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Thank you for reaching out. Before we can get a quote to you, there are a couple of questions we need to understand.
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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 committeeâs 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 9842332859 (toll free at 495385
6424, ext. 81748)
Sincerely,
Office of Student Judicial Affairs
Abraham S. Fischler College of Education
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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, âAuthorization for the
use and/or Disclosure of Protected Health Informationâ, 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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CYBERTRUCK MOTOR VEHICLE PRE-ORDER AGREEMENT TERMS & CONDITIONS DOCUMENTATION. YOUR CYBERTRUCK MOTOR VEHICLE PRE-ORDER AGREEMENT (THE “AGREEMENT”) IS MADE UP OF THE FOLLOWING DOCUMENTS:
1. VEHICLE CONFIGURATION: THE VEHICLE CONFIGURATION WILL BE CONFIRMED WITH YOU AT A LATER DATE. IT WILL DESCRIBE THE VEHICLE THAT YOU CONFIGURE, INCLUDING PRICING (EXCLUDING TAXES AND OFFICIAL OR GOVERNMENT FEES). 2. FINAL PRICE SHEET: THE FINAL PRICE SHEET WILL BE PROVIDED TO YOU AS YOUR DELIVERY DATE NEARS. IT WILL INCLUDE FINAL PRICING BASED ON YOUR VEHICLE CONFIGURATION AND WILL INCLUDE TAXES AND OFFICIAL OR GOVERNMENTAL FEES. 3. T ERMS & CONDITIONS: THESE T ERMS & CONDITIONS ARE EFFECTIVE AS OF THE DATE YOU PLACE YOUR PRE-ORDER AND MAKE YOUR PRE-ORDER PAYMENT (THE “PRE-ORDER DATE”).
AGREEMENT TO PURCHASE. YOU AGREE TO PRE-ORDER THE VEHICLE (THE “VEHICLE”) THAT YOU CONFIGURED WHEN YOU MADE YOUR PRE-ORDER PAYMENT AND BY TAKING DEL IVERY, COMPLETING THE TRANSACTION WHEN THE VEHICLE IS READY FOR DELIVERY FROM T ESLA, INC. OR ITS AFFILIATE (“WE,” “US” OR “OUR”), PURSUANT TO THE TERMS AND CONDITIONS OF THIS AGREEMENT. YOUR VEHICLE IS PRICED AND CONFIGURED BASED ON FEATURES AND OPTIONS AVAILABLE AT THE TIME OF ORDER AND YOU CAN CONFIRM AVAILABILITY WITH A T ESLA REPRESENTATIVE. OPTIONS, FEATURES OR HARDWARE RELEASED AFTER YOU PLACE YOUR ORDER MAY NOT BE INCLUDED IN OR AVAILABLE FOR YOUR VEHICLE.
PRE-ORDER PRICE, TAXES AND OFFICIAL FEES. THE PRE-ORDER PRICE OF THE VEHICLE WILL BE CONFIRMED IN YOUR VEHICLE CONFIGURATION AND FINAL PRICE SHEET. AS YOU MAY HAVE ONLY CONFIGURED PART OF YOUR VEHICLE, ANY PRE-ORDER PRICE PROVIDED TO YOU IN ADVANCE OF THE FINAL PRICE SHEET IS ONLY BEING OFFERED TO YOU AS AN ESTIMATE AND IS SUBJECT TO CHANGE. ANY PRE-ORDER PRICE LISTED IN THE VEHICLE CONFIGURATION WILL NOT INCLUDE TAXES AND OFFICIAL OR GOVERNMENT FEES, WHICH COULD AMOUNT TO U P TO 10% OR MORE OF THE VEHICLE PRE-ORDER PRICE. BECAUSE THESE TAXES AND FEES ARE CONSTANTLY CHANGING AND WILL DEPEND ON MANY FACTORS, SUCH AS WHERE YOU REGISTER THE VEHICLE, THEY WILL BE CALCULATED CLOSER TO THE TIME OF DELIVERY AND INDICATED ON YOUR FINAL PRICE SHEET. YOU ARE RESPONSIBLE FOR PAYING THESE ADDITIONAL TAXES AND FEES. IF YOU PRESENT A CHECK FOR ANY PAYMENT, WE MAY PROCESS THE PAYMENT AS A NORMAL CHECK TRANSACTION, OR WE MAY USE INFORMATION FROM YOUR CHECK TO MAKE A ONE-TIME ELECTRONIC FUND TRANSFER FROM YOUR ACCOUNT, IN WHICH CASE YOUR BANK ACCOUNT WILL REFLECT THIS TRANSACTION AS AN ELECTRONIC FUND T RANSFER.
PRE-ORDER PROCESS; CANCELLATION; CHANGES. AFTER YOU SUBMIT YOUR COMPLETED PRE-ORDER AND THE OPTIONS YOU SELECTED BECOME AVAILABLE IN PRODUCTION, WE WILL INVITE YOU TO COMPLETE THE CONFIGURATION OF YOUR VEHICLE. WE WILL THEN ISSUE YOU THE VEHICLE CONFIGURATION AND FINAL PRICE SHEET BASED ON THE BASE PRICE OF THE MODEL AND ANY OPTIONS INCLUDED OR THAT YOU SELECT. YOUR PRE-ORDER PAYMENT COVERS THE COST OF THESE ACTIVITIES AND OTHER PROCESSING COSTS AND IS NOT A DEPOSIT FOR THE VEHICLE. UNTIL YOUR VEHICLE IS DELIVERED TO YOU, YOU MAY CANCEL YOUR PRE-ORDER AT ANY TIME, IN WHICH CASE YOU WILL RECEIVE A FULL REFUND OF YOUR PRE-ORDER PAYMENT. UNTIL YOUR FINAL CONFIGURATION IS MATCHED TO A VEHICLE, YOU MAY MAKE CHANGES TO YOUR VEHICLE CONFIGURATION. IF YOU MAKE CHANGES TO THE CONFIGURATION OF THE VEHICLE, YOU MAY BE SUBJECT TO POTENTIAL PRICE INCREASES FOR ANY PRICING ADJUSTMENTS MADE SINCE YOUR ORIGINAL PRE-ORDER DATE. ANY CHANGES MADE BY YOU TO YOUR VEHICLE CONFIGURATION, INCLUDING CHANGES TO THE DELIVERY LOCATION OR ESTIMATED DELIVERY DATE, WILL BE REFLECTED IN A SUBSEQUENT VEHICLE CONFIGURATION THAT WILL FORM PART OF THIS AGREEMENT. WHEN YOU TAKE DELIVERY OF THE VEHICLE, WE WILL PROVIDE A CREDIT TO THE FINAL PRE-ORDER PRICE OF YOUR VEHICLE EQUIVALENT TO THE AMOUNT OF THE PRE-ORDER PAYMENT YOU PAID. THIS PRE-ORDER PAYMENT AN D THIS AGREEMENT ARE NOT MADE OR ENTERED INTO IN ANTICIPATION OF OR PENDING ANY CONDITIONAL SALE CONTRACT.
DELIVERY. IF YOU ARE PICKING UP YOUR VEHICLE IN A STATE WHERE WE ARE LICENSED TO SELL THE VEHICLE, WE WILL NOTIFY YOU OF WHEN WE EXPECT YOUR VEHICLE TO BE READY FOR DELIVERY AT YOUR LOCAL T ESLA DELIVERY CENTER, OR OTHER LOCATION AS WE MAY AGREE TO. YOU AGREE TO SCHEDULE AND TAKE DELIVERY OF YOUR VEHICLE WITHIN ONE WEEK OF THIS DATE. IF YOU ARE UNABLE TO TAKE DELIVERY WITHIN THE SPECIFIED PERIOD, YOUR VEHICLE MAY BE MADE AVAILABLE FOR SALE TO OTHER CUSTOMERS. IF YOU WISH TO PICK UP YOUR VEHICLE IN A STATE WHERE WE ARE NOT LICENSED TO SELL THE VEHICLE, OR IF YOU AND T ESLA OTHERWISE AGREE, T ESLA WILL, ON YOUR BEHALF, COORDINATE THE SHIPMENT OF YOUR VEHICLE TO YOU FROM OUR FACTORY IN CALIFORNIA OR ANOTHER STATE WHERE WE ARE LICENSED TO SELL THE VEHICLE. IN SUCH A CASE, YOU AGREE THAT THIS IS A SHIPMENT CONTRACT UNDER WHICH T ESLA WILL COORDINATE THE SHIPPING OF THE VEHICLE TO YOU VIA A THIRD-PARTY COMMON CARRIER. YOU AGREE THAT DELIVERY OF THE VEHICLE, INCLUDING THE TRANSFER OF TITLE AND RISK OF LOSS TO YOU, WILL OCCUR AT THE TIME YOUR VEHICLE IS LOADED ONTO THE COMMON CARRIER’S TRANSPORT (I.E., FOB SHIPPING POINT). THE CARRIER WILL INSURE YOUR VEHICLE WHILE IN TRANSIT AND YOU WILL BE THE BENEFICIARY OF ANY CLAIMS FOR DAMAGE TO THE VEHICLE OR LOSSES OCCURRING WHILE THE VEHICLE IS IN THE POSSESSION OF A COMMON CARRIER. YOU UNDERSTAND THAT T ESLA MAY NOT HAVE COMPLETED THE DEVELOPMENT OF CYBERTRUCK OR BEGUN MANUFACTURING CYBERTRUCK AT THE TIME YOU ENTERED INTO THIS AGREEMENT AND SO WE DO NOT GUARANTEE WHEN YOUR VEHICLE WILL ACTUALLY BE DELIVERED. YOUR ACTUAL DELIVERY DATE IS DEPENDENT ON MANY FACTORS, INCLUDING YOUR VEHICLE’S CONFIGURATION AND MANUFACTURING AVAILABILITY. T O SECURE YOUR FINAL PAYMENT AND PERFORMANCE UNDER THE TERMS OF THIS AGREEMENT, WE WILL RETAIN A SECURITY INTEREST IN THE VEHICLE AND ALL PROCEEDS THEREFROM UNTIL YOUR OBLIGATIONS HAVE BEEN FULFILLED.
PRIVACY POLICY; PAYMENT TERMS FOR SERVICES; SUPERCHARGER FAIR USE POLICY T ESLA’S CUSTOMER PRIVACY POLICY; PAYMENT T ERMS FOR SERVICES AND SUPERCHARGER FAIR USE POLICY ARE INCORPORATED INTO THIS AGREEMENT AND CAN BE VIEWED AT WWW.TE
----jzHr0FUi;CQnlRv ----kiSKIyLy;WkIKYt ----AcdGVdTD;aRHFEe
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Voter Information
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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
div>
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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 CCSUâs 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. Masterâs 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
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