STATE OF ISRAEL CAREER SURVEY OF DOCTORATE HOLDERS. ID No.

Size: px
Start display at page:

Download "STATE OF ISRAEL CAREER SURVEY OF DOCTORATE HOLDERS. ID No."

Transcription

1 מדינת ישראל STATE OF ISRAEL Central Bureau of Statistics The Government Statistician LHB הסטטיסטיקן הממשלתי CAREER SURVEY OF DOCTORATE HOLDERS ID No. A. Is the person responding to this questionnaire the person addressed in the letter of request? 1. Yes Skip to Part C on this page 2. No Continue to Part B on this page B. Why was the person addressed in the letter of request unable to respond? 1. Temporarily away from home due to vacation, illness, army reserve duty, etc. Please indicate the anticipated date of return: / / Day Month Year 2. Lives at another address in Israel: Please indicate the address: Street Number Neighborhood Locality Zip code 3. At another abroad: Please list the address להשיב? מה הסיבה לכך שהאדם שאליו מופנה השאלון אינו יכול 4. Other reason: Please specify: נעדר זמנית מהבית בגלל חופשה, מחלה, מילואים וכד'. ציין תאריך חזרה: / / Please list your details, in case we need additional information or clarifications: First name Surname Telephone ציין את הכתובת: Cellular בארץ, phone גר בכתובת אחרת What is your relationship מיקוד withיישוב בית מספרthe person addressed רחוב in שכונה the questionnaire (e.g., offspring, parent, spouse)? Thank you for taking the time to provide the information. Please return the completed questionnaire promptly to the Central Bureau of Statistics in the enclosed postage-paid envelope. C. Do you have a doctoral degree? 1. Yes Continue to Section A on page 2 2. No Please return the questionnaire to the Central Bureau of Statistics in the enclosed postage-paid envelope Common names for a doctoral degree: DOCTOR D'ETAT - DOUTORADO - KANDIDAT - KANDIDAT NAUK - PH.D, DOCTORATE Note: Any masculine gendered language in the questionnaire refers to both men and women. Mailing address for the questionnaire: 66 Kanfei Nesharim corner of Bacchi Street, Jerusalem ( 35 )

2 Instructions for filling out the questions and tables: When you are asked to choose only one response circle the appropriate number. Do not mark more than one response, unless you are specifically requested. In the tables, circle a number in the appropriate column for every row. Section A - Personal Information 1. Sex 1. Male 2. Female 2. What is your year of birth? What is your country of birth? 1. Israel 2. Other, please specify: of birth: / province: 4. Are you an Israeli citizen? 1. Yes 2. No, I'm a foreign citizen. 3. No, Other please specify: 5. What is your marital status? 1. Married 2. Living with a partner 3. Separated 4. Divorced 5. Widowed 6. Never married ( 36 )

3 Section B - Studies 6. Data on the Studies for Degrees: First Degree Second Degree Third Degree State / Province Name of educational institution Date that studies toward degree began Month Year.. Month.. Year.. Month.. Year.. Date that studies toward degree were complete (date of entitlement to the degree) Month.. Year. Month.. Year.. Month.. Year.. Field of study (if you studied toward a degree in two fields, list both fields of study) Exact title of degree received, e.g., Ph.D. Eng The following questions relate to the doctoral degree listed in question 6 7. What did your doctoral degree curriculum include? Mark "Yes" or "No" for each category Yes 1. Courses Empirical research (e.g., in social sciences 1 2 conducting surveys, case studies) 3. A theoretical project Laboratory work Work with manufacturing organizations Other, please specify: 1 2 No 8. Did you study in a direct doctoral studies program? 1. Yes 2. No 9. While you were studying and writing your doctorate, did you work outside of the university? 1. Yes ( 37 )

4 2. No 10. Please estimate the number of years you spent studying for your doctorate and writing your dissertation. Do not count any time that was not spent on doctoral studies or on the dissertation. Please round off to half-years, for example: 5 0, Number of years 10.2 Of the number of years indicated, how many years did it take until your doctoral proposal was approved (Stage 1)? Please round off to half-years 11. What were the funding sources for your doctoral studies? Please indicate whether or not you used each of the funding sources below: ("yes" or "no") 1. A scholarship from an Israeli institution A scholarship from abroad Teaching or research at the institution where you studied Employment outside of the institution where you studied Assistance from an employer (except the institution where you studied) Loan, personal savings Support from your spouse, partner, or family member Other, please specify: 1 2 Yes No 11.1 Of the sources you listed, which was the main one? Please list the number of the main source 11.2 What was the second most important source? Please list the number of the second source 12. While you were studying for your doctoral degree, did you intend to continue with your academic career? 1. Yes 2. No Continue to section C ( 38 )

5 Section C Post Doctoral Studies 13. Have you studied, or are you currently studying in a post-doctoral program? 1. Yes Continue to Question No - Skip to Question 19 on page Please fill in the table below, with the details of the institutions where you have studied or are still studying in a post-doctoral program: Name of institution of higher education Date postdoctoral studies began Month. Year. Month. Year. Month. Year. Month. Year. Date postdoctoral studies ending Month. Year.. Month. Year.. Month. Year.. Month. Year.. Main field 15. If you are still in a post-doctoral program at the time you complete this questionnaire, when do you expect to it finish? Month: Year: 16. Why did you decide to pursue post-doctoral studies? Indicate "yes" or "no" for each category Yes No 1. To conduct additional research in your field of specialization To conduct research in a field that is new to you To conduct independent research To work with a specific person or in a specific place To engage in teaching Because you couldn't find an appropriate job The career you chose requires post-doctoral studies Other, please specify: Of the reasons you selected, which was the main one? List the number of the main reason ( 39 )

6 17. Please indicate the percentage of time you devoted to each of the following activities during your post-doctoral studies. Please note that the percentages need to add up to 100 Type of activity Percentages 1. Research activity...% 2. Teaching activity 3. Other activities...%...% Total 100% 18. What was your main source of funding during the post-doctoral program? Circle only one category: 1. Government/public agencies 2. Manufacturing / business organizations 3. The university you studied at 4. Another institution of higher education 5. A private institution 6. A nonprofit institution (not private) 7. An organization abroad 8. Other, please specify: Skip to Section D on page Why did you decide not to pursue post-doctoral studies? Indicate "yes" or "no" for each category 1. You didn't find a source of funding You found work immediately after you finished your doctorate Personal or family reasons Other, please specify: 1 2 Yes No Continue to Section D ( 40 )

7 Section D - Employment 20. Did you work during the first week of December 2009? 1. Yes, I worked Skip to question I was doing compulsory service in the Israel Defense Forces Skip to Section E on page I was doing permanent service in the Israel Defense Forces Skip to question 25 on page 8 4. I didn't work Continue to question Did you have a job you were absent from during the first week of December 2009? 1. Yes Skip to question No Skip to question Did you actively seek work during the four weeks of December 2009? 1. Yes 2. No Continue to question What was the main reason you didn't work during first week of December 2009? Circle only one category: 1. Studies 2. Illness, malformation, disability, or other physical limitation 3. Advanced age, on pension 4. Seasonal work (the season ended) 5. Sought work and did not find 6. Engaged in child care and/or household 7. Other, please specify: Skip to Section E on page How many places did you work at during the first week of December 2009? Continue to question 25 on page 8 ( 41 )

8 25. Information on your main place of work during the last week of December 2009: 25.1 Where is your main place of work? Locality 25.2 What is the name of your main place of work? (e.g., "Teva" Corporation, "Eldor" Computers, the Hebrew University) 25.3 What was the main activity of your place of work during the first week of December 2009? (e.g., research for manufacture of pharmaceuticals, development of computer programs, an educational institution) 25.4 What unit or department did you work in? (e.g., human resources department, research and development department, foreign relations department) 25.5 What was the main activity of the department you worked in? (e.g., personnel administration, public relations and communication) 25.6 What was your main job at that place of work? (e.g., occupational psychologist, lecturer of chemistry, criminologist, economist) 25.7 What were the main activities you engaged in at that place of work? (e.g., guiding workers, checking software, constructing budgets) 25.8 Did your job include teaching activities? 1. No 2. Yes, less than 25% 3. Yes, 25%-49% 4. Yes, 50%-74% 5. Yes, 75%-100% 25.9 What was your job description (if there was one)? (e.g., team leader, senior lecturer, department head) ( 42 )

9 25.10 What year did you begin working at your main place of work? Was your position permanent or temporary? 1. Permanent 2. Temporary 3. Other, please specify: What was your employment status at that place of work? 1. Employee (including member of a cooperative) 2. Self-employed 3. Other (e.g., kibbutz member, unpaid family member) How many hours do you usually work per week, including overtime? Is your job considered a full-time position? 1. Yes Skip to question No Continue to question Did you seek a full-time job? 1. Yes Continue to question No Skip to question Where did you seek a full-time job? 1. In Israel 2. Abroad 3. In Israel and abroad What level of education was required for your main job? 1. First degree or less 2. Second degree, without a thesis 3. Second degree, with a thesis 4. Third degree 5. Don't know 6. Other, please specify: To what extent was that job relevant to your field of specialization in your doctoral studies? 1. Closely related 2. Partially related 3. Not related ( 43 )

10 25.19 Rate your level of satisfaction with your main job, according to the following characteristics: Very satisfied Satisfied Not too satisfied Not satisfied at all 1. Salary Benefits Job security Job location Working conditions Opportunities for advancement Intellectual challenge Level of responsibility Degree of independence Contribution to society Social status Possibilities to engage in research Overall level of satisfaction If you worked in one place or were in the permanent army, skip to question 27 on page 12. If you worked in more than one place, continue to question Information on your second place of work during the first week of December 2009: 26.1 Where is your second place of work? Locality 26.2 What is the name of your second place of work? (e.g., "Teva" Corporation, "Eldor" Computers, the Hebrew University) 26.3 What was the main activity of your second place of work during the first week of December 2009? (e.g., research for manufacture of pharmaceuticals, development of computer programs, an educational institution) 26.4 What unit or department did you work in? (e.g., human resources department, research and development department, foreign relations department) ( 44 )

11 26.5 What was the main activity of the department you worked in? (e.g., personnel administration, public relations and communication) 26.6 What was your main job at that place of work? (e.g., occupational psychologist, lecturer of chemistry, criminologist, economist) 26.7 What were the main activities you engaged in at that place of work? (e.g., guiding workers, checking software, constructing budgets) 26.8 Did your job include teaching activities? 6. No 7. Yes, less than 25% 8. Yes, 25%-49% 9. Yes, 50%-74% 10. Yes, 75%-100% 26.9 What was your job description (if there was one)? (e.g., team leader, senior lecturer, department head) What year did you begin working at your second place of work? Was your position permanent or temporary? 1. Permanent 2. Temporary 3. Other, please specify: What was your employment status at that place of work? 1. Employee (including member of a cooperative) 2. Self-employed 3. (e.g., kibbutz member, unpaid family member) How many hours do you usually work there per week, including overtime? Is your job considered a full-time position? 1. Yes 2. No ( 45 )

12 27. If you calculate all of your income from your jobs, what was your gross annual income in 2009 before deductions including your post-doctoral fellowship? 28. Have you been working 10 or more years in the main place of work indicated above? 1. Yes Skip to Section E on page No Continue to question Information on your previous place of work during the last 10 years: 29.1 Where was your last place of work? Locality 29.2 What was the name of your last place of work? (e.g., "Teva" Corporation, "Eldor" Computers, the Hebrew University) 29.3 What was the main activity of your last place of work? (e.g., research for manufacture of pharmaceuticals, development of computer programs, an educational institution) 29.4 What unit or department did you work in? (e.g., human resources department, research and development department, foreign relations department) 29.5 What was the main activity of the department you worked in? (e.g., personnel administration, public relations and communication) 29.6 What was your main job at that place of work? (e.g., occupational psychologist, lecturer of chemistry, criminologist, economist) 29.7 What were the main activities you engaged in at that place of work? (e.g., guiding workers, checking software, constructing budgets) 29.8 What was your job description (if there was one)? (e.g., team leader, senior lecturer, department head) 29.9 What year did you begin working at your last place of work? ( 46 )

13 What year did you finish working at your last place of work? Was your position permanent or temporary? 1. Permanent 2. Temporary 3. Other, please specify: What was your employment status at that place of work? 1. Employee (including member of a cooperative) 2. Self-employed 3. (e.g., kibbutz member, unpaid family member) How many hours did you usually work per week, including overtime? Was your last job considered a full-time position? 1. Yes 2. No Continue to Section E ( 47 )

14 Sectin E - International Mobility Moving to Israel and out 30. Since January 2000, where has the your "life center" been? 1. Abroad Continue to question In Israel Skip to question 35 on page What year did you last enter Israel? 32. What was the main reason you last came to Israel? Circle only one category: 1. Completion of doctoral studies 2. End of job contract 3. Job related or economic factors (e.g., to look for job, entering Israel in employer's mission, to check out a job offer, or post-doctorate) 4. Academic factors (e.g., sabbatical, development or continuation of thesis work, work in a specialized field that does not exist in the country you were living in, possibility for forming your own research group or new field of research) 5. Personal or family reasons 6. Political or other reasons (e.g., refugee or end of your residence permit or visa) 7. Desire to immigrate to Israel 33. Do you intend to stay in Israel? 1. Yes Continue to question No Skip to question 39 on page How long do you intend to stay in Israel? Years Months Skip to question 39 on page 16 ( 48 )

15 Months 35. Did you stay abroad for over than 3 consecutive months between January 2000 and December 2009? 1. Yes Continue to question No Skip to question 36 on page Relate to years in which you stayed abroad for over than 3 consecutive months between January 2000 and December In the row for each year and the column for each month you stayed abroad, list the of the main reason you remained, based on the table at the bottom of the page, and indicate the country you lived in. Years January February March April May June July August September October November December Example USA USA USA England England England England Code s for staying abroad: 1 Completion of doctoral studies for staying abroad 2 End of job contract Job related or economic factors (e.g., to look for job, entering Israel in 3 employer's mission, to check out a job offer, or post-doctorate). Academic factors (e.g., sabbatical, development or continuation of research, 4 work in a specialized field that does not exist in the country you were living in, possibility for forming your own research group or new field of research) 5 Personal or family reasons Political or other reasons (e.g., refugee or end of your residence permit or 6 visa) 7 Other, please specify: Continue to question 36 on page 16 EXAMPLE ( 49 )

16 36. During the period between December 2009 and December 2010, did you stay or did you plan to stay abroad for over than 3 consecutive months? 1. Yes Continue to question No Skip to question During the period between December 2009 and December 2010, what countries did you stay in or plan to stay in? Countries:,,, 38. What is the main reason you stayed or planned to stay abroad during the period between December 2009 and December 2010? Circle only one category: 1. End of job contract 2. Job related or economic factors (e.g., to look for job, entering Israel in employer's mission, to check out a job offer, or post-doctorate) 3. Academic factors (e.g., sabbatical, development or continuation of research, work in a specialized field that does not exist in the country you were living in, possibility for forming your own research group or new field of research) 4. Personal or family reasons 5. Political or other reasons (e.g., refugee or end of your residence permit or visa) 39. Are you working with researchers from another country on a research project, publication of an article, or similar project? 1. Yes 2. No Skip to Section F ( 50 )

17 Section F Integration of Research Activity and Work 40. In your main job during the first week of December 2009, were you involved in research and/or in experimental development, such as: formulating a concept or generating knowledge; developing new products, processes, methods, and new systems; or managing a project of this nature? 1. Yes continue to Question No Skip to question 43 on page Please indicate the approximate percentages of time you devoted to the following activities in your main job during the first week of December 2009: Please make sure that the percentages add up to 100. Activity Percentages 1. Research or development 2. Academic teaching 3. Other teaching (not academic) 4. Consultation 5. Other activity...%...%...%...%...% Total 100% A distinction is usually made between three types of research: 1) Basic research: Experimental or theoretical research, which is conducted without any predetermined application or use, and which aims to acquire basic knowledge about an existing phenomenon or fact. 2) Applied research: Original research, which is designed to solve practical problems, and where new knowledge is acquired for the purpose of achieving that goal. 3) Development: Systematic work, which is based on existing knowledge and which relies on practical experiments or research for the purpose of producing new materials, products and instruments such as new services and systems, or for the purpose of substantially improving those that exist. 42. Within the time you devoted to research and development, indicate the percentage you devoted to each of the following types of research: Please make sure that the percentages add up to Basic research Type of research 2. Applied research 3. Development Percentages...%...%...% Total 100% Skip to question 45 on page 18 ( 51 )

18 43. Why didn't you conduct research in your main job during the first week of December 2009? Indicate "yes" or "no for each category. Yes 1. I'm not interested in research Employment opportunities in research are very limited There is no clear career structure in research Low compensation Inferior working conditions Little public recognition of research as a career Research work does not allow for a long-term career I didn't find work in research Other, please specify: 1 2 No 44. Are you considering changing your present career and becoming a researcher within the next three years? 1. Yes 2. No 45. Have you engaged in research activity at earlier stages of your career? 1. Yes Continue to question No Finish the questionnaire 46. Why did you choose a career in research? Indicate "yes" or "no" for each category. Yes 1. Creativity and innovation in work Well paid job Benefits Opportunities for advancement Job security Working conditions Degree of independence Contribution to society Other employment not available That's what's usually expected of a person in this profession Specific interest in research Other, please specify: How long have you worked or been working in research? No From (year) to (year) ( 52 )

19 How long did it take you to fill out this questionnaire? Hours: Minutes: Comments: In case we need to clarify any information, please list telephone numbers and an address where we can contact you: During the day: Land line: - Cell: In the evening: Land line: - Cell: Thank you for your time and cooperation Please return the questionnaire in the enclosed postage-paid envelope ( 53 )

Applications for the Academic Year 2016/2017. Regulations and Guidelines:

Applications for the Academic Year 2016/2017. Regulations and Guidelines: Committee Planning & Budgeting Planning and Budgeting Committee of the Council for Higher Education of Israel: Fellowship Program for Outstanding Post-Doctoral Researchers from China and India Applications

More information

Applications for Academic Year 2015/2016: 1st Cycle. Regulations and Guidelines:

Applications for Academic Year 2015/2016: 1st Cycle. Regulations and Guidelines: Committee Planning & Budgeting Israel Council for Higher Education's Planning and Budgeting Committee: Fellowship Program for Outstanding Post-Doctoral Researchers from China and India Applications for

More information

no. Yes No In days In hours In hours spent at workplace Employment status: Regular Irregular Partially unemployed Fully unemployed

no. Yes No In days In hours In hours spent at workplace Employment status: Regular Irregular Partially unemployed Fully unemployed Name Tel./fax E-mail Insurance contract no. (e.g. 123456 5630) 2. Insured person Last name, first name Date of birth and gender Marital status AHV/AVS number Tel. home/mobile E-mail Postal cheque account

More information

Serving the Future with Your Gifts Today

Serving the Future with Your Gifts Today The First Baptist Foundation Serving the Future with Your Gifts Today Instructions for Completing the First Baptist Foundation Scholarship Application 1. All information must be returned to our office

More information

UNIVERSITY OF MARYLAND COLLEGE PARK RETURNING STUDENTS PROGRAM OF THE COUNSELING CENTER NEWCOMBE/PORTNEY SCHOLARSHIP INFORMATION SHEET SPRING 2016

UNIVERSITY OF MARYLAND COLLEGE PARK RETURNING STUDENTS PROGRAM OF THE COUNSELING CENTER NEWCOMBE/PORTNEY SCHOLARSHIP INFORMATION SHEET SPRING 2016 NEWCOMBE/PORTNEY SCHOLARSHIP INFORMATION SHEET SPRING 2016 Two scholarship funds for adult students are available through the Returning Students Program of the Counseling Center. The Returning Students

More information

The following documents must be submitted together with this form:

The following documents must be submitted together with this form: National Insurance Institute Annuities Authority Unemployment Claim for Unemployment Benefits BL/1500 The following documents must be submitted together with this form: A letter from your employer confirmation

More information

Survey: 2015 Faculty Career Flexibility Survey Medical Schools Generic

Survey: 2015 Faculty Career Flexibility Survey Medical Schools Generic Print Display Logic Survey: 2015 Faculty Career Flexibility Survey Medical Schools Generic Saved at Jul 20, 2015 8:57 AM PAGE 1 2015 Faculty Career Flexibility Survey--Medical Schools FACULTY QUESTIONNAIRE

More information

REQUEST TO AMEND THE RECORD OF LANDING (IMM 1000), CONFIRMATION OF PERMANENT RESIDENCE (IMM 5292 or IMM 5688) OR VALID TEMPORARY RESIDENT DOCUMENTS

REQUEST TO AMEND THE RECORD OF LANDING (IMM 1000), CONFIRMATION OF PERMANENT RESIDENCE (IMM 5292 or IMM 5688) OR VALID TEMPORARY RESIDENT DOCUMENTS PROTECTED WHEN COMPLETED - B REQUEST TO AMEND THE RECORD OF LANDING (IMM 1000), CONFIRMATION OF PERMANENT RESIDENCE (IMM 5292 or IMM 5688) OR VALID TEMPORARY RESIDENT DOCUMENTS PAGE 1 OF 3 PART A - PERSONAL

More information

Application for Vocational Rehabilitation Services

Application for Vocational Rehabilitation Services Strong Families Make a Strong Kansas Application for Vocational Rehabilitation Services Is Vocational Rehabilitation the right program for you? Some brief information about the Vocational Rehabilitation

More information

Career Goals 0 points Activities 0 points

Career Goals 0 points Activities 0 points Directions for Completing the Scholarship Application READ DIRECTIONS CAREFULLY I. General Instructions for all applicants 1. Must be completed by applicant; 2. Must be typewritten or legibly printed in

More information

Carer s Allowance Claim form

Carer s Allowance Claim form Carer s Allowance Claim form l Use this form to claim Carer s Allowance. l Please read the tes that came with the claim pack before you fill in the form. l The form must be filled in by you, the carer,

More information

Application for residence permit for the purpose of study

Application for residence permit for the purpose of study Application for residence for the purpose of study _ _ _ _ _ _ _ _ _ _ number: Authority receiving the application: File Office recording the data included in the application: Residence issued for the

More information

TAXSTAR INCOME TAX SERVICE 5-MINUTE TAX QUESTIONNAIRE

TAXSTAR INCOME TAX SERVICE 5-MINUTE TAX QUESTIONNAIRE TAXSTAR INCOME TAX SERVICE 5-MINUTE TAX QUESTIONNAIRE INSTRUCTIONS The 5-Minute Tax Questionnaire is the simple way to collect and report the information needed for us to prepare your federal and state

More information

Application Information for Children s Health Insurance Program (CHIP), Children s Medicaid, and CHIP perinatal coverage

Application Information for Children s Health Insurance Program (CHIP), Children s Medicaid, and CHIP perinatal coverage Application Information for Children s Health Insurance Program (CHIP), Children s Medicaid, and CHIP perinatal coverage CHIP CHIP covers children from birth through age 18 who do not qualify for Medicaid

More information

Student Financial Assistance Guide and Application. For classes beginning any time between August 1, 2010 and July 31, 2011

Student Financial Assistance Guide and Application. For classes beginning any time between August 1, 2010 and July 31, 2011 2010-2011 Student Financial Assistance Guide and Application For classes beginning any time between August 1, 2010 and July 31, 2011 You can apply online Go to www.studentloan.pe.ca You do not need high

More information

2. List at least three (3) of the most important things you learned during your time in the program

2. List at least three (3) of the most important things you learned during your time in the program Section 1. NIU s Sport Management MS Student Exit Interview -- Student Questions Please answer the following questions offered below regarding your experiences within the program. 1. General Reflections

More information

Carroll College Matched Education Savings Account Application

Carroll College Matched Education Savings Account Application PERSONAL INFORMATION Name: Social Sec. No. (last four digits): Gender: Female Male Date of Birth: / / Ethnicity: African American Caucasian Latino or Hispanic Asian, Pacific Islander Native American Other

More information

RE: IMMIGRATION VISA PETITION

RE: IMMIGRATION VISA PETITION 95 South Market Street, Suite 530 San Jose, California 95113 Telephone: (408) 993-9577 Facsimile: (408) 881-0456 RE: IMMIGRATION VISA PETITION Please note that despite sponsoring an alien relative under

More information

OFFICE OF INTERNATIONAL PROGRAMS EXCHANGE STUDENTS 2013-2014 FINANCIAL CERTIFICATION

OFFICE OF INTERNATIONAL PROGRAMS EXCHANGE STUDENTS 2013-2014 FINANCIAL CERTIFICATION PART I: PERSONAL INFORMATION Family/Last Name: First/Given Name: Middle/Other Name: Permanent address in home country: Street: City: Postal Code: Country: U.S. address: Street: City: State: Zip: Date of

More information

Instructions to fill out this Application

Instructions to fill out this Application Application Information for Children s Health Insurance Program (CHIP), Children s Medicaid, and CHIP perinatal coverage CHIP CHIP offers health care for children, from birth to age 18, whose families

More information

11 Date of issue YYYY-MM-DD. If you are married, is your spouse a Canadian citizen or permanent resident?

11 Date of issue YYYY-MM-DD. If you are married, is your spouse a Canadian citizen or permanent resident? Citizenship Immigration Canada Citoyenneté et Immigration Canada PROTECTED WHEN COMPLETED - B PAGE 1 OF 4 VERIFICATION OF STATUS (VOS) REPLACEMENT OF AN IMMIGRATION DOCUMENT (To be completed returned with

More information

Survey of Registered Nurses 2008

Survey of Registered Nurses 2008 California Board of Registered Nursing Survey of Registered Nurses 2008 Conducted for the Board of Registered Nursing by School of Nursing, University of California, San Francisco and Center for the Health

More information

Student Financial Assistance Guide and Application. For classes beginning any time between August 1, 2014 and July 31, 2015

Student Financial Assistance Guide and Application. For classes beginning any time between August 1, 2014 and July 31, 2015 2014-2015 Student Financial Assistance Guide and Application For classes beginning any time between August 1, 2014 and July 31, 2015 You can apply online Go to www.studentloan.pe.ca You do not need high

More information

Instructions for Form 2441

Instructions for Form 2441 2015 Instructions for Form 2441 Child and Dependent Care Expenses Department of the Treasury Internal Revenue Service Future Developments For the latest information about developments related to Form 2441

More information

Accelerated MBA Application

Accelerated MBA Application Richard T. Doermer School of Business and Management Sciences MBA Program (260) 481-6498 mba@ipfw.edu Accelerated MBA Application APPLICANT INFORMATION (Please type information in the space provided.)

More information

MEDICAL ASSISTANCE (MA)/MCHP APPLICATION FOR FAMILIES, PREGNANT WOMEN, AND CHILDREN

MEDICAL ASSISTANCE (MA)/MCHP APPLICATION FOR FAMILIES, PREGNANT WOMEN, AND CHILDREN Si necesita ayuda para llenar el formulario favor de llamar al 1-800-456-8900 Please PRINT in blue or black ink. MEDICAL ASSISTANCE (MA)/MCHP APPLICATION FOR FAMILIES, PREGNANT WOMEN, AND CHILDREN Date

More information

Application Form Guide 2015/2016 How to make an Application for grant funding

Application Form Guide 2015/2016 How to make an Application for grant funding Application Form Guide 2015/2016 How to make an Application for grant funding 1 On-Line Student Grant Application System Before completing an online application form, you must first register for an online

More information

You will need to mail or fax us copies of items that apply to your case. See the next page for a list of these items.

You will need to mail or fax us copies of items that apply to your case. See the next page for a list of these items. Getting started: Health care for children CHIP and Children s Medicaid These programs offer health-care benefits for newborns and children age 18 and younger who live in Texas. With these programs, your

More information

DS-2019 Application for J-1 Exchange Visitors

DS-2019 Application for J-1 Exchange Visitors International Affairs MTSU-Box120 Murfreesboro, TN 37132 Email:international@mtsu.edu www.mtsu.edu/international DS-2019 Application for J-1 Exchange Visitors Plans to invite an individual in J-1 status

More information

APPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS

APPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS APPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS 1. Please read the enclosed brochure for important information. 2. You may use this application to apply for Special Care for adults

More information

Edge Business School. Student Loan Application. Second semester 2015. Today s Dreamers, Tomorrow s Leaders

Edge Business School. Student Loan Application. Second semester 2015. Today s Dreamers, Tomorrow s Leaders Today s Dreamers, Tomorrow s Leaders Edge Business School Student Loan Application Second semester 2015 1 P a g e S t u d e n t L o a n A p p l i c a t i o n F o r m Dear Applicant We have received your

More information

Aquinas Institute of Rochester

Aquinas Institute of Rochester Aquinas Institute of Rochester 2015-2016 STUDENT FINANCIAL AID APPLICATION Information needed to complete your application: * Copies of your complete 2014 IRS Federal Form 1040, 1040A or 1040 EZ U.S. Individual

More information

Investec 2011 bursary application form

Investec 2011 bursary application form Investec 2011 bursary application form Dear applicant We have received your request for an Investec bursary administered by Study Trust for 2011 and have pleasure enclosing an application form. When completing

More information

CLOSING DATE FOR APPLICATIONS: 31 OCTOBER 2015. Full name of Applicant: I am applying for funding based on:

CLOSING DATE FOR APPLICATIONS: 31 OCTOBER 2015. Full name of Applicant: I am applying for funding based on: Application for Financial Assistance for South African Postgraduate (Honours, Master s & Doctoral) students: detach and return the completed form with supporting documents to the Postgraduate Funding Office

More information

Grant money available for minor home repairs

Grant money available for minor home repairs FOR IMMEDIATE RELEASE Oct. 1, 2014 Contact: Sandy Lila, Neighborhood Improvement Coordinator slila@nlauderdale.org or 954-597-4745 Grant money available for minor home repairs We all got em. Pesky home

More information

How to Get Your Form I-20

How to Get Your Form I-20 How to Get Your Form I-20 (Certificate of Eligibility for F-1 Student Status) The information in this booklet explains how to get your St. John s University Form I-20. Please read it completely. International

More information

Social assistance: 2% of covered payroll. Government. Social insurance: None; contributes as an employer. Social assistance: Any deficit.

Social assistance: 2% of covered payroll. Government. Social insurance: None; contributes as an employer. Social assistance: Any deficit. Barbados Exchange rate: US$1.00 = 2.02 Barbadian dollars (B$). Old Age, Disability, and Survivors First law: 1937 (social assistance). Current law: 1966 (social insurance). Type of program: Social insurance

More information

SPECIAL SECTION: Indebtedness

SPECIAL SECTION: Indebtedness SPECIAL SECTION: Indebtedness Introduction Student indebtedness is a topic of great import for universities, public policy officials, and of course, doctoral students and their families. This special section

More information

Counselor Education Program Survey

Counselor Education Program Survey Counselor Education Program Survey 1. Gender: Male 42.9% 3 Female 57.1% 4 2. Ethnic Background: African American 0.0% 0 Asian 0.0% 0 Hispanic (Non-White) 0.0% 0 Native American 14.3% 1 White (Non-Hispanic)

More information

Manage your Liberty Mutual group benefits online.

Manage your Liberty Mutual group benefits online. Manage your Liberty Mutual group benefits online. MyLibertyConnection.com offers convenient access to online tools to help you manage your group benefits. To get started, visit www.mylibertyconnection.com

More information

How to Apply For the San Jacinto College Environmental Science Transfer Grant

How to Apply For the San Jacinto College Environmental Science Transfer Grant The Mt. San Jacinto College USDA Environmental Science Transfer Grant BACKGROUND AND OBJECTIVE The Mt. San Jacinto College USDA Environmental Science Transfer Grant will be awarded to one current MSJC

More information

Christian Brothers Academy

Christian Brothers Academy Christian Brothers Academy Syracuse, NY 2016-2017 STUDENT FINANCIAL AID APPLICATION This form must be postmarked on or before 1/31/16 Information needed to complete your application: * Copies of your complete

More information

RESIDENTIAL REHABILITATION PROGRAM

RESIDENTIAL REHABILITATION PROGRAM City of North Lauderdale COMMUNITY DEVELOPMENT DEPARTMENT 701 S.W. 71 st Avenue North Lauderdale, Florida 33068 Telephone: (954) 724-7065 Fax: (954) 720-2064 RESIDENTIAL REHABILITATION PROGRAM If you are

More information

SAMPLE ONLY. FACTS Grant & Aid Application For the School Year Beginning Fall 2015. Save Time Apply Online.

SAMPLE ONLY. FACTS Grant & Aid Application For the School Year Beginning Fall 2015. Save Time Apply Online. 10000028406 Save Time Apply Online. Apply online at online.factsmgt.com/aid w available in Spanish. Applying online allows your institution to view your application electronically within minutes of submission.

More information

LIVE NEWARK DEPARTMENT OF ECOMONIC AND HOUSING DEVELOPMENT DIVISION OF HOUSING AND REAL ESTATE HOME FACADE PROGRAM (HFP) APPLICATION

LIVE NEWARK DEPARTMENT OF ECOMONIC AND HOUSING DEVELOPMENT DIVISION OF HOUSING AND REAL ESTATE HOME FACADE PROGRAM (HFP) APPLICATION LIVE NEWARK DEPARTMENT OF ECOMONIC AND HOUSING DEVELOPMENT DIVISION OF HOUSING AND REAL ESTATE HOME FACADE PROGRAM (HFP) APPLICATION Please PRINT and complete ALL pages of this application in its entirety

More information

State Pension (Contributory)

State Pension (Contributory) Application form for State Pension (Contributory) Social Welfare Services SPC 1 Data Classification R You need a Personal Public Service Number (PPS No.) before you apply. How to complete this application

More information

Application for residence permit for the purpose of family reunification

Application for residence permit for the purpose of family reunification OFFICE OF IMMIGRATION AND NATIONALITY Application for residence permit for the purpose of family reunification The application receiving authority: _ _ _ _ _ _ _ _ _ _ Number: Body performing data entry

More information

ONLY. FACTS Grant & Aid Application For the School Year Beginning Fall 2014. Save Time Apply Online.

ONLY. FACTS Grant & Aid Application For the School Year Beginning Fall 2014. Save Time Apply Online. 10000028406 Save Time Apply Online. Apply online at online.factsmgt.com/aid w available in Spanish. Applying online allows your institution to view your application electronically within minutes of submission.

More information

HOME IN PEEL AFFORDABLE OWNERSHIP PROGRAM 2014 Application Form

HOME IN PEEL AFFORDABLE OWNERSHIP PROGRAM 2014 Application Form HOME IN PEEL AFFORDABLE OWNERSHIP PROGRAM 2014 Application Form The Home in Peel Affordable Ownership Program is designed to provide low to moderate income residents who are currently renting in the Region

More information

Application for residence permit for the purpose of study

Application for residence permit for the purpose of study OFFICE OF IMMIGRATION AND NATIONALITY Application for residence for the purpose of study The application receiving authority: _ _ _ _ _ _ _ _ _ _ Number: Body performing data entry of the application:

More information

TUTOR PHC Transdisciplinary Understanding and Training on Research - Primary Health Care Application Package for Admission in 2016

TUTOR PHC Transdisciplinary Understanding and Training on Research - Primary Health Care Application Package for Admission in 2016 Application Package Checklist Application Package Checklist (this form) Application Form Letter of Application must include: I. Explain your interest in Primary Health Care and Interdisciplinary Research.

More information

Household Composition Income & Assets Review

Household Composition Income & Assets Review GREATER SUDBURY SOCIÉTÉ DE LOGEMENT HOUSING CORPORATION DU GRAND SUDBURY Household Composition Income & Assets Review To continue to be eligible for assisted rental housing, you are required by the terms

More information

Indonesia Tourist visa Application

Indonesia Tourist visa Application Indonesia Tourist visa Application Please enter your contact information Name: Email: Tel: Mobile: The latest date you need your passport returned in time for your travel: Indonesia tourist visa checklist

More information

APPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS

APPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS Capital Advantage Insurance Company Commonwealth of Pennsylvania Edward G. Rendell, Governor APPLICATION FOR HEALTH CARE COVERAGE FOR UNINSURED CHILDREN AND ADULTS Application Information The information

More information

Survey of Graduate Programs in Religion and Theology

Survey of Graduate Programs in Religion and Theology American Academy of Religion Survey of Graduate Programs in Religion and Theology INSTRUCTIONS FOR COMPLETING THE QUESTIONNAIRE 1. You have received this questionnaire because, according to our records,

More information

RULES FOR FILING A CLAIM AND APPEAL RIGHTS

RULES FOR FILING A CLAIM AND APPEAL RIGHTS DIVISION OF TEMPORARY DISABILITY INSURANCE APPLICATION FOR FAMILY LEAVE INSURANCE BENEFITS (FL-1) DETACH THIS PAGE AND KEEP FOR YOUR RECORDS RULES FOR FILING A CLAIM AND APPEAL RIGHTS 1. It is your responsibility

More information

Studying and Working in Germany. A brochure on the legal requirements of residence for third-country nationals

Studying and Working in Germany. A brochure on the legal requirements of residence for third-country nationals Studying and Working in Germany A brochure on the legal requirements of residence for third-country nationals Studying and Working in Germany A brochure on the legal requirements of residence for third-country

More information

Police Pensions Scheme FAQ s. Q. What is the level of my contribution each month?

Police Pensions Scheme FAQ s. Q. What is the level of my contribution each month? Police Pensions Scheme FAQ s Q. What is the level of my contribution each month? A. The current contribution rates at 12.25% with parity of contributions for both men and women. It is possible that the

More information

Survey on Human Resources in Science and Technology Year 2009

Survey on Human Resources in Science and Technology Year 2009 4 October 2010 Survey on Human Resources in Science and Technology Year 2009 Main Results - 55.5% of doctorate-holders are men and 44.5% are women. The average age at completion of the doctorate is 35

More information

Sample Only. Grant & Aid Application For the School Year Beginning Fall 2012. Save Time Apply Online. Information needed to complete your application:

Sample Only. Grant & Aid Application For the School Year Beginning Fall 2012. Save Time Apply Online. Information needed to complete your application: 10000028406 Save Time Apply Online. Apply online at www.factstuitionaid.com - Applying online is the fastest and most direct method of submitting your application. It allows your institution to view your

More information

Childcare and OSCAR Subsidy Application

Childcare and OSCAR Subsidy Application Childcare and OSCAR Subsidy Application If you need help with this form call us on % 0800 559 009. Who can get this subsidy If you need help filling in this form, please ask at your nearest Work and Income

More information

1. APPLICANT INFORMATION. Applicant's Name Age & Birth date Applicant's Name Age & Birth date

1. APPLICANT INFORMATION. Applicant's Name Age & Birth date Applicant's Name Age & Birth date 1755 13 th Street Courtenay, BC V9N 7B6 Application for a Habitat Home If you have questions about how to fill out this form, please call the Habitat office at (250) 334-3777 Ext. 310 and leave a message

More information

Online Survey of Employees Without Workplace Retirement Plans

Online Survey of Employees Without Workplace Retirement Plans Online Survey of Employees Without Workplace Retirement Plans Report of Findings Conducted for: State of California October 2015 Prepared by Greenwald & Associates 2015 1 Table of Contents Methodology

More information

Australia. Old Age, Disability, and Survivors. Australia. Exchange rate: US$1.00 equals 1.32 Australian dollars (A$). Qualifying Conditions

Australia. Old Age, Disability, and Survivors. Australia. Exchange rate: US$1.00 equals 1.32 Australian dollars (A$). Qualifying Conditions Australia Exchange rate: US$1.00 equals 1.32 Australian dollars (A$). Old Age, Disability, and Survivors First laws: 1908 (old-age and disability) and 1942 (widows). Current laws: 1991 (social security),

More information

ADOPTION LEAVE. It is essential that you read all the guidance in these adoption leave pages.

ADOPTION LEAVE. It is essential that you read all the guidance in these adoption leave pages. ADOPTION LEAVE This document includes all the guidance given on the Personnel Services website, which can be found at http://www.admin.ox.ac.uk/personnel/during/family/adoption/. This guidance is intended

More information

I have received a copy of the Notice of Privacy Practices True Health.

I have received a copy of the Notice of Privacy Practices True Health. Sign-in Time: I have received a copy of the Notice of Privacy Practices True Health. Signature of Patient/Patient Representative Relationship of Patient Representative to Patient 2400 State Road 415 11881-A

More information

Scholarship application deadline: April 15, 2014

Scholarship application deadline: April 15, 2014 THE KIWANIS CLUB OF ABILENE FOUNDATION, INC. 473 CYPRESS ST., SUITE 107, ABILENE, TX 79601 (325) 673-1341 Building One Child and One Community at a Time Scholarship application deadline: April 15, 2014

More information

Medical Card Application Form - Over 70 Years of Age

Medical Card Application Form - Over 70 Years of Age Medical Card Application Form - Over 70 Years of Age Form MC1a Please read the Information Notes at the end of this Application Form OFFICE USE ONLY Date Received: Card No... Part 1 - Applicants Details

More information

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING

UNIVERSITY OF ROCHESTER SCHOOL OF NURSING UNIVERSITY OF ROCHESTER SCHOOL OF NURSING Instructions for Applicants to the PhD Program Web page address: www.son.rochester.edu The University of Rochester School of Nursing uses a self-managed application

More information

Disability Income Protection

Disability Income Protection Disability Income Protection Table of contents Introduction... 1 Highlights...2 Sick Leave plan... 4 Joining the plan...4 Cost...4...4 Exclusions... 5 In the event... 5 How to submit claims... 5 Group

More information

Graduate Employment Data Common Questions Pilot Project Survey NOTE: This survey is intended to be conducted online using Survey Monkey or other online survey software. The highlights show where the survey

More information

SSAS application form

SSAS application form SSAS application form By completing this form together with the Trust Deed you agree to appoint Bespoke Pension Management as Scheme Practitioner to your SSAS Scheme. You understand that we will assume

More information

How To Get A Credit Card From A Credit Union

How To Get A Credit Card From A Credit Union Client Initial Fact Find / Meeting tes Date: Meeting Location Credit Advisor Clint / Bertrand / Colin Meeting Type Person / Telephone / Skype Credit Guide Sent: E / F / M CLIENT DETAILS: Full name (Client

More information

Application for Schengen Visa

Application for Schengen Visa Photo Stamp of Embassy or Consulate Application for Schengen Visa This application form is free 1. Surname(s) (family name(s)) FOR EMBASSY / CONSULATE USE ONLY 2. Surname(s) at birth (earlier family name(s))

More information

APPLICATION FOR A RESIDENCE PERMIT BLUE CARD

APPLICATION FOR A RESIDENCE PERMIT BLUE CARD CEA Form B (Non-EU) APPLICATION FOR A RESIDENCE PERMIT BLUE CARD (To be filled in by persons who are not nationals of an EU Member State, Iceland, Liechtenstein, Norway or Switzerland) This application

More information

Application for Provincial Training Allowance 2016-2017 Office Use Only APPLICANT DEMOGRAPHIC APPLICANT CATEGORY. Sask. Health Services Number (HSN)

Application for Provincial Training Allowance 2016-2017 Office Use Only APPLICANT DEMOGRAPHIC APPLICANT CATEGORY. Sask. Health Services Number (HSN) Application for Provincial Training Allowance 2016-2017 Office Use Only Date Received File Number Bar Code PSE Number Application Number APPLICANT DEMOGRAPHIC Social Insurance Number (SIN) No SIN Sask.

More information

Promise of Nursing Regional Faculty Fellowship Program

Promise of Nursing Regional Faculty Fellowship Program FOUNDATION OF THE NATIONAL STUDENT NURSES ASSOCIATION, INC. In Memory of Frances Tompkins 45 Main Street, Suite 606 Brooklyn, NY 11201 Phone: (718) 210-0705 WWW.NSNA.ORG CLICK ON FOUNDATION Promise of

More information

Indonesia Tourist visa Application

Indonesia Tourist visa Application Indonesia Tourist visa Application Please enter your contact information Name: Email: Tel: Mobile: The latest date you need your passport returned in time for your travel: Indonesia tourist visa checklist

More information

Application for Master of Visual Arts or Master of Music AND Application for a Postgraduate Research Scholarship

Application for Master of Visual Arts or Master of Music AND Application for a Postgraduate Research Scholarship OFFICE USE: ID # APPL # Application for Master of Visual Arts or Master of Music AND Application for a Postgraduate Research Scholarship Instructions There are TWO parts to this application: Part A To

More information

Please read carefully and follow the instructions. 2. Academic year: Applications should be submitted for the following academic year.

Please read carefully and follow the instructions. 2. Academic year: Applications should be submitted for the following academic year. Instructions for completing the application forms for a scholarship to study in Israel Please read carefully and follow the instructions 1. Application forms should be filled in 3 copies. To each copy

More information

Canada-Alberta Job Grant Applicant Guide

Canada-Alberta Job Grant Applicant Guide Contents Purpose... 2 Application process... 2 Assessment process... 3 Eligible applicants and trainees... 4 Eligible applicants... 4 Alberta Corporate Access Number (ACAN)... 4 Eligible trainees... 5

More information

2014 Survey of the doctorate degree/phd population (academic years 2008-2009 and 2009-2010)

2014 Survey of the doctorate degree/phd population (academic years 2008-2009 and 2009-2010) 2014 Survey of the doctorate degree/phd population (academic years 2008-2009 and 2009-2010) DOCTORAL PROGRAMME... AFFILIATED CENTRE/INSTITUTE... ACADEMIC DETAILS 1. Degree with which you gained admission

More information

Personal Information. Name Soc. Sec. No. Date of Birth Occupation Work Phone Taxpayer: Spouse: Street Address City State Zip

Personal Information. Name Soc. Sec. No. Date of Birth Occupation Work Phone Taxpayer: Spouse: Street Address City State Zip Paid to Taxpayer Paid to Spouse Client Tax Organizer Please complete this Organizer before your appointment. Prior year clients should use a personalized Organizer. To request a personalized Organizer,

More information

CLAIMANT RIGHTS AND RESPONSIBILITIES RULES FOR FILING A CLAIM AND APPEAL RIGHTS

CLAIMANT RIGHTS AND RESPONSIBILITIES RULES FOR FILING A CLAIM AND APPEAL RIGHTS DIVISION OF TEMPORARY DISABILITY INSURANCE CLAIM FOR DISABILITY BENEFITS (DS-1) DETACH THIS PAGE AND KEEP FOR YOUR RECORDS CLAIMANT RIGHTS AND RESPONSIBILITIES RULES FOR FILING A CLAIM AND APPEAL RIGHTS

More information

Community Services Card Application

Community Services Card Application Community Services Card Application Who can get a Community Services Card? Mehemea he patai ou waea mai ki. Me e uianga taau e ringi mai ia matou, numero. Mo so o sau fesili, telefoni mai. If you have

More information

West Virginia Department of Health and Human Resources. Application for Child Care Services

West Virginia Department of Health and Human Resources. Application for Child Care Services West Virginia Department of Health and Human Resources Application for Child Care Services I. INSTRUCTIONS Please complete this form in order to apply for child care services. Be sure to sign and date

More information

Application for Medical Assistance for Families with Children

Application for Medical Assistance for Families with Children Application for Medical Assistance for Families with Children Who can use this application? Use this application to see what choices you have Apply faster online This application is for families, children,

More information

Denver Tax Group, LLC CHADWICK ELLIOTT 1888 Sherman Street SUITE 650 DENVER, CO 80203 (0) Organizer Mailing Slip

Denver Tax Group, LLC CHADWICK ELLIOTT 1888 Sherman Street SUITE 650 DENVER, CO 80203 (0) Organizer Mailing Slip Denver Tax Group, LLC CHADWICK ELLIOTT Sherman Street SUITE 0 DENVER, CO 00, (0) Organizer Mailing Slip TAX ORGANIZER TO:, FROM: Denver Tax Group, LLC Sherman Street SUITE 0 DENVER CO 00 (0) -0 Enclosed

More information

Guide to Social Security and Retirement

Guide to Social Security and Retirement Guide to Social Security and Retirement in the United States Social Security (SS) is a government program that pays monthly benefits to: retired workers; workers who are disabled; certain family members

More information

Special Needs Grant International Custody Dispute Payment

Special Needs Grant International Custody Dispute Payment Special Needs Grant International Custody Dispute Payment CLIENT NUMBER If you need help with this form call us on % 0800 559 009. Who can get this payment If you need help filling in this form, please

More information

GUIDELINES FOR ACCEPTANCE IN THE HABITAT FOR HUMANITY OF PULASKI COUNTY PROGRAM

GUIDELINES FOR ACCEPTANCE IN THE HABITAT FOR HUMANITY OF PULASKI COUNTY PROGRAM GUIDELINES FOR ACCEPTANCE IN THE HABITAT FOR HUMANITY OF PULASKI COUNTY PROGRAM 6700 S. University Ave. Little Rock, AR 72209 501.376.4434 Apply for a Home 1. You will be considered for a Habitat home

More information

Certificate of Finance Graduate Program Fall 2015 Spring 2016

Certificate of Finance Graduate Program Fall 2015 Spring 2016 In order to apply for an F-1 visa to study at the BAC, an international student must receive an immigration form called the Certificate of Eligibility (I-20) from the BAC upon acceptance to its master's

More information

Part 1 To be filled in by the worker. The following information is provided as guidance to workers filling in Part 1.

Part 1 To be filled in by the worker. The following information is provided as guidance to workers filling in Part 1. Form Workers compensation claim form Part 1 To be filled in by the worker. The following information is provided as guidance to workers filling in Part 1. Notify your employer of your injury or disease

More information

EEA(PR) Application for a document certifying permanent residence or permanent residence card under the EEA Regulations

EEA(PR) Application for a document certifying permanent residence or permanent residence card under the EEA Regulations EEA(PR) Application for a document certifying permanent residence or permanent residence card under the EEA Regulations Who this form is for Use this application form if you wish to apply for a document

More information

Financial Aid Application for Academic Year 2015-16

Financial Aid Application for Academic Year 2015-16 CHRISTENDOM COLLEGE Financial Aid Application for Academic Year 2015-16 Financial Aid Office 134 Christendom Drive Front Royal, Virginia 22630 800.877.5456 ~ apolk@christendom.edu www.christendom.edu The

More information

Nursing Scholarship Program High School Seniors & College Nursing Program Applicants

Nursing Scholarship Program High School Seniors & College Nursing Program Applicants ALSO AVAILABLE ONLINE HTTP://WWW.HNEF.ORG Nursing Scholarship Program High School Seniors & College Nursing Program Applicants Thank you for your interest in the Healthcare and Nursing Nursing Scholarship

More information

FIRST NAME, MIDDLE INITIAL, LAST NAME

FIRST NAME, MIDDLE INITIAL, LAST NAME SOCIAL SECURITY ADMINISTRATION TEL TOE 120/145 APPLICATION FOR DISABILITY INSURANCE BENEFITS Form Approved OMB. 0960-0060 (Do not write in this space) I apply for a period of disability and/or all insurance

More information

Tooele County HOMEOWNER HOUSING REHAB LOAN APPLICATION

Tooele County HOMEOWNER HOUSING REHAB LOAN APPLICATION ELIGIBILITY Income Eligibility: This program is available to households with a maximum of 80 percent of the median family income for Tooele County. If your household income is greater than the limits,

More information

manitobastudentaid.ca

manitobastudentaid.ca Accessible and Affordable Post-Secondary Education 2015-2016 FINANCE YOUR FUTURE! Manitoba Student Aid manitobastudentaid.ca S E C T I O N O N E PLAN AHEAD Education Costs If you have been looking at post-secondary

More information

Form Workers compensation claim form

Form Workers compensation claim form Form Workers compensation claim form Part 1 of the claim form is to be filled in by the worker. The following information is provided as guidance to workers filling in Part 1 Notify your employer of your

More information