TO ALL PERSONS, be it known that I, ________________________________________________, the undersigned principal, do hereby grant a general power of attorney to
________________________________________, of ___________________________________, as my attorney-in-fact.
My attorney –in-fact is hereby authorized and empowered to act as my agent for the specific purpose of signing my employment contract with the University and Community College
System of Nevada for the _________________ contract year. I hereby declare that the signature of my agent on my aforesaid employment contract constitutes a valid act binding me to the terms of the aforesaid employment contract to the same extent as if I had actually executed the employment contract by signature in person.
DATED, this ______________ day of __________________________, ______________.
_________________________________________________
Principal
STATE OF NEVADA )
COUNTY OF ______________________) ss.
)
On the ______________ day of __________________________, __________________, before me,
_______________________________________, a Notary Public, personally appeared
_______________________________________, known to me to be the person whose name is subscribed to the above Power of Attorney and acknowledged that (s)he executed the same.
________________________________________
Notary Public in and for said County and State
UNR Form 4-19-99