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Jumat, 09 Oktober 2020

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Dear Student,
Pursuant to the Abraham S. Fischler College of Education (FCE) Student Grievance
Procedure, the Grievance Form is for use in filing a grievance when a satisfactory
resolution is not achieved through a formal appeal. Please note that this form and any
supporting documentation must be properly completed, received, and on file in the
Office of Student Judicial Affairs (OSJA) within fifteen (15) days following receipt of
correspondence disclosing the appeal committee's decision, otherwise, the grievance
will no longer be eligible for review. Students are encouraged to submit the Grievance
Form, and any supporting documentation, well in advance of the fifteen (15) day
deadline for submission.
Should you have any questions or need assistance with the completion and/or
submission of a grievance, please contact OSJA at 1781153867 (toll free at 870342
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Sincerely,
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Abraham S. Fischler College of Education

----n8hiERfE;DpyYdM This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of you health information is important to us. Our Legal Duty Federal and state law requires us to maintain the privacy of your health information. That law also requires us to give you this notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices we describe in this notice while it is in effect. This notice takes effect April 14, 2003, and will remain in effect until we replace it. We reserve the right to change our privacy practices and the terms of this notice at any time, provided such applicable law permits the changes. We reserve the right to make the changes in our privacy practices and the new terms of our notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this notice and make the new notice available upon request. You may request a copy of our notice at any time. For more information about our privacy practices, or for additional copies of this notice, please contact us using the information listed at the end of this notice. Uses and Disclosures of Health Information We use and disclose health information about you for treatment, payment, and health care operations. For example: Treatment: We may use your health information for treatment or disclose it to a dentist, physician or other health care provider providing treatment for you. Payment: We may use and disclose your health information to obtain payment for services we provide to you. Health Care Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities. Your Authorization: In addition to our use of your health information for treatment, payment or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any uses or disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice. To Your Family and Friends: We must disclose your health information to you, as described in the patient rights section of this notice. We may disclose your health information to a family member, friend or other person to the extent necessary to help with your heath care or with payment for your health care, but only if you agree that we may do so. Persons Involved in Care: We may use or disclose health information to notify, or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person's involvement in your healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or other similar forms of health information. Marketing Health-Related Services: We will not use your health information for marketing communications without your written authorization. continued on reverse > 510 High Street, Suite A, Worthington, OH 43085 Ph: (614) 885 - 5158 Fx: (614) 985 - 1740 www.jermanfamilydentistry.com Acknowledgement of Receipt of Notice of Privacy Practices %S.BSL+FSNBOBOE%S+FOOJGFS3FLPT Required By Law: We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or to the health and safety of others. National Security: We may disclose to the military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to correctional institution or law enforcement official having lawful custody of protected health information of inmate or patient under certain circumstances. Appointment Reminders: We may use or disclose your health information to provide you with appointment reminders (such as voicemail messages, postcards or letters). Patient Rights Access: You have the right to look at or get copies of your health information, with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practicably do so. (You must make a request in writing to obtain access to your health information. You may obtain a form to request access by using the contact information listed at the end of this notice. We will charge you a reasonable cost-based fee for expenses such as copies and staff time. You may also request access by sending us a letter to the address at the end of this notice. If you request copies, we will charge you $0 for each page, $0 per hour for staff time to locate and copy your health information and postage if you want copies mailed to you. If you request an alternative format, we will charge a costbased fee for providing your heath information in that format. If you prefer, we will prepare a summary or an explanation of your health information for a fee. Contact us using the information at the end of this notice for a full explanation of our fee structure.) Disclosure Accounting: You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes, other than treatment, payment, healthcare operations and certain other activities, for the last 6 years, but not before April 14, 2003. If you request this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests. Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency). Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. (You must make the request in writing.) Your request must specify the alternative means or location, and provide a satisfactory explanation how payments will be handled under the alternative means or location you request. Amendment: You have the right to request that we amend your health information. (Your request must be in writing, and it must explain why we should amend the information.) We may deny your request under certain circumstances. Electronic Notice: If you receive this notice on our Web site or by electronic mail (e-mail), you are entitled to receive this notice in written form. Questions and Complaints If you want more information about our privacy practices or have questions or concerns, please contact us. If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicate with you by alternative means or at alternative locations, you may complain to us using the contact information listed at the end of this notice. You may also submit a written complaint to the US Department of Health and Human Services. We will provide you with the address to file your complaint with the US Department of Health and Human Services upon request. We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the US Department of Health and Human Services. 510 High Street, Suite A, Worthington, OH 43085 Ph: (614) 885 - 5158 Fx: (614) 985 - 1740 www.jermanfamilydentistry.com Contact information: Mark Jerman DDS Phone: (614) 885-5158 Fax: (614) 985-1740 Email: info@jermanfamilydentistry.com 510 High Street, Suite A Worthington, OH 43085 ----knqbyEap;BjqoVS


Cardinal Station Newburg Center for Primary Care
215 Central Avenue, Suite 100 1941 Bishop Lane, Suite 900 215 Central Avenue, Suite 205
Louisville, KY 40208 Louisville, KY 40218 Louisville, Ky 40208
I:\FCM\Phyllis Harris\Forms\New Patient Pkg Components
UofL Department of Family & Geriatric Medicine
Dear New Patient,
Welcome to your University of Louisville Physicians Family practice! We
are offering patient-centered medical care and are enthusiastic about our
relationships with our patients. In order to better serve your needs, we are
enclosing several forms and ask that you completely fill each form out.
The first sheet will help us learn more about you; please completely fill out this
form about your family history. The next sheet is titled, "Authorization for the
use and/or Disclosure of Protected Health Information", and you will need to
completely fill that out for our doctors to treat you to the best of their ability; it
gives us permission to review your medical records from your previous primary
medical facilities.
Following, please completely fill out the Registration, Social Services & Consent
Form. Next, you will find our Privacy Notice, followed by an acknowledgement that
you have received and understand our Privacy Policies. Finally, the last form is the
Office Acknowledgements and Policies form. Please read carefully and sign
your name at the bottom of the letter.
Please make sure to bring all of these forms with you to your first office visit.
Do not mail them back to the office. Also, please remember to always
bring your picture ID, current insurance cards and your co-payment. If your
health insurance requires you to select a primary care doctor please do so prior to
your office visit. Please bring in any and all medication you take, in their
original bottles, to your appointment.
If the patient is under 18 years of age he or she must be accompanied by an
adult and will need to bring a copy of their current immunization certificate.
Please arrive 15 minutes ahead of your scheduled appointment time so that if
you have questions about these forms or we need more information, we can
address it all prior to your appointment.
We look forward to seeing you!
University of Louisville Physicians
UofL Family and Geriatric Medicine

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----xcdfG7hQ;InHpux Voter Information


----NC;rvot;fox Dear Educator, Thank you for your interest in bringing your students to the Safari Park! The attached form will allow you to register for a self-guided visit to the Safari Park. By filling out the form on page 3, and e-mailing it to the Safari Park Education Department at educationpark@sandiegozoo.org, you confirm that you agree to and understand the policies described on this page. Filling out this registration form does not guarantee a reservation. You will receive an email confirmation within two weeks of sending this form. If you do not receive a confirmation within two weeks of sending in your form, please call us at 760-738-5057. Entrance fees may change depending on several variables. Please note that the dates of traditional school days, holidays, and summer vacations are determined based on the San Diego Unified School District calendar.  San Diego County students are free of charge during traditional school days.  Schools located outside of San Diego County pay a discounted rate of $10 for each student on traditional school days.  Home school groups are $10 per person.  All schools pay $10 per student on weekends, school holidays, during our Butterfly Jungle promotion March 25th – April 23rd (dates are subject to change), and during the summer June 24th – August 13th .  The minimum size of a school group is 15 people.  If you are bringing a special needs class, the minimum group size is 8.  We have a maximum of 200 people per school per day. Each individual over the 200 person limit is charged full price, which is $52.  The Africa Tram is $5 per person in your group if you would like to add it. Adult chaperone to student ratios Teachers are counted in the total number of adults. Adult chaperones are required to stay with their students at all times. Your group must have a minimum of 1 adult per 10 students. The maximum ratio of adults is 1 adult per 4 students. If you have any special needs students, we do allow 1 adult for every 1 special needs student in the group. Please indicate this on the registration form if it applies to your group. Adults within the maximum ratio are the same price as the students. Adults above the maximum ratio, up to and not exceeding total number of students, are $10 each. If the number of adults exceeds the number of students, each adult over and above the number of students will be charged the full admission price of $52. The Africa Tram is $5 per person in your group if you would like to add it. Payment If your school would like to pay by purchase order we must receive a copy of it at least 1 full week prior to your visit date. If we do not receive a purchase order by that time, payment by cash, check, or charge is due when checking in at the Safari Park ticket window. If you are planning on paying by cash, check, or charge, it is due upon your arrival to the Safari Park. The card holder must be present at the time of check in. Reservations Reservations must be made at least 2 weeks (10 business days) prior to your visit date. School groups that have made their reservation at least 2 weeks in advance will receive free parking. The drivers will only have to reference that they are on a school trip with your school's name at the parking gate to be allowed in. Any reservations made within 2 weeks will be charged a $25 late fee and do not receive free parking, which is currently $10 per car. Buses park for free. School groups without reservations pay regular admission and parking rates. Lunches Lunches can be ordered from the Safari Park. You will need to contact Safari Park education (760-738-5057) at least 1 week in advance to order lunches. Once you have requested lunches, you will receive an updated invoice and a menu for lunch orders. The lunch menu will need to be filled out and returned at least 4 days prior to your field trip. Thank you so much for your attention to this information. We believe that these details will help you to have a more enjoyable visit to the Safari Park. Sincerely, Safari Park Education School Self-Guided Visit Registration Form Send completed form to educationpark@sandiegozoo.org *PLEASE COMPLETE ALL REQUIRED FIELDS TO AVOID PROCESSING DELAYS PLEASE NOTE: THIS FORM DOES NOT GUARANTEE A RESERVATION. If we cannot accommodate your group on the date requested, we will contact you to discuss an alternate date for your visit. Reservations that are approved will be sent a confirmation email and resource materials within two weeks of submittal. *School Name: ________________________________________________________________ *Contact Name: _________________________Position: ___________________________ *School Address:___________________________________________________________ *City: ______________________________ *State: _______ *Zip Code:_________________ *School Phone: ______________________________ *Ext: _________ *Grade Level:_______ In SD County Out of SD County Homeschool Special Needs *Teacher Cell: __________________*Teacher Email Address: ________________ *Please select a date you would like to visit: 1 st Choice: _________ 2 nd Choice: ___________ *# of Students: _____________ *# of Chaperones: _____________ *Total: _______________ Any Applicable Notes: ___________________________________________________________ Please tell us how you are getting to the Safari Park: Bus Car Africa Tram The Africa Tram tour is not included with school group admission. We have a special group rate of $5 per person for this tour. # of Africa Tram Student Tickets: ____ # of Africa Tram Chaperone Tickets: ____ Guided School Programs The Education Department also offers a variety of grade-appropriate guided school programs. Our guided programs are aligned with state and national benchmarks for education. If you are interested in a guided tour please visit our website at: http://sdzsafaripark.org/education/guided-field-trips or give us a call at 760-738-5057. ----le;rnhj;ojx Welcome and thank you! Welcome to Royal Voluntary Service and thank you so much for choosing to be part of one of Britain's largest volunteer organisations. Founded in 1938 as WVS, the charity mobilised over one million volunteers to help with almost every aspect of wartime life. Today, Royal Voluntary Service still inspires and enables people to give the gift of voluntary service to meet the needs of the day. Never has that been more important than now, when we find ourselves in frightening and challenging times with the impact of COVID-19. As our founder said in 1938, 'As a nation we require voluntary service today as much as we have ever done in the past'. Lady Stella Reading This guide will help to keep you protected whilst you carry out your voluntary service with us. Please take the time to read and understand the content thoroughly so that we can help people effectively and safely. At the end of this guide you will find fact sheets and important information to support you in your role. Thank you for joining us, we hope that by coming together we can keep our communities safe and comforted during this difficult time. Kindest Regards, Catherine Johnstone CBE Chief Executive Getting you started as a Check in and Chat Volunteer Royal Voluntary Service – Getting started as a Check in and Chat volunteer – V1.14 – S Lloyd Let's start with some key information that will help protect you and the people you are supporting. During your volunteering you will come across personal and sensitive information about individuals as part of the support you will offer. We want to make sure that all information stays safe and confidential in line with the Data Protection Act 1998 and GDPR Regulations 2018. We want you to treat other people's personal information in the same way you would want yours to be treated. If you do acquire information about an individual you may be supporting (for example, names, addresses and possible medical information), we ask that you maintain confidentiality and do not discuss or disclose any data or information with anyone outside of Royal Voluntary Service or with anyone who doesn't need to know. DO DON'T  Keep any data secure and treat other people's information in the same way you would want yours to be treated.  Discuss any information or data with anyone outside of Royal Voluntary Service or with anyone who doesn't need to know.  If you think there has been a mistake or breach of data protection tell Royal Voluntary Service about it so we can manage this.  Leave any messages on answerphones with any personal information if you are not sure who is going to be able to hear them. Ensure others cannot hear you and avoid calls on loudspeaker if you live with others. With-holding your phone number We recommend that you call the isolating person from a withheld number. To withhold your number on individual calls just dial 141 before the telephone number you want to call. You will support a diverse range of individuals in diverse communities and we ask that you respect every individual's beliefs and that nobody is treated less favourably or excluded in anyway. We are all different and all have the right to be treated with dignity and respect. If you witness any behaviours where you feel someone is being treated less favourably or excluded, then you must inform Royal Voluntary Service of this immediately so we can tackle this and take appropriate action. DO DON'T  Treat others the same way you would want to be treated.  Treat anyone less favourably or exclude anyone who we are supporting in our communities.  Respect everyone regardless of who they are, their backgrounds and the communities in which they live.  Ignore any unacceptable behaviours towards anyone, and ensure that you report it to Royal Voluntary Service. DATA PROTECTION & CONFIDENTIALITY EQUALITY Royal Voluntary Service – Getting started as a Check in and Chat volunteer – V1.14 – S Lloyd At Royal Voluntary Service we place the safeguarding and well-being of volunteers, employees and people we support above anything else. You may come across vulnerable adults or adults at risk of harm and they should never experience abuse of any kind. We want you to be alert to any signs or patterns of abuse or anything that may concern you and always raise your suspicions. Be assured you will always be supported by the charity and not raising your concerns is worse than raising a suspicion that is incorrect. If anyone tells you of any type of abuse then remain calm, listen and reassure them that it will be taken seriously. Don't promise confidentiality as you will need to speak to a limited number of people once you have this information and we ask that you ALWAYS report this to Royal Voluntary Service. As a Check In and Chat Volunteer you will not be supporting people in the community. However, we are committed to keeping you safe and below we have outlined some guidance to support you: How to protect yourself – General Guidance  Wash hands frequently for at least 20 seconds with soap and water at regular intervals throughout the day.  If running water and soap is not available then ensure you have alcohol-based hand wipes or sanitiser to kill viruses that may be on your hands.  Avoid touching your face and keep hands away from eyes, mouth and nose to avoid spread of any virus.  If you cough, use a tissue and dispose of the tissue immediately. If the cough becomes persistent then you should follow government self-isolation precautions. If no tissue is available, cough into your arm.  Consider social distancing by maintaining at least 2 metres distance between yourself and anyone who is coughing or sneezing.  If you feel unwell and have a fever, cough and difficulty breathing, seek medical attention and follow NHS guidance whilst avoiding any contact with people. SAFEGUARDING KEEPING YOU SAFE Royal Voluntary Service – Getting started as a Check in and Chat volunteer – V1.14 – S Lloyd What should I do if I think I have COVID-19 Symptoms? If you are concerned about your health in relation to COVID-19 and believe you have symptoms then you need to pause your voluntary service and self-isolate for the required period of time. Please check out the Public Health Guidance to identify how long you need to isolate for. https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public We want to make your volunteering experience with us enjoyable, rewarding and safe. This below outlines what we can expect from each other whilst you volunteer with us. ----5gzW5MQb;RHWzWa This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of you health information is important to us. Our Legal Duty Federal and state law requires us to maintain the privacy of your health information. That law also requires us to give you this notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices we describe in this notice while it is in effect. This notice takes effect April 14, 2003, and will remain in effect until we replace it. We reserve the right to change our privacy practices and the terms of this notice at any time, provided such applicable law permits the changes. We reserve the right to make the changes in our privacy practices and the new terms of our notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this notice and make the new notice available upon request. You may request a copy of our notice at any time. For more information about our privacy practices, or for additional copies of this notice, please contact us using the information listed at the end of this notice. Uses and Disclosures of Health Information We use and disclose health information about you for treatment, payment, and health care operations. For example: Treatment: We may use your health information for treatment or disclose it to a dentist, physician or other health care provider providing treatment for you. Payment: We may use and disclose your health information to obtain payment for services we provide to you. Health Care Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities. Your Authorization: In addition to our use of your health information for treatment, payment or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any uses or disclosures permitted by your authorization while it was in effect. Unless you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice. To Your Family and Friends: We must disclose your health information to you, as described in the patient rights section of this notice. We may disclose your health information to a family member, friend or other person to the extent necessary to help with your heath care or with payment for your health care, but only if you agree that we may do so. Persons Involved in Care: We may use or disclose health information to notify, or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, then prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person's involvement in your healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or other similar forms of health information. Marketing Health-Related Services: We will not use your health information for marketing communications without your written authorization. continued on reverse > 510 High Street, Suite A, Worthington, OH 43085 Ph: (614) 885 - 5158 Fx: (614) 985 - 1740 www.jermanfamilydentistry.com Acknowledgement of Receipt of Notice of Privacy Practices %S.BSL+FSNBOBOE%S+FOOJGFS3FLPT Required By Law: We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or to the health and safety of others. National Security: We may disclose to the military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national security activities. We may disclose to correctional institution or law enforcement official having lawful custody of protected health information of inmate or patient under certain circumstances. Appointment Reminders: We may use or disclose your health information to provide you with appointment reminders (such as voicemail messages, postcards or letters). Patient Rights Access: You have the right to look at or get copies of your health information, with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practicably do so. (You must make a request in writing to obtain access to your health information. You may obtain a form to request access by using the contact information listed at the end of this notice. We will charge you a reasonable cost-based fee for expenses such as copies and staff time. You may also request access by sending us a letter to the address at the end of this notice. If you request copies, we will charge you $0 for each page, $0 per hour for staff time to locate and copy your health information and postage if you want copies mailed to you. If you request an alternative format, we will charge a costbased fee for providing your heath information in that format. If you prefer, we will prepare a summary or an explanation of your health information for a fee. Contact us using the information at the end of this notice for a full explanation of our fee structure.) Disclosure Accounting: You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes, other than treatment, payment, healthcare operations and certain other activities, for the last 6 years, but not before April 14, 2003. If you request this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests. Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency). Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means or to alternative locations. (You must make the request in writing.) Your request must specify the alternative means or location, and provide a satisfactory explanation how payments will be handled under the alternative means or location you request. Amendment: You have the right to request that we amend your health information. (Your request must be in writing, and it must explain why we should amend the information.) We may deny your request under certain circumstances. Electronic Notice: If you receive this notice on our Web site or by electronic mail (e-mail), you are entitled to receive this notice in written form. Questions and Complaints If you want more information about our privacy practices or have questions or concerns, please contact us. If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicate with you by alternative means or at alternative locations, you may complain to us using the contact information listed at the end of this notice. You may also submit a written complaint to the US Department of Health and Human Services. We will provide you with the address to file your complaint with the US Department of Health and Human Services upon request. We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the US Department of Health and Human Services. 510 High Street, Suite A, Worthington, OH 43085 Ph: (614) 885 - 5158 Fx: (614) 985 - 1740 www.jermanfamilydentistry.com Contact information: Mark Jerman DDS Phone: (614) 885-5158 Fax: (614) 985-1740 Email: info@jermanfamilydentistry.com 510 High Street, Suite A Worthington, OH 43085 ----Lc;qick;tzs nqTpcfrpdB.edu dsssmJOUEy.edu JbhiNFeyCJ.edu FMdtYErfyP.edu yWsfeyhZHX.edu EHgQQQjmOQ.edu KnEUbwdCXc.edu YcLDlEyMtG.edu bFEPYyQWWR.edu TzoyMKbuSR.edu lDGORdUist.edu QQApRMKgMo.edu sVeiigKomo.edu kszNeLYiij.edu uKYcPpftrQ.edu EedQNLRdUV.edu DfsuxMxvCo.edu rOIMIYnVJD.edu SJiiAPDDQF.edu gjwetQTfBh.edu SMMrepQrad.edu BhxrMAJcOO.edu YUCdskEzuN.edu TMDmfOVbFd.edu tNZEWPfLUo.edu bnqutKldpN.edu PPssedvxOl.edu UnURNLbRia.edu ykxXFwTlqt.edu tmmKvkOEVi.edu VxXADGclNP.edu OdRHtkoNjk.edu XugxfBesQz.edu mvfTtZRcyj.edu LGhxkvwPqh.edu rfPfgbNvAl.edu fgXcEGzZLy.edu SrBJBUQXjw.edu CejwWAqCPk.edu nrNPhfKEQm.edu DXLudFuhUJ.edu mVLyAOFxZa.edu wqkPIdpSIy.edu ZzjqWgXUcE.edu PgMAbxXIFG.edu cfkHiWCbxo.edu UgRZzMMwOL.edu yDmKxkwjlr.edu zjkRQQaFmD.edu yICnRqtbkl.edu GqRwHqklzK.edu gilxAfwwNT.edu rIJEIvObsp.edu VppGkmpMXj.edu XUQeTnJLcI.edu YidExaugTE.edu rGfaOEQlaC.edu fJQAWQGrOg.edu iVdRIfyUXF.edu RhfUhWCFFW.edu rbCEiaSQQw.edu SNMJgrNSJM.edu DBHMYKhnbH.edu rdrCYAxTWk.edu rvMgzHBEAq.edu YQinlmevss.edu WHVccdOmLE.edu TuffTsfPee.edu CnElhoLEfk.edu wUIxrslTso.edu bUYJRirImX.edu VmLLnFPXPY.edu qAtkJZSrYC.edu ZlXUBDRCRg.edu jlWuNsfPSF.edu xphlHiXhNg.edu OnauqBpVkk.edu bssOhZDwhf.edu FWSwlrRtoK.edu oNhjKlTMVc.edu ----am;ounx;ioo
I will be out of the office from Tuesday, February 18 through Friday, February 21. I will have access to email and will reply if necessary. All other emails will be returned on Monday, February 24. Thank you!



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Dear Prospective Ed.D., Higher Education Strand Applicant:
We are very pleased that you are interested in the Higher Education Strand of CCSU's Doctor of
Education (Ed.D.) in Educational Leadership, designed for current higher education professionals
who aspire to leadership positions on college or university campuses. We look forward to receiving
your application.
As you complete your application, keep in mind the following admission criteria:
1. Master's degree from an accredited institution of higher education in a discipline or
professional field that is relevant to the Ed.D. in Educational Leadership.
2. A 3.00 or higher cumulative average (GPA) in all graduate coursework.
3. Two or more letters of reference from leaders in postsecondary education familiar with
your work. Ask your references to use the form on the next page.
4. Résumé that illustrates important work-related experiences with an emphasis on yo ur
work as a leader at postsecondary institutions of higher education.
5. Acceptable scores on the General Test of the Graduate Record Examination (GRE) taken
within five years of your application.
6. A personal statement covering six important topics:
• Career goals
• Intended area of individual specialization
• Reasons for pursuing a doctorate
• Commitment to residency requirements (one three-day weekend in the first spring
semester, one full week each of the first, second, and third summer sessions)
• Commitment to enrolling in two cohort courses each spring and fall semester
• Commitment to summer enrollment during each 8-week summer session
7. If selected as a finalist, a satisfactory interview with the admissions committee.
We accept new students in alternate years only. Applications are due by October 1, 2017.
Admission standards are rigorous, and not everyone who meets our standards wil l be accepted.
Please note that the admission process calls for submission of materials to two locations. The last
page of this packet is a checklist of the various steps. Submit your Graduate Application and $50
application fee online. Transcripts from every college you have attended as an undergraduate and
graduate student should be submitted to Graduate Admissions in 102 Barnard Hall. In addition you
must send the following materials directly to the Ed.D. Program (attention Rouzan Kheranian) in 320
Barnard Hall:
1. Two letters of recommendation from educational leaders. Use the Reference Form (page
2 of this packet).
2. Your personal statement attached to the form on page 3 of this packet.
3. Your résumé.
4. Your GRE scores. When requesting that scores be sent, use GRE reporting code 3143 to
assure that the Ed.D. office receives your scores.
Cordially,
Peter F. Troiano, Ph.D.
Ed.D. Program Direct or, Higher Education Strand

----yFglYoYf;BSqExK Welcome and thank you! Welcome to Royal Voluntary Service and thank you so much for choosing to be part of one of Britain's largest volunteer organisations. Founded in 1938 as WVS, the charity mobilised over one million volunteers to help with almost every aspect of wartime life. Today, Royal Voluntary Service still inspires and enables people to give the gift of voluntary service to meet the needs of the day. Never has that been more important than now, when we find ourselves in frightening and challenging times with the impact of COVID-19. As our founder said in 1938, 'As a nation we require voluntary service today as much as we have ever done in the past'. Lady Stella Reading This guide will help to keep you protected whilst you carry out your voluntary service with us. Please take the time to read and understand the content thoroughly so that we can help people effectively and safely. At the end of this guide you will find fact sheets and important information to support you in your role. Thank you for joining us, we hope that by coming together we can keep our communities safe and comforted during this difficult time. Kindest Regards, Catherine Johnstone CBE Chief Executive Getting you started as a Check in and Chat Volunteer Royal Voluntary Service – Getting started as a Check in and Chat volunteer – V1.14 – S Lloyd Let's start with some key information that will help protect you and the people you are supporting. During your volunteering you will come across personal and sensitive information about individuals as part of the support you will offer. We want to make sure that all information stays safe and confidential in line with the Data Protection Act 1998 and GDPR Regulations 2018. We want you to treat other people's personal information in the same way you would want yours to be treated. If you do acquire information about an individual you may be supporting (for example, names, addresses and possible medical information), we ask that you maintain confidentiality and do not discuss or disclose any data or information with anyone outside of Royal Voluntary Service or with anyone who doesn't need to know. DO DON'T  Keep any data secure and treat other people's information in the same way you would want yours to be treated.  Discuss any information or data with anyone outside of Royal Voluntary Service or with anyone who doesn't need to know.  If you think there has been a mistake or breach of data protection tell Royal Voluntary Service about it so we can manage this.  Leave any messages on answerphones with any personal information if you are not sure who is going to be able to hear them. Ensure others cannot hear you and avoid calls on loudspeaker if you live with others. With-holding your phone number We recommend that you call the isolating person from a withheld number. To withhold your number on individual calls just dial 141 before the telephone number you want to call. You will support a diverse range of individuals in diverse communities and we ask that you respect every individual's beliefs and that nobody is treated less favourably or excluded in anyway. We are all different and all have the right to be treated with dignity and respect. If you witness any behaviours where you feel someone is being treated less favourably or excluded, then you must inform Royal Voluntary Service of this immediately so we can tackle this and take appropriate action. DO DON'T  Treat others the same way you would want to be treated.  Treat anyone less favourably or exclude anyone who we are supporting in our communities.  Respect everyone regardless of who they are, their backgrounds and the communities in which they live.  Ignore any unacceptable behaviours towards anyone, and ensure that you report it to Royal Voluntary Service. DATA PROTECTION & CONFIDENTIALITY EQUALITY Royal Voluntary Service – Getting started as a Check in and Chat volunteer – V1.14 – S Lloyd At Royal Voluntary Service we place the safeguarding and well-being of volunteers, employees and people we support above anything else. You may come across vulnerable adults or adults at risk of harm and they should never experience abuse of any kind. We want you to be alert to any signs or patterns of abuse or anything that may concern you and always raise your suspicions. Be assured you will always be supported by the charity and not raising your concerns is worse than raising a suspicion that is incorrect. If anyone tells you of any type of abuse then remain calm, listen and reassure them that it will be taken seriously. Don't promise confidentiality as you will need to speak to a limited number of people once you have this information and we ask that you ALWAYS report this to Royal Voluntary Service. As a Check In and Chat Volunteer you will not be supporting people in the community. However, we are committed to keeping you safe and below we have outlined some guidance to support you: How to protect yourself – General Guidance  Wash hands frequently for at least 20 seconds with soap and water at regular intervals throughout the day.  If running water and soap is not available then ensure you have alcohol-based hand wipes or sanitiser to kill viruses that may be on your hands.  Avoid touching your face and keep hands away from eyes, mouth and nose to avoid spread of any virus.  If you cough, use a tissue and dispose of the tissue immediately. If the cough becomes persistent then you should follow government self-isolation precautions. If no tissue is available, cough into your arm.  Consider social distancing by maintaining at least 2 metres distance between yourself and anyone who is coughing or sneezing.  If you feel unwell and have a fever, cough and difficulty breathing, seek medical attention and follow NHS guidance whilst avoiding any contact with people. SAFEGUARDING KEEPING YOU SAFE Royal Voluntary Service – Getting started as a Check in and Chat volunteer – V1.14 – S Lloyd What should I do if I think I have COVID-19 Symptoms? If you are concerned about your health in relation to COVID-19 and believe you have symptoms then you need to pause your voluntary service and self-isolate for the required period of time. Please check out the Public Health Guidance to identify how long you need to isolate for. https://www.gov.uk/guidance/coronavirus-covid-19-information-for-the-public We want to make your volunteering experience with us enjoyable, rewarding and safe. This below outlines what we can expect from each other whilst you volunteer with us. ----PGPAFd7F;gelxsG dqDYJYdghB.edu zhUAClCYpT.edu GUnqIPBAQS.edu oaiMZoRUgg.edu jiZMfLIcLU.edu QZPKuaaZyT.edu FdsqYArFqz.edu gdZBanZpEM.edu GPtPhOYbQZ.edu rBTYYogZMW.edu gqRvHSGuqw.edu sVJHilmFnH.edu tnvUiUQeIV.edu dmtJPXYPbm.edu WVvUXYKNjJ.edu fxtLlIqHlu.edu bRoISbFRmj.edu kKxblKahQq.edu xoSCoNBRyg.edu CGwAOJWlgj.edu TNJwfesdnQ.edu ebzsENLKjy.edu olEEJtDXsk.edu qYgovycIPH.edu dOplAXZuvI.edu KvfouBlXxx.edu KqUINzveWJ.edu NerQiPZMEO.edu dKNytUQxUr.edu dhDiCbVtSD.edu TPHHXfgtvf.edu BzOzpNXozQ.edu MEcQtXjLLw.edu UjFZMpFIyV.edu EmQuDlMyGW.edu IGyoJJeFFW.edu loJWitPDDg.edu vvuUilsXGO.edu KSwNeOdarm.edu heddxGMeyX.edu QKFIchdjUr.edu wmEiNLjXHC.edu BmUuvvCMZB.edu GMcFFoGLLS.edu rOQhEjXRrs.edu fWAeSrJbGz.edu BDzQhuLUpw.edu bqNRZAJRUA.edu iXTXZxCuDX.edu QRapNEwWMu.edu UfBBmgJgvM.edu MiDuQSFiKs.edu JvXGgzuawl.edu myUIrMXCab.edu WywoAIDpTx.edu pXMpXDwOxL.edu zXHjVLezJX.edu ebTyAXerdD.edu CbNllrcDeC.edu JjMOSRLnSw.edu BbyXNnZFer.edu SqazBazLpJ.edu jvbgaqJQBR.edu aJZQtGXjqp.edu RirFcCGpIJ.edu VDoBYPgdNT.edu aYlkirPHjz.edu yjGEWzNzNI.edu FpWBtALHdQ.edu wmvVkAtSkZ.edu OejrkYrTGD.edu rBWnCYadpM.edu FgbgCHLAWm.edu quksldfVsT.edu PJgFcdVDZk.edu DKMjYsStpM.edu ncwAEQUuUJ.edu cyKQHchbJO.edu jxTnDRydkf.edu mEjCQMtVAc.edu