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Institutional health attestation form used by The Hospitals of Providence to record travel history, symptom status, and compliance commitments from individuals participating in educational activities during the COVID-19 pandemic.
Organization:
The Hospitals of Providence
Document Type:
Attestation Form
Subject:
COVID-19 Health Status and Travel Declaration
Region / City:
El Paso, Texas
Country:
United States
Related Event:
COVID-19 Pandemic
Institutional Department:
Office of Medical Education
Purpose:
Verification of travel history, quarantine status, and absence of COVID-19 symptoms for individuals participating in educational activities
Requirements:
Confirmation of travel status within 100 miles of El Paso, absence of symptoms, compliance with institutional protocols
Safety Measures:
Commitment to avoid entering facilities if symptoms appear and to notify the Office of Medical Education
Contact Phone:
915-270-0700
Participant Fields:
Signature, Date
Applicable Period:
During the COVID-19 pandemic
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2015
Region / City:
Providence, RI
Subject:
Construction Project
Document Type:
Presolicitation Notice
Agency:
Department of Veterans Affairs
Author:
VA Medical Center Providence
Target Audience:
Contractors
Period of Activity:
May 4, 2015 - June 5, 2015
Approval Date:
May 4, 2015
Amendment Date:
N/A
NAICS Code:
236220
Contract Value:
$5,000,000 - $10,000,000
Place of Performance:
VA Medical Center Providence, RI
Scope:
Construction of new ICU, including structural steel, HVAC, plumbing, electrical, fire protection, and more
Description:
The document is a presolicitation notice regarding a construction project at the VA Medical Center Providence, related to the replacement and relocation of an intensive care unit.
Institution:
University of Providence
Location:
Great Falls, Montana
Founded:
1932
Founding Organization:
Sisters of Providence
Affiliation:
Providence Health System
Accreditation:
Northwest Commission on Colleges and Universities
Institution Type:
Private Catholic liberal arts university
Programs Offered:
30 undergraduate and 6 graduate programs
Schools:
School of Liberal Arts and Sciences; School of Health Professions
Enrollment:
Nearly 400 students
Position Title:
Vice President for Finance
Reporting To:
President
Direct Reports:
Controller; Director of Human Resources
Responsibilities:
Executive leadership of financial and human resources functions; oversight of financial operations; regulatory compliance; strategic financial planning
Required Qualification:
Master’s degree in business administration or related field
Preferred Qualifications:
Doctorate; CPA licensure
Salary Range:
$150,000–$190,000
Application Deadline:
Open until filled
Search Firm:
RH Perry & Associates
Contact Persons:
Thomas DaRin; Pam Kellam; Paul Doeg
Title:
KEPT BY HIS HAND: The Providence of God – Teacher’s Guide/Answer Key
Theme:
The providence of God in nature and Scripture
Type of document:
Teacher’s guide / Answer key for Bible study
Subject:
Biblical doctrine of divine providence
Structure:
Chapter-based study with guided questions and answers
Primary sources:
Biblical passages from Psalms, Isaiah, Jeremiah, Matthew, Luke, James, Genesis, 2 Peter, Job, Joshua, 1 Samuel, Jonah, Nahum
Intended audience:
Bible study teachers and group leaders
Religious tradition:
Christianity
Purpose:
Instruction and guidance for leading group Bible study discussions
Year:
2024
Region / city:
Durham City
Topic:
Installation of information boards
Document type:
Design and Access Statement
Organization:
N/A
Author:
Mr Adam F Shanley BA (Hons), Prince 2, PLP, CiLCA, MRTPI, MTCPA
Target audience:
Local planning authorities, community members
Period of validity:
N/A
Approval date:
N/A
Date of amendments:
N/A
Year:
2020
Region / City:
Oregon
Theme:
Clinical Psychology Residency, Integrated Behavioral Health
Document Type:
Residency Program Overview
Organization:
Providence Medical Group
Author:
Elisa Rudd, PsyD
Target Audience:
Psychology Doctoral Students, Clinical Psychologists
Period of Validity:
2020 - ongoing
Approval Date:
April 2020
Date of Modifications:
2022
Year:
2018
Region / City:
Providence, Rhode Island
Theme:
Forensic Science, Vendor Participation
Document Type:
Invitation
Organization:
AFQAM
Author:
Erin Henry, AFQAM Program Committee Chair
Target Audience:
Vendors in forensic science
Period of Validity:
October 9-12, 2018
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
Invitation for vendors to participate in the 17th Annual AFQAM Conference, providing opportunities for exposure and interaction with forensic professionals.
Year:
2023
Region / City:
Newberg, OR
Theme:
Healthcare
Document Type:
Facility Information
Organization:
Providence Newberg Medical Center
Author:
Not specified
Target Audience:
General public
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Service Availability:
Yes
Transportation Service:
Yes
Referral Requirement:
Yes
Medicare Acceptance:
Yes
Medicaid Acceptance:
Yes
Mammogram Wait Time:
4 Days
Same-Day Results:
No
Alternative Screening:
Yes, Breast MRI
Alternative Diagnostic:
Yes, Breast Ultrasound, Breast MRI, Stereotactic/Ultrasound/MRI Directed Breast Biopsy
Interpreter Services:
Yes, Spanish
Accessibility:
Accessible parking, entrance, interior, restrooms, and mammography facilities
Year:
2024
Region / City:
Spokane
Topic:
Medical Residency Program Agreement
Document Type:
Agreement
Institution:
Providence Sacred Heart Medical Center & Children’s Hospital
Author:
Not specified
Target Audience:
Residents in medical residency programs
Period of Effectiveness:
2024-2025
Approval Date:
Not specified
Modification Date:
Not specified
Description:
Agreement outlining the terms and conditions for residency appointments at Providence Sacred Heart Medical Center & Spokane Teaching Health Center for the 2024-2025 academic year.
Year:
Not specified
Region / City:
Providence
Organization:
Department of Veterans Affairs, VISN 1 Contracting
Facility:
Providence VA Medical Center
Contract Number:
To be assigned upon award
Contract Description:
DirecTV Satellite Service
Document Type:
Quality Assurance Surveillance Plan (QASP)
Assigned Contracting Officer:
Mercedes Blanton
Assigned Contracting Officer’s Representative:
Michael Fabre
Monitoring Frequency:
Monthly assessment
Performance Evaluation Method:
Direct observation, periodic inspection, periodic sampling, random sampling
Performance Rating Scale:
Green, Yellow, Red
Performance Thresholds:
Defined by Acceptable Quality Level (AQL)
Submission Deadline for QA Worksheets:
Within 30 days after contract expiration
Incentive Structure:
Potential Exercise of Option Period
Year:
2022
Location:
Providence Hills, Clubhouse (2663 Providence Hills Drive)
Type:
Meeting Minutes
Organization:
Providence Hills Homeowners Association
Participants:
Jose Diaz, Andrew McDermott, Jomar Roberts, Mujeeb Shah-Khan, Bob Armet (absent), Mickey Bumgardner, Kay Don Kahler, Taryn Burns
Committees:
Adult Social Committee, Architectural Review Committee, Book / Dinner Committee, Children’s Social Committee, Community Social Committee, Holiday Decorations, Neighborhood Watch Committee, Pool Committee, Social Media Committee, Welcome Committee
Events Mentioned:
Cookie Exchange, Trivia Night, Cornhole Tournament, Water Aerobics, Pool Party, Music Bingo, Live Music/Chili Cookoff, Luminaries & Holiday Party, Petting Zoo / Easter Egg Hunt, Halloween Parade & Party, Pool Opening / Memorial Day Cookout, Family Friendly Happy Hour, Pool Closing / Labor Day
Maintenance and Repairs:
Pool furniture, replastering, tennis court lights, clubhouse exterior and doorframe, fire extinguishers, landscape replanting, basketball nets, chimney repairs, hail damage roof repair
Budget:
Replastering included in 2024 budget
Elections:
Board of Directors elections scheduled for January 29, 2023
Insurance:
Nationwide approval for $22,608; deductible $1,000
Safety Equipment:
AED optional, estimated $1,200 with five-year certification
Event:
Navigate Retreat
Edition:
5th annual
Location:
St. Mary Providence Center, Elverson, PA
Region / City:
Elverson, Pennsylvania
Country:
United States
Organizer:
Mary, Mother of Mercy Parish
Audience:
Young adults
Theme:
Fellowship and prayer; spiritual retreat
Type of document:
Event announcement
Event dates:
March 13–15
Registration link:
https://www.cognitoforms.com/MaryMotherOfMercyParish/NavigateV?qr
Year:
2026
Location:
Joliet, Illinois, USA
Topic:
Early Childhood Education
Document Type:
Handbook
Organization:
Providence Catholic Children’s Academy
Author:
Administrative Staff of Providence Catholic Children’s Academy
Target Audience:
Parents and guardians of children aged 3-6
School Affiliation:
Diocese of Joliet
Curriculum Focus:
Religion, Language Arts, Mathematics, Science, Social Studies, Fine Arts, Physical Development, Social and Emotional Development
Programs Included:
Preschool, Prekindergarten, Kindergarten, Before and After School Care
Admission Policy:
Accepts children ages 3-6, non-discriminatory
Hours of Operation:
7:00 a.m. – 5:30 p.m. (Extended Day Program)
Health and Safety:
Pupil accident insurance, food allergies, illness and medical attention protocols
Special Events:
Birthdays, field trips, school pictures, fundraising activities
Parental Engagement:
Home-school communication, conferences
Discipline:
Behavioral expectations and procedures
Learning Approach:
Developmentally appropriate, play-based, faith-integrated educational activities
Year:
2026
Region / City:
-
Topic:
Trauma Care, EMS, Hospital Resources
Document Type:
Checklist
Organization / Institution:
-
Author:
-
Target Audience:
Healthcare professionals involved in trauma care
Period of Validity:
-
Approval Date:
-
Date of Changes:
-
Publication Date:
October 2024
PCI DSS Version:
4.0.1
Type:
Self-Assessment Questionnaire (SAQ)
Applicability:
E-commerce merchants using third-party payment processors, not storing cardholder data electronically
Target Audience:
E-commerce merchants
Document Changes:
Detailed revision history from 2014 to October 2024, including updates to align with PCI DSS versions 3.0–4.0.1
Appendices:
A, A1, A2, A3, B, C, D
Publication Date:
January 2025
PCI DSS Version:
4.0.1
SAQ Revision:
1
Document Type:
Self-Assessment Questionnaire and Attestation of Compliance
Standard:
Payment Card Industry Data Security Standard
Issuing Organization:
PCI Security Standards Council
SAQ Type:
SAQ A
Applicable Entities:
Merchants
Payment Channels:
E-commerce; Mail/Telephone-Order
Data Handling Scope:
Fully outsourced account data processing
Applicability Exclusions:
Face-to-face channels; Service providers
Primary Audience:
Card-not-present merchants using PCI DSS compliant third-party service providers
Document Sections:
Assessment Information; Self-Assessment Questionnaire A; Validation and Attestation Details; Appendices
Compliance Confirmation:
Third-party service providers PCI DSS compliance confirmed by merchant
Year:
2023
Region/City:
Wisconsin, USA
Topic:
Provider Certification and Compliance
Document Type:
Form
Organization/Institution:
Community Care, Inc.
Author:
Unknown
Target Audience:
Health service providers, including staff members and operators
Effective Period:
Ongoing
Approval Date:
N/A
Date of Changes:
N/A
Note:
Provider Name
Staff Job Description:
Yes/No
Training Plans:
Yes/No
Staff Competency Validation:
Yes/No
Staff Qualifications Documentation:
Yes/No
Training for Working with Frail Elders/Disabled:
Yes/No
Annual Compliance Training:
Yes/No
Staff Disease Screening:
Yes/No
Criminal and Caregiver Background Checks:
Yes/No
Excluded Individuals and Entities:
Yes/No
Transportation Providers:
Yes/No
Civil Rights/Affirmative Action Compliance:
Yes/No
Year:
2021
Region / City:
Canada
Subject:
Identification Verification, Anti-Money Laundering, Loan Documentation
Document Type:
Form
Organization / Institution:
THINK Financial
Author:
THINK Financial
Target Audience:
Borrowers, Guarantors, Solicitors, Notaries, Signing Agents
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Country:
Pakistan
Issuing authority:
Ministry of National Health Services, Regulations & Coordination
City:
Islamabad
Document type:
Application form with specimen affidavit
Subject area:
Attestation of professional documents
Target professions:
Doctors, paramedics, pharmacists, homeopathics, tabibs, physiotherapists
Purpose:
Attestation of documents for overseas employment
Applicant information required:
Personal, educational, professional, and overseas employment details
Required attachments:
Attested copies of degrees, certificates, CNIC, passport, affidavit
Affidavit requirement:
Stamp paper Rs. 20/-
Applicable employment context:
Overseas job placement
Administrative location:
Pak Secretariat, Kohsar Block