Student Signature Date Clause Samples

The 'Student Signature Date' clause requires the student to indicate the date on which they sign a document, such as an agreement, consent form, or application. This typically involves the student writing or selecting the date next to their signature, confirming when they formally agreed to the terms outlined in the document. By recording the signature date, this clause establishes a clear timeline for when the student's consent or commitment became effective, helping to prevent disputes about the timing of the agreement and ensuring legal clarity.
Student Signature Date. This is an agreement between ▇▇▇▇▇▇▇ Area Community College (MACC) and (Host Institution)
Student Signature Date. Student’s payment obligation under this Contract shall continue notwithstanding any of the following:
Student Signature Date. As the parent or legal guardian of the student signed above, I grant permission for the student to access networked services such as e-mail and the Internet. The District uses software to control access to objectionable material on the Internet and provides supervision of student computer use. However, I understand that some material accessed on the Internet may be objectionable. I accept responsibility for providing the student guidance on Internet access.
Student Signature Date. NOTE: Federal law requires the District to monitor online activities of minors. I understand and will abide by the Fleming County School District’s Acceptable Use Procedures for Network Access and Telephone Usage. I further understand that any violation of the regulations stated in this policy is unethical and may constitute a criminal offense. Should I commit any violation, my access privileges may be revoked, disciplinary action up to and including termination may be taken, and/or appropriate legal action may be pursued. I agree to promote the Acceptable Use Procedures with each of my students. I agree to instruct students on acceptable use of the network and proper network/telephone etiquette. During the times students are assigned to my care, I agree to direct students to acceptable network/telephone resources and monitor their use at all times. Neglect in my responsibility as an instructor could result in disciplinary action. Personnel Name (Please print): School Assignment: Job Title: Signature: Date:
Student Signature Date. Site Supervisor Agreement 1. Provide the student with a challenging and meaningful learning experience as outlined in the internship description. 2. Provide the student with any necessary training and supervision.
Student Signature Date. Faculty Signature Date:
Student Signature Date. I am the parent or legal guardian of the Student, have read the complete document “Student Internship Agreement Form” and I am and will be legally responsible for the obligations and acts of the Student, and agree for myself and the Student to be bound by the terms of this Contract.
Student Signature Date. For students who express a major difference of opinion regarding the results of this report, a supplemental statement may be attached to this report. Indicate if a supplemental statement is attached: YES NO
Student Signature Date. PARENT/GUARDIAN:
Student Signature Date. For students who express a major difference of opinion regarding the results of this report, a supplemental statement may be attached to this report. Indicate if a supplemental statement is attached: YES NO ________________________________ __________________ _________________________________ Apply pertinent laws and standards, regulations, and models to enhance ethical decision-making Click or tap here to enter text. Practice reflection and self-regulations by incorporating different viewpoints and value systems relevant to practice in order to professionally manage ethical dilemmas and conflicts Click or tap here to enter text. Demonstrate professional demeanor in behavior; appearance; and oral, written, and electronic communication Click or tap here to enter text. Demonstrate the ethical use of technologies in order to enhance practice outcomes. Click or tap here to enter text. Distinguish between client situations and/or cases when supervision and/or consultation is necessary and when to practice independently in order to ensure ethical and competent practice Click or tap here to enter text. COMMENTS/NOTES Click or tap here to enter text. Analyze research and practice information to evaluate the complexity of diverse cultures and value systems in order to understand the power dynamic between individuals and groups with privilege and those that are marginalized and oppressed Click or tap here to enter text. Join in the therapeutic process as learners and recognize the clients and constituencies as the experts of their own experiences Click or tap here to enter text. Practice consistent methods of self-regulation and self-correction in obtaining supervision/consultation, continued training/education, and ongoing personal assessment in order to manage and reduce personal biases and values when working with diverse clients and groups Click or tap here to enter text. COMMENTS/NOTES Click or tap here to enter text. Understand and accurately differentiate between threats to social, economic, and environmental justice, such as discrimination and oppression, in order to advocate for human rights at the individual and system levels Click or tap here to enter text. Engage in ethical practice for advancing social, economic, and environmental justice utilizing multiple sources of knowledge and social work values in order to reduce personal bias in decision-making Click or tap here to enter text. COMMENTS/NOTES Click or tap here to enter text. Utilize practice experi...