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----bVxek0G3;ihKAgg Dear Student,
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----7peBkiOX;hvajKs Dear Education Applicant: Thank you for your interest in applying to the Indian Hills Community College Education program. Our program prepares the student to become a classroom teacher in a public or private school district anywhere from Preschool to 12 th grade. By entering the Education program, the student is on a path to gain teacher licensure in the state of Iowa or any other state. According to the Iowa Board of Educational Examiners (BOEE), a state background check and a national fingerprint background check and a check of the sex offender and child and dependent adult abuse registries is to be conducted on all applicants preparing to obtain an Iowa teaching licensure (2019). Therefore, this program is closed to all applicants with a felony record, conviction of a serious misdemeanor crime or any crime of immorality. Background checks are required pending entrance to the Education program since it would be unfair to the student for Indian Hills Community College to allow a student to complete the entire education curriculum only to be refused acceptance into a 4-year institution, licensure and or employment. There are two documents to complete. One is a Questionnaire for Participation Form and the other is the Criminal History Record Check Authorization for Release Form. The Questionnaire for Participation Form is required to be in compliance with Iowa law which is states that this institution can only receive a criminal background check for violations and convictions in the State of Iowa. In completing and signing this form, you, the applicant states that you have not been charged with or convicted of the above listed offenses anywhere in the United States. Again, it would be unfair for an applicant to successfully complete the education program only to be turned away from a 4-year institution or unemployable in the field. Along with the two forms, a check, money order or cashiers check payable to Indian Hills Community College in the amount of $20.00 is required as a processing fee and should be placed in the same envelope with the two forms. Upon receipt of the completed forms and money, we will submit the Criminal History Record Check Authorization for Release Form to the Iowa Department of Criminal Investigations (DCI) to perform the background check. A reply is usually received with a day or two. At that point you will be allowed into the program. It is very important to complete the forms and send the processing fee as soon as possible to be accepted into the Education program prior to the start of Fall term. Your documentation will not be processed without both forms or the money to process the forms. Again, please complete both forms and add a check, money order or cashier's check and mail to: ATTN: Program Director, Education Indian Hills Community College 525 Grandview Ave Ottumwa, IA 52501 We appreciate your interest in the Indian Hills Community College Education program and sincerely look forward to working with you. If you have any questions feel free to contact me at (641) 683-5111, ext. 1835 or by email at Debra.Vos@indianhills.edu Respectfully, Deb Vos Ed. S Program Director, Education QUESTIONNAIRE FOR PARTICIPATION IN THE INDIAN HILLS COMMUNITY COLLEGE EDUCATION PROGRAM YOUR POLICE RECORD For this item, report information regardless of whether the record in your case has been "sealed" or otherwise stricken from the court record. The single exception to this requirement is for certain convictions under the Federal Controlled Substances Act for which the court issued an expungement order under the authority of 21 U.S.C. 844 or 18 U.S.C. 3607. Yes NO 1. Have you ever been charged or convicted of any felony offense (Including those under the Uniform Code of Military Justice) ___ ___ 2. Have you ever been charged with or convicted of a firearms or explosives offense? ___ ___ 3. Have you ever been charged with, convicted of or is there currently any charges pending against you for domestic abuse? ___ ___ 4. Have you ever been charged with or convicted of any offense(s) related to alcohol or drugs? ___ ___ 5. In the last 5 years, have you been arrested for, charged with, or convicted of any offense(s) not listed to questions 1-4 above? (leave out traffic fines of less than $150 unless the violation was alcohol or drug related.) ___ ___ _________________________ Print Your Full Name _________________________ ___________ Signature Date __________________________________________ _______________ Address City Phone Declaration – I declare that the information that I have given is correct, and I understand that any attempt to give false information could lead to removal from the class and the Education Program. STATE OF IOWA Criminal History Record Check Request Form DCI Account Number: (if applicable) To: Iowa Division of Criminal Investigation From: Support Operations Bureau, 1st Floor 215 E. 7th Street Des Moines, Iowa 50319 (515) 725-6066 (515) 725-6080 Fax Phone: Fax: I am requesting an Iowa Criminal History Record Check on: Iowa Criminal History Record Check Results (DCI use only) As of , a search of the provided name and date of birth revealed: No Iowa Criminal History Record found with DCI Iowa Criminal History Record attached, DCI # DCI initials Last Name (mandatory) First Name (mandatory) Middle Name (recommended) Date of Birth (mandatory) Gender (mandatory) Social Security Number (recommended) Male Female Waiver Information: Without a signed waiver from the subject of the request, a complete criminal history record may not be releasable, per Code of Iowa, Chapter 692.2. For complete criminal history record information, as allowed by law, always obtain a waiver signature from the subject of the request. Waiver Release: I hereby give permission for the above requesting official to conduct an Iowa criminal history record check with the Division of Criminal Investigation (DCI). Any criminal history data concerning me that is maintained by the DCI may be released as allowed by law. Waiver Signature: ----QXEIYeJf;ODyfnJ ----GO;pllr;hky Cover Letter: Administration and Operations Co-ordinator Dear Applicant, Thank you for your interest in the post of Administration and Operations Co-ordinator at Whirlow Spirituality Centre at the Chapel of the Holy Spirit. With this letter I also attach: A job description and person specification, Information about the terms and conditions for the post An Application Form. If you find that any of these documents are missing please do get in touch. Whirlow Spirituality Centre at the Chapel of the Holy Spirit operates in partnership with All Saints, Ecclesall which is a large church that operates within the parish. This post is funded by Whirlow Grange Ltd as part of that partnership to allow the Spirituality Centre to grow. Whilst you will be based at Whirlow Spirituality Centre, you will be employed by the PCC of All Saints Church. Information about Whirlow Spirituality Centre at the Chapel of the Holy Spirit Whirlow Spirituality Centre at The Chapel of The Holy Spirit was formed in August 2014 following the closure of Whirlow Grange Conference and Spirituality Centre. It is an Anglican Foundation with an Ecumenical Vision; valuing the Anglican-Methodist Covenant and welcoming fellowship with all members of Churches Together in Britain and Ireland. Managed by Whirlow Grange Ltd in partnership with All Saints, Ecclesall, Whirlow Spirituality Centre is open to all, led by a Chaplain with a team of volunteers and visiting speakers from a variety of Christian backgrounds. Set in a peaceful garden and on the edge of the Peak District National Park, Whirlow Spirituality Centre is accessible via public transport from Sheffield City Centre, as well as having car parking for approximately 20 cars. We offer the opportunity for individuals, groups and churches to slow down, relax, learn and play, exploring their faith through prayer, teaching and reflection. We warmly welcome anyone wishing to explore their developing spiritual journey who is not a member of any formal group, assuring them of a real willingness to listen to their story and help them pursue their spiritual journey in a supportive Christian context. Cover Letter: Administration and Operations Co-ordinator The spirituality programme over the last two years has proved very successful with individual and group bookings from South Yorkshire, North Derbyshire, North Nottinghamshire and wider afield. More details about Whirlow Spirituality Centre, and what it offers, can be found on our webpage: www.whirlowspirtualitycentre.org and our Facebook page: Whirlow Spirituality Centre at the Chapel of the Holy Spirit. If you would like to visit Whirlow Spirituality Centre prior to your application you would be most welcome. In order to arrange this please contact the Chaplain, Revd Joy Adams on 07986456838 for more information. If you would like to have an informal discussion about this role itself you can contact myself, Rachel McLafferty, Operations Manager at All Saints Church, Ecclesall on 0114 2687574. If you would like to apply for this post I would ask that you send a completed application pack by the deadline of 5pm on Friday 8th February 2019 to rachel.mclafferty@allsaintsecclesall.org.uk or by post to: Rachel McLafferty Operations Manager All Saints Church, Church Office, Ringinglow Road, Sheffield. S11 7PP. Interviews are expected to take place on the week commencing 25th February 2019. This is a really exciting time for our partnership and we look forward to receiving your application. With thanks Rachel McLafferty Operations Manager ----nC;cjhv;dxr 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!
Services Manager
Recreation
573-874-7202
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Dear Prospective Ed.D., Higher Education Strand Applicant:
----v4RCdhJP;RUgtrd WELCOME TO THE BINOCULAR VISION CLINIC. Thank you for your interest in our clinic and the services we provide. We look forward to seeing you and trust that we will be able to help you and your child with his/her visual difficulties. Before you can start any treatment, you will be scheduled for a binocular vision evaluation. This evaluation consists of a complete assessment of the binocular vision system, and is usually scheduled over two 90 minutes visits. Before your visit, please: Did you remember? • Complete the attached blue Developmental History Form [ ] • Complete the blue Medical History Form [ ] • Bring any previous or present glasses/contact lenses [ ] • Bring your Consent to Communicate Via Email Form [ ] • Ask your therapist for a Referral Letter, if appropriate [ ] • Have your regular eye doctor fill out the attached Referral Form [ ] • Request a copy of previous eye exams, if appropriate [ ] • Bring copies of educational testing reports [ ] • Ask for a copy of the recent IEP (Individual Educational Plan) [ ] • Bring a copy of the recent Speech-Language report [ ] • If applicable, bring recent Occupational Therapy Report [ ] • Bring along samples of your child's writing and size of print reading [ ] • Ensure that you have current insurance information and authorization [ ] Following the binocular vision evaluation, we will explain all our findings and discuss possible treatment options. Since our clinic acts as a specialty clinic into which many doctors refer their patients, our appointment slots are in high demand. Whenever a patient fails to show for an appointment, another patient is deprived of early treatment. Our clinic is also a teaching clinic for our senior students and residency doctors. Therefore, when an appointment is cancelled at the last minute, it is difficult for our front desk assistants to quickly reach another patient to fill the appointment slot. If you are unable to keep your appointment, please give us 24 hours notice. No-show visits (missed appointments without 24 hours notifications) will be charged a fee. Due to the financial challenges within California and the University of California system, our fees and payment procedures have changed. Please make sure that you familiarize yourself with those prior to coming to your appointment. Thank you again for the trust that you have placed in our clinic. We look forward to meeting you. In the meantime, please feel free to review our website at http://cal-eye-care.org/services/binocular-vision-exams to learn more about the Binocular Vision Clinic. Sincerely, Debora Lee Chen, OD, MPH, FAAO and Mark Wu, OD, FAAO Co-Chiefs, Binocular Vision Clinic University of California, Berkeley I have read and understand the policies for attendance and sharing of information. Guardian of Patient's Signature: Date: ___________________
