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Form preview Employment agreement form For Office Use Only Profile No Contract Compliance Form Reporting Compliance with D.C. Law 14-24 Mayor s Order 83-265 and D.C. Law 5-93 First Source Employment Agreement Instructions To be completed by the employer and submitted on the 10th of each month until completion of the project. Forward to Department of Employment Services DOES 609 H Street N*E* Room 431 Washington D*C* 20002 Telephone 202 698-5772 Fax 202 698-5717 Website www. does. dc*gov Reporting Period 20 Name of Firm Address Contact Person E-mail Title Telephone Number Employer Federal Identification Number Contract/Loan Number Project Location Project Start Date Project End Date Contracting/Lending Agency I. Vacancies Referrals and Hires Please provide monthly and cumulative statistics for the number of jobs created referrals made and hires. Cumulative This Month Number of Vacancies Currently Available Total Number of Hires Number of District Residents Hired Number of DOES Referrals Hired Number of Current Employees Transferred to Work on Project Referrals Made by Other Sources DOES Referrals Made II. New Hires This Month List the name social security number job title hire date and place of residence for all new hires. Referral sources are 1 DOES and 2 Other Referral Sources specify. NAME SSN ADDRESS WARD DC Only JOB TITLE HIRE DATE REFERRAL SOURCE III. Current Workforce This Month to work on the project this month. HIRE DATE IV. Laid-Off Employees This Month V. Terminations This Month TERMINATION PLACE OF RESIDENCE VI. Indicate whether your firm is 1. A Certified Local Small Disadvantaged Business YES NO If yes certification number 2. A non-certified Local Small Disadvantaged Business YES NO Do you have a registered Apprenticeship program with the D*C* Apprenticeship Council YES If yes D*C* Apprenticeship Council Registration Number VIII. Subcontractor If yes specify Prime Contractor IX. Comments Describe any problems you have experienced in meeting your job creation projections in implementing the Signature Date. Forward to Department of Employment Services DOES 609 H Street N*E* Room 431 Washington D*C* 20002 Telephone 202 698-5772 Fax 202 698-5717 Website www. does. dc*gov Reporting Period 20 Name of Firm Address Contact Person E-mail Title Telephone Number Employer Federal Identification Number Contract/Loan Number Project Location Project Start Date Project End Date Contracting/Lending Agency I. does. dc*gov Reporting Period 20 Name of Firm Address Contact Person E-mail Title Telephone Number Employer Federal Identification Number Contract/Loan Number Project Location Project Start Date Project End Date Contracting/Lending Agency I. Vacancies Referrals and Hires Please provide monthly and cumulative statistics for the number of jobs created referrals made and hires. Vacancies Referrals and Hires Please provide monthly and cumulative statistics for the number of jobs created referrals made and hires. Cumulative This Month Number of Vacancies Currently Available Total Number of Hires Number of District Residents Hired Number of DOES Referrals Hired Number of Current Employees Transferred to Work on Project Referrals Made by Other Sources DOES Referrals Made II.
Form preview Letter of recommendation fill... Phone Fax E-mail Website The Graduate School 1501 W. Bradley Ave. Peoria IL 61625 309-677-2375 309-677-3343 bugrad2 bradley. edu www. bradley. edu/grad Confidential Letter of Recommendation Directions for the applicant Please print the information in the box below sign the waiver statement and forward this form to the individual making the recommendation. Name Family/Last Given/First Middle/Other Maiden Term of Entry Check One Fall Semester 20 January Interim 20 Mailing Address City State Country Zip Home Phone Work Phone include area code E-mail address Date of Birth Spring Semester 20 May Interim I 3 weeks 20 Summer Session I 20 mm/dd/yy Country of Birth Country of Citizenship Male Female Graduate program applied for. Optional Waiver of Rights under the Family Educational Rights and Privacy Act of 1974 I hereby waive do not waive my right to have access to this recommendation when completed and understand that this confidential recommendation is to be used only in consideration for admission to the Graduate School at Bradley University. Edu www. bradley. edu/grad Confidential Letter of Recommendation Directions for the applicant Please print the information in the box below sign the waiver statement and forward this form to the individual making the recommendation. Name Family/Last Given/First Middle/Other Maiden Term of Entry Check One Fall Semester 20 January Interim 20 Mailing Address City State Country Zip Home Phone Work Phone include area code E-mail address Date of Birth Spring Semester 20 May Interim I 3 weeks 20 Summer Session I 20 mm/dd/yy Country of Birth Country of Citizenship Male Female Graduate program applied for. Optional Waiver of Rights under the Family Educational Rights and Privacy Act of 1974 I hereby waive do not waive my right to have access to this recommendation when completed and understand that this confidential recommendation is to be used only in consideration for admission to the Graduate School at Bradley University. Applicant s Signature Date School. Your recommendation will be included as part of the information upon which we will base our decision for admission. Please give your appraisal of the applicant in terms of the qualities listed on both sides of this form. Return the completed recommendation to The Graduate School at the address above. Phone Fax E-mail Website The Graduate School 1501 W* Bradley Ave. Peoria IL 61625 309-677-2375 309-677-3343 bugrad2 bradley. Optional Waiver of Rights under the Family Educational Rights and Privacy Act of 1974 I hereby waive do not waive my right to have access to this recommendation when completed and understand that this confidential recommendation is to be used only in consideration for admission to the Graduate School at Bradley University. Applicant s Signature Date School* Your recommendation will be included as part of the information upon which we will base our decision for admission* Please give your appraisal of the applicant in terms of the qualities listed on both sides of this form* Return the completed recommendation to The Graduate School at the address above.
Form preview College pastor recommendation... One South Boulevard Nyack NY 10960-3698 Fax 845-358-3047 admissions nyack. edu College Seminary Graduate Schools Christian Higher Education Since 1882 PASTOR S RECOMMENDATION Choose campus Rockland Campus Nyack NY residential NYC Campus New York NY commuter Student Information please print clearly Please complete this section and present this form to a spiritual leader familiar with you from your home church no relatives please. Enrollment Date NAME FIRST MIDDLE LAST MAIDEN Fall 20 Spring 20 Summer 20 ADDRESS CITY STATE ZIP COUNTRY PHONE E-MAIL ADDRESS Pastor s Information please print clearly NOTE The above mentioned person has applied for admission to Nyack College. We are interested in your recommendation as one who knows the applicant well. Your response and utmost frankness to the following questions will be greatly appreciated. As of November 19 1974 the Family Education Rights and Privacy Act popularly known as the Buckley Amendment Public Law 93-380 gives the right of access review and challenge on the part of the student to any and all records held by the college on that student. Enrollment Date NAME FIRST MIDDLE LAST MAIDEN Fall 20 Spring 20 Summer 20 ADDRESS CITY STATE ZIP COUNTRY PHONE E-MAIL ADDRESS Pastor s Information please print clearly NOTE The above mentioned person has applied for admission to Nyack College. We are interested in your recommendation as one who knows the applicant well* Your response and utmost frankness to the following questions will be greatly appreciated* As of November 19 1974 the Family Education Rights and Privacy Act popularly known as the Buckley Amendment Public Law 93-380 gives the right of access review and challenge on the part of the student to any and all records held by the college on that student. In light of this your reference will be destroyed following the admissions decision on this applicant. We therefore guarantee the confidentiality of your reference. NAME POSITION IN CHURCH RELATIONSHIP TO APPLICANT NAME OF CHURCH CHURCH MAILING ADDRESS How long have you known the applicant years To your knowledge has the applicant made a personal commitment to Jesus Christ and on what evidence do you base your conclusion How well do you know the applicant by name and sight only casually a few personal contacts a number of personal contacts a close relationship Is there anything about the student which may hinder his or her success in college Please list outstanding abilities the applicant may possess Does the applicant have a positive attitude towards authority and instruction If not please explain* continues on back Please circle the word or words in the following list which in your best judgement characterize the applicant. LEADERSHIP NO OPPORTUNITY TO OBSERVE MAKES NO EFFORT TO LEAD TRIES BUT LACKS ABILITY LEADS OCCASIONALLY HAS SOME UNUSUAL ABILITY LEADERSHIP PROM- TO LEAD ISE SOCIAL AVOIDED TOLERATED ACCEPTED WELL-LIKED SOUGHT OUT BY OTHERS JUDGMENT AND COMMON SENSE POOR FAIR JUDGMENT SHOWS DISCERNMENT DEMONSTRATES EXCELLENT FORESIGHT RESPECT FOR AUTHORITY DISRESPECTFUL CRITICAL TO OTHERS HONORS THOSE RESPONSIBILITY NEEDS CONSTANT SUPERVISION SUCCEEDS IF TOLD WHAT TO DO DOES ORDINARY TASKS RESOURCEFUL AND EFFECTIVE SELF-RELIANT SPIRITUAL MOTIVATION PROFESSION INCONSISTENT ATTITUDES PRACTICES NOMINAL SHOWS GROWTH GOOD MORAL STANDARDS MATURITY IMMATURE DEPENDENT AVERAGE VERY MATURE On the basis of the foregoing do you recommend this applicant for admission to Nyack College highly recommend recommend recommend with reservations do not recommend Please use the space below to write anything you think is important for Nyack College to know about the applicant Pastor s Signature DATE Would you like to receive information about Nyack If yes please check which programs Undergrad Degree Completion MBA MS Organizational Leadership MS Education Please mail this form to Office of Admissions 1 S* Blvd.
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