Participant’s Signature Clause Samples
The Participant’s Signature clause requires the individual participating in an agreement or activity to formally sign the document, indicating their acknowledgment and acceptance of its terms. This typically involves the participant providing a handwritten or electronic signature at the end of the agreement, often accompanied by the date and printed name. By securing the participant’s signature, this clause ensures that there is clear evidence of consent and understanding, which helps prevent disputes about whether the participant agreed to the terms.
Participant’s Signature. If I elect to exercise by exchanging shares I already own, I will constructively return shares that I already own to purchase the new option shares. If my shares are in certificate form, I must attach a separate statement indicating the certificate number of the shares I am treating as having exchanged. If the shares are held in “street name” by a registered broker, I must provide the Company with a notarized statement attesting to the number of shares owned that will be treated as having been exchanged. I will keep the shares that I already own and treat them as if they are shares acquired by the option exercise. In addition, I will receive additional shares equal to the difference between the shares I constructively exchange and the total new option shares that I acquire.
Participant’s Signature. Date: Administrative Use Only Internal Log # _ Date Received by Staff: Staff Name and Position: Grievance Type: ☐ Grievance ☐ Appeal The Shelter Grievance Process document is intended to provide Shelter Participants information on their grievance rights and an overview of the process. The County of Orange (County) appreciates feedback and takes grievances seriously. The County will work to resolve Participant grievances in a transparent and efficient manner. If you as a Shelter Participant are unsure of how to access the shelter grievance process within the shelter you are staying, you can reference the information provided during the intake process, ask a shelter staff member, or review grievance information posted in the common areas of the shelter. If at any time during the process you experience difficulty with the shelter grievance process, please reference the Contact Information in Step 3 (below) to contact the County directly via telephone, email and/or mail.
Participant’s Signature. Date: Attachment 3 County of Orange Health Care Agency, Office of Care Coordination Shelter Grievance Process
Participant’s Signature. DATE: / / If you have any questions, please contact a Customer Service Associate at (▇▇▇) ▇▇▇-▇▇▇▇ or go online at ▇▇▇▇▇▇▇▇.▇▇▇. Customer Service Associates are available Monday through Friday, 8:00 A.M. to 5:00 P.M. Pacific Time (excluding stock market holidays).
Participant’s Signature. Date: Administrative Use Only Internal Log # _ Date Received by Staff: Staff Name and Position: Grievance Type: ☐ Grievance ☐ Appeal Docusign Envelope ID: CE645DE7-E9D4-4B91-A04B-8251D3221454 Attachment A The Shelter Grievance Process document is intended to provide Shelter Participants information on their grievance rights and an overview of the process. The County of Orange (County) appreciates feedback and takes grievances seriously. The County will work to resolve Participant grievances in a transparent and efficient manner. If you as a Shelter Participant are unsure of how to access the shelter grievance process within the shelter you are staying, you can reference the information provided during the intake process, ask a shelter staff member, or review grievance information posted in the common areas of the shelter. If at any time during the process you experience difficulty with the shelter grievance process, please reference the Contact Information in Step 3 (below) to contact the County directly via telephone, email and/or mail.
Participant’s Signature. The Participant’s Authorised Representative must sign this Agreement with a valid and binding signature. By the Participant’s Authorised Representative signing this Agreement, the Participant agrees that it has executed this Agreement, that this Agreement is binding on the Participant, and acknowledges that it has read and understood this Agreement’s terms and conditions.
Participant’s Signature. Date: *Must be at least eighteen 18 years old of age Parent's signature: Date: (if student is under 18 years of age): Student or Participant’s Full Name _ _ • I authorize employees, agents, and representatives of the University of the Incarnate Word (UIW) and the host institution abroad to release to the United States Government and to the host institution abroad, and their employees, agents, and representatives, information in the possession of UIW regarding my location, status, welfare, intentions, or problems. • I further authorize UIW to release to those persons named below, information in the possession of UIW regarding my location, status, welfare, intentions, or problems. • I grant permission to the officials of the University of the Incarnate Word to provide copies of written records, permit inspection and review of the contents of my education records, and/or to discuss my academic performance in connection with my student organization international activity, program and/or excursion with the following person(s) as authorized by the Federal Educational Rights and Privacy Act.
Participant’s Signature. Date: Internal Log # _ Date Received by Staff: Staff Name and Position: Grievance Type: ☐ Grievance ☐ Appeal DocuSign Envelope ID: 2D341B26-E4B7-405D-98DE-23D63731F0BE The Shelter Grievance Process document is intended to provide Shelter Participants information on their grievance rights and an overview of the process. The County of Orange (County) appreciates feedback and takes grievances seriously. The County will work to resolve Participant grievances in a transparent and efficient manner. If you as a Shelter Participant are unsure of how to access the shelter grievance process within the shelter you are staying, you can reference the information provided during the intake process, ask a shelter staff member, or review grievance information posted in the common areas of the shelter. If at any time during the process you experience difficulty with the shelter grievance process, please reference the Contact Information in Step 3 (below) to contact the County directly via telephone, email and/or mail.
Participant’s Signature. By its signature below, Participant acknowledges that it has read and understands this Participation Agreement and agrees to comply with all of the terms and conditions set forth herein. If Participant is the Qualifying System Owner, Participant gives permission for Distributor and TVA to review the interconnection of the Qualifying System at the Address. Participant understands that the Qualifying System is not entitled to generate power and Participant is not entitled to Generation Credits or rebates unless and until Distributor and TVA execute this Participation Agreement and the System Acceptance Form. Participant hereby warrants and certifies that all information submitted in this Participation Agreement is accurate and the Participant has the authority to enter into this Participation Agreement. In making this warranty and certification, Participant acknowledges that Participant is aware that Section 21 of the Tennessee Valley Authority Act of 1933, as amended, (16 U.S.C. § 831t) provides criminal sanctions including fines and imprisonment for any person who is convicted of, among other things, defrauding TVA. Specifically, Participant understands that Participant is bound by the then-current Guidelines in effect at the time TVA executes this Participation Agreement, and the Guidelines in effect at the time TVA executes this Participation Agreement can be different than what the Participant has reviewed. Participant is responsible for reading, understanding, and adhering to the then-current Guidelines in effect at the time TVA executes this Participation Agreement. Participant accepted and agreed to the foregoing this day of , 20 . Participant Name Participant’s Authorized Officer Name & Title Participant or Participant’s Authorized Representative Signature
Participant’s Signature. Mi firma Legal Guardians Signature La firma de mi Tutor legal Today's Date Fecha ▇▇ ▇▇▇