudes, needs, and
Medical Malpractice. Complementary and Aesthetic Medical Practitioners Proposal Form
Medical Malpractice Complementary and Aesthetic Medical Practitioners Proposal Form General Guidance Insurance is a contract of the utmost good faith. This means that the information you provide in this
ACADEMIC YEAR 2018/2019 ONLY EXTENDED BURSARY
ACADEMIC YEAR 2018/2019 ONLY 16 18 EXTENDED BURSARY APPLICATION FORM (WORTH UP TO 1200) (PART OF THE 16 TO 19 BURSARY FUND) 16-18 EXTENDED BURSARY SCAN AND RETURN COMPLETED FORM AND EVIDENCE TO: WELFARE@LINCOLNCOLLEGE.AC.UK
Beazley Complementary Medical Practitioners. form. proposal
Beazley Complementary Medical Practitioners form proposal Beazley Complementary Medical Practitioners Proposal form Page 2 Important information This proposal form is for a claims made policy. A claims
Recruitment Application Form and Equal Opportunities Monitoring Form
Recruitment Application Form and Equal Opportunities Monitoring Form Please complete Position applying for: Salary required: per annum or per hour Available to take up employment: (date of length of notice
Terms for Bupa Recognised Speech and Language Therapists
May 2018 Terms for Bupa Recognised Speech and Language Therapists This document, together with the other documents referred to in it, contain the terms of your agreement with Bupa. The agreement is between
Patient: Date: Address: City ST Zipcode. HPhone: Cphone . Can we leave message? Married Single Employed Student Full/PartTime
Patient: Date: Address: City ST Zipcode HPhone: Cphone Email Can we leave message? Married Single Employed Student Full/PartTime DOB: Social Security: Emergency Contact: phone# Primary Care Physician Can
Our Ancillary Provider Terms
Our Ancillary Provider Terms 1 What are our Provider Recognition Criteria? Our provider recognition criteria for your profession are set out on Our website: www.bupa.com.au ( Recognition Criteria ). In
Chapter 7 Case Study 2: Testing Questions from the European Community Household Panel
Chapter 7 Case Study 2: Testing Questions from the European Community Household Panel Pre-tests on ECHP Questions on Daily Activities, Pension Schemes, and Education and Training Summary: This chapter
Chapter 9: What to do if you have a problem or complaint (coverage decisions, appeals, complaints)
Chapter 9: What to do if you have a problem or complaint (coverage decisions, appeals, complaints) SECTION 6 Your Part D prescription drugs: How to ask for a coverage decision or make an appeal? Have you
MEDICAL STAFFING AND NURSE REGISTRY
U.S. Risk Underwriters, Inc. Boston (617.227.1310) Dallas (800.232.5830) Houston (800.833.8803) MEDICAL STAFFING AND NURSE REGISTRY PROFESSIONAL AND GENERAL LIABILITY INSURANCE (CLAIMS MADE AND REPORTED
Q1 Why did you visit this pharmacy today?
CPPQ Manning Pharmacy Patient Questionnaire 216/17 Q1 Why did you visit this pharmacy today? Answered: 15 Skipped: To collect a prescription... To collect a prescription... To collect a prescription...
AARP SURVEY ON MEDICARE PRESCRIPTION DRUG PLAN SURVEY QUESTIONNAIRE AND RESULTS NOVEMBER 20, 2003
AARP SURVEY ON MEDICARE PRESCRIPTION DRUG PLAN SURVEY QUESTIONNAIRE AND RESULTS NOVEMBER 20, 2003 Conducted by Knowledge Networks for AARP on November 19 th 494 AARP members interviewed Sampling margin
Referred By: Can we contact?
Patient: Date: Address: City ST Zipcode HPhone: WPhone: Cphone Can we leave message? Married Single Employed Student Full/Partime DOB: Social Security: Emergency Contact: phone# Is your condition related
REGULATORY SERVICES DEPARTMENT ZOO LICENSING ACT 1981 APPLICATION TO SURRENDER OR CHANGE A ZOO LICENCE. Applicant details. Full Name...
REGULATORY SERVICES DEPARTMENT ZOO LICENSING ACT 1981 APPLICATION TO SURRENDER OR CHANGE A ZOO LICENCE Applicant details Full Name.... (Capitals) Email.... Telephone number: Mobile:.... Address if applying
CHAPTER 9 CHILD SUPPORT GUIDELINES
CHAPTER 9 CHILD SUPPORT GUIDELINES Rule 9.1 Guidelines adopted. The supreme court has undertaken to prescribe uniform child support guidelines and criteria pursuant to the federal Family Support Act of
Income Protection Plus Application Form
www.pgmutual.co.uk Income Protection Plus Application Form Please note: In order to become a Member you must be residing and working in the UK and working a minimum of 16 hours per week You must have been
YOUR RESPONSIBILITY TO REPORT CHANGES
LDSS-3151 (Rev. 8/12) PAGE 1 NEW YORK STATE OFFICE OF TEMPORARY AND DISABILITY ASSISTANCE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CHANGE REPORT FORM (Please Print Clearly) CASE NUMBER YOU MUST
MONTANA CHILD SUPPORT GUIDELINES FINANCIAL AFFIDAVIT
MONTANA CHILD SUPPORT GUIDELINES FINANCIAL AFFIDAVIT INSTRUCTIONS FOR COMPLETING THIS FORM: It must be signed and notarized. Provide complete information, attaching additional pages if needed. If a question
Employment Trends & Salary Survey
Employment Trends & Salary Survey 2017-18 in partnership with www.sciproglobal.com Contents Introduction to SciPro...3 Executive Summary...4 Section 1 Demographics...5-10 Section 2 Hiring Trends...11-18
APPLICATION FOR EMPLOYMENT
We consider applicants without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. (PLEASE
Incorporation of Accounting Standards Update into Form 990, Return of Organization Exempt from Income Tax, and Instructions
Ms. Margaret Von Lienen Acting Director Exempt Organizations Internal Revenue Service 1111 Constitution Avenue, NW Washington, DC 20224 RE: Incorporation of Accounting Standards Update 2016-14 into Form
Colchester Institute
Colchester Institute Advanced Learner Loans Bursary Fund Guidelines for 2018 19 These guidelines apply to students who are aged 19 and over and have taken out an Advanced Learner Loan to cover their tuition
Income Premium Mortgage Repayment Household Expenses Loss of Revenue. a) Do you have medical insurance? Y N If yes please name the insurer.
Claim Form Monthly Benefit Policy number 1.0 Type of cover a) Please state which type of Policy you hold. Personal Protection Plan Business Protection Plan b) Please state what type of cover you are claiming
Leslie Ellen Ackerman, Psy.D., PC
Leslie Ellen Ackerman, Psy.D., PC 39 West 32 nd Street Suite 1402! New York, NY 10001 Phone: (347) 927-0175-! E-Mail: Drleslieackerman@gmail.com PSYCHOTHERAPIST-PATIENT CONTRACT About the Office Welcome
GAHANNA COUNSELING, LLC
Client Information and Acknowledgment of Informed Consent to Treatment GAHANNA COUNSELING, LLC 540 Officenter Pl., Ste. 290, Gahanna, OH 43230 - Ph: 1-888-336-1772 I am independently licensed as a LPCC
2014 Student Experience at the Research University (SERU) Item Frequencies and Means - Ethnicity by College - Asian Amer. N % Hispanic Amer.
2014 Student Experience at the Research University (SERU) Item Frequencies and s - Ethnicity by College - University of Washington, Seattle School of Business Q006.1 Q006.2 Q006.3 Contributed to a class
APPENDIX F PRE-TENDER QUESTIONNAIRE
APPENDIX F PRE-TENDER QUESTIONNAIRE (There are two standard Pre-tender Questionnaires. The attached is the shorter version. The Legal Department would be happy to advise which is most suitable) SOUTH YORKSHIRE
Informed Consent Form
David Levingston, M.A., LMFT Licensed Marriage and Family Therapist LMFT 100-0000054 139 Main Street, Suite 404 Brattleboro, VT 05301 415.717.0918 dlevingston@gmail.com Informed Consent Form Complimentary
Student & Guarantor Application Form
Agent contact details PAGE 1 of 5 Agent Name*: First Name*: Last Name*: Branch*: Tel No*: Property to be rented details Full address*: Property type: Terrace Semi-Detached Detached Flat Property rent (per
Winchendon s Property Tax FY18 Work-Off Application
Winchendon s Property Tax FY18 Work-Off Application Name: Telephone #: Address: Soc. Sec. #: The Senior Work-Off Abatement Program is a program allowing the Town of Winchendon the opportunity to utilize
we make it easy for you
Insurance Guide PDS Supplement we make it easy for you Dated 30 September 2017 CARE Super Pty Ltd (Trustee) ABN 91 006 670 060 AFSL 235226 CARE Super (Fund) ABN 98 172 275 725 PDS Supplement The information
NATHAN ZELTZER, ESQ. ACTION LEGAL SERVICES 232 Court Street Reno, NV (775) Fax (775)
NATHAN ZELTZER, ESQ. ACTION LEGAL SERVICES 232 Court Street Reno, NV 89501 (775) 786-9993 Fax (775) 329-7220 questions@zlaw.com ****************************************************************************************
Professional Liability Application for Allied and Miscellaneous Services
Professional Liability Application for Allied and Miscellaneous Services Instructions: Answer all questions; applicant s name must include the names of all businesses and locations for which coverage is
Clear Listening LLP. Frequency and Hemisphere Specific, Musical Stimulation Programme
Clear Listening LLP JOHANSEN INDIVIDUALISED AUDITORY STIMULATION ( JOHANSEN IAS) Frequency and Hemisphere Specific, Musical Stimulation Programme PROVIDER TRAINING COURSE Speakers: Camilla Leslie MRCSLT,
Amerigroup Medicare Member PBM Conversion Talking Points
Amerigroup Medicare Member PBM Conversion Talking Points Overview On January 1, 2015, pharmacy benefits for L-Amerigroup Amerivantage (AMV) members will be covered through Express Scripts, Inc. (ESI).