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Submit this completed form when the program has been
developed and implemented.
Authorized
The "title" must either be "MS4 operator", or, if a responsible
individual signs, the title of that individual and associated MS4
entity represented for example, mayor of the City.
No data a ailable
LEVERAGING A PUBLIC-PRIVATE PARTNERSHIP
In recent testimony before a subcommittee of the House Education and Labor Committee, public
policy advocates called for establishing a public-private partnership to encourage private sector
investment in student !nancial aid. "e following proposal for a college scholarship sponsorship tax
credit is a practical and easily implementable method of accomplishing this goal.
Confidentiality.
Throughout
the duration
of thisnon-profit
Agreement,
it may be community
necessary groups,
for
Currently,
more than
10,000 private
foundations,
organizations,
the Financial
Advisor to award
have more
access
to1 the
Client’s
confidential
and protected
corporations
and philanthropists
than
million
scholarships
and fellowships
worth more
thaninformation
$3 billion each
year.
Creating
a
tax
credit
for
contributions
to
tax
exempt
scholarship
for the sole purpose of performing the Services subject to this
organizations
would
leverage a signi!cant increase in the number and amount of scholarships and
Agreement.
fellowships awarded each year. "is will make college more aordable for more students, at minimal
cost to the federal government.
Under current law, individuals and businesses may take a charitable deduction for contributions to
tax exempt charitable organizations. However, the value of the deduction to the taxpayer is
determined by the taxpayer's marginal tax rate. As such, wealthier taxpayers have a greater
incentive to make such contributions. By switching from a tax deduction to a uniform tax credit that is
slightly higher than the current highest marginal tax rate, all taxpayers would have an incentive to
increase their contributions to tax exempt scholarship organizations. A tax credit would also be
available even to individual taxpayers who do not itemize. "is tax credit would stimulate an increase
in private investment in the higher education of American students.
"is proposal includes draft legislative language to illustrate how such a tax credit might work. "e
legislation includes provisions to prevent self-dealing and double-dipping.
"e bill would bene!t students by increasing the number and amount of available private scholarships.
Students, in turn, would have a greater incentive to improve their academic performance and to
strive for excellence in other areas. "e bill would also help students meet !nancial need that is unmet
by existing student aid programs.
"e bill bene!ts taxpayers by reducing the cost of donating funds to a tax exempt scholarship
organization. Many would use the savings to increase the size of their donations. Some would
increase their contributions even further.
We conducted a meta-analysis to clarify the construct validity of selfassessments of knowledge in education and workplace training. Selfassessment’s strongest correlations were with motivation and satisfaction, two
affective evaluation outcomes. The relationship between self-assessment and
cognitive learning was moderate. Even under conditions that optimized the
self-assessment–cognitive learning relationship (e.g., when learners practiced
self-assessing and received feedback on their self-assessments), the
relationship was still weaker than the self-assessment–motivation relationship.
We also examined how researchers interpreted self-assessed knowledge,
and discovered that nearly a third of evaluation studies interpreted selfassessed knowledge data as evidence of cognitive learning. Based on these
findings, we offer recommendations for evaluation
practice that involve a more limited role for self-assessment.
TABLE 1
Meta-Analytic Correlations With Self-Assessments of Knowledge
The relationship between self- assessments of knowledge and cog- nitive
learning will be stronger in courses where learners make multi- ple selfassessments and receive feedback on their self-assessment accuracy.
Focus of Self-Assessment
Asking learners to make absolute assessments of their knowledge levels is
conceptually distinct from asking learners to rate their knowledge gain. An
absolute assessment requires a judgment against an external standard,
whereas asking learners about changes in their levels of knowl- edge
requires self-referential judgments. It is possible for learners to be
knowledgeable about a domain at the beginning of a course. We also
examined the degree of similarity between measures of self-assessment
and cognitive learning.
from the course, and know the same amount when the course ends. These
learners would have high levels of absolute knowledge and low levels of
knowledge gain. Absolute self-assessments of knowledge are better
matched with cognitive learning and should have stronger correlations with
cognitive learning than self-assessments of knowledge gain.
We reviewed the literature to examine how self- assessments of knowledge
are interpreted. The re- sults suggest 32% of studies interpreted selfassessments of knowledge as an indicator of learning (see Table 3). For
example, Alavi (1994) used a self-assessment instrument to measure MBA
students’ learning in management informa- tion systems.
Outcomes Research Fellowship
Application Form
Date: _____________________
Please type or print
Name:
Last
First
Street
City
Primary
Secondary
MI
Address:
State
Zip Code
Phone:
E-mail:
Payee/Company Infomation
Undergraduate Degree(s): (received and expected)
Sponsors
Advanced Degree(s): (received and expected)
Please check your site(s) of interest and then rank those sites in order of priority: co.rootstackk.com
Rank checked boxes (1 as highest priority)
R ______ Scott & White Health Plan / The University of Texas at Austin / Novartis Pharmaceuticals Corporation
R ______ The University of Maryland / Novartis Pharmaceuticals Corporation
R ______ Thomas Jefferson University School of Population Health / Novartis Pharmaceuticals Corporation
R ______ Rutgers University / Novartis Pharmaceutical Corporation
R ______ Rutgers University / Novartis Oncology
APPLICATION MATERIALS REQUIRED
• Application form
• Curriculum vitae
• Letter of intent (make specific to top choice)
• Unofficial academic transcript(s)
The following should be sent only upon request by selection committee at Novartis:
• Three letters of recommendation (must be forwarded directly by the authors of these letters)
• Official academic transcript(s) (must be forwarded directly from the Registrar’s Office)
List schools from which transcript(s) will be requested
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Please mail or email the completed application materials
by December 31, 2015 to:
Kristen Johnson, PhD, MPH
Associate Director, Health Economics & Outcomes Research
Novartis Pharmaceuticals Corporation
One Health Plaza, Building 125/4420C
East Hanover, NJ 07936
Novartis Use Only
Email: kristen_m.johnson@novartis.com
Date Received:
Notes
PRIVATE SECTOR / COMMERCIAL
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ACH VENDOR/MISCELLANEOUS PAYMENT
ENROLLMENT FORM
OMB No. 1510-0056
Expiration Date 01/31/2000
ACH VENDOR/MISCELLANEOUS PAYMENT ENROLLMENT FORM
This No.
form
is usedExpiration
for Automated
Clearing House (ACH) payments with an addendum record that contains
OMB
1510-0056
Date 01/31/2000
payment-related
information
processed
through the Vendor Express Program. Recipients of these
This form is used for Automated Clearing House (ACH) payments with an addendum record that contains payment-related
payments should bring this information to the attention of their financial institution when presenting this
information processed through the Vendor Express Program. Recipients of these payments should bring this information to the
form for completion.
attention of their financial institution when presenting this form for completion.
PRIVACY ACT STATEMENT
PRIVACY ACT STATEMENT
The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579). All information collected on this form is
The under
following
information
provided
to 31
comply
with
Privacy will
Act
1974
(P.L.
93-579).
All to
required
the provisions
of 31 is
U.S.C.
3322 and
CFR 210.
Thisthe
information
beof
used
by the
Treasury
Department
information
collected
on
this
form
is
required
under
the
provisions
of
31
U.S.C.
3322
and
31
CFR
transmit payment data, by electronic means to vendor's financial institution. Failure to provide the requested information may delay
210. This information will be used by the Treasury Department to transmit payment data, by
or prevent the receipt of payments through the Automated Clearing House Payment System.
electronic means to vendor's financial institution. Failure to provide the requested information may
delay or prevent the receipt of payments through the Automated Clearing House Payment System.
ADDRESS:
AGENCY INFORMATION
FEDERAL PROGRAM AGENCY
CONTACT PERSON NAME:
AGENCY IDENTIFIER:
TELEPHONE NUMBER: ()
AGENCY LOCATION CODE (ALC):
ACH FORMAT:
CCD+
CTX
CTP
ADDRESS:
ADDITIONAL INFORMATION:
PAYEE/COMPANY INFORMATION
CONTACT PERSON NAME:
TELEPHONE NUMBER:
(
)
ADDITIONAL INFORMATION:
NAME SSN NO. OR TAXPAYER ID NO.
PAYEE/COMPANY INFORMATION
NAME
FINANCIAL INSTITUTION INFORMATION
SSN NO. OR TAXPAYER ID NO.
ADDRESS
NAME:
ADDRESS:
CONTACT PERSON NAME:
TELEPHONE NUMBER:
(
ACH COORDINATOR NAME:
NAME:
)
FINANCIAL INSTITUTION INFORMATION
ADDRESS:
NINE-DIGIT ROUTING TRANSIT NUMBER:
DEPOSITOR ACCOUNT TITLE:
ACH COORDINATOR NAME:
TELEPHONE NUMBER:
DEPOSITOR ACCOUNT NUMBER: LOCKBOX NUMBER:
(
)
NINE-DIGIT ROUTING TRANSIT NUMBER:
TYPE OF ACCOUNT:
DEPOSITOR ACCOUNT TITLE:
DEPOSITOR ACCOUNT NUMBER:
LOCKBOX NUMBER:
SIGNATURE AND TITLE OF AUTHORIZED OFFICIAL: TELEPHONE NUMBER: (Could be the same as ACH Coordinator)
()
TYPE OF ACCOUNT:
NSN 7540-01-274-9925
CHECKING
SAVINGS
LOCKBOX
AGENCY COPY
SIGNATURE AND TITLE OF AUTHORIZED OFFICIAL:
TELEPHONE NUMBER:
SF
3881
(Rev
12/90)
(Could
be the
same
as ACH Coordinator)
Prescribed by Department of Treasury 31 U S C 3322; 31 CFR 210
(
)
NSN 7540-01-274-9925
AGENCY COPY
SF 3881 (Rev 12/90)
Prescribed by Department of Treasury
31 U S C 3322; 31 CFR 210
Instructions for Completing SF 3881 Form
1.
Agency Information Section - Federal agency prints or types the name and address of
the Federal program agency originating the vendor/miscellaneous payment, agency
identifier, agency location code, contact person name and telephone number of the
agency. Also, the appropriate box for ACH format is checked.
2. Payee/Company Information Section - Payee prints or types the name of the
Instructions
for Completing
SF 3881 that
Formwill receive ACH vendor/miscellaneous payments,
payee/company
and address
1. Agency
- Federal
agency
or types
thename
nameand
andtelephone
address ofnumber
the Federal
socialInformation
security orSection
taxpayer
ID number,
andprints
contact
person
program
agency
originating
the
vendor/miscellaneous
payment,
agency
identifier,
agency
location
of the payee/company. Payee also verifies depositor account number, account title,
code,and
contact
name and
telephone
number
of the
agency. Also,
theFinancial
appropriate
box for
typeperson
of account
entered
by your
financial
institution
in the
Institution
Information
Section.
ACH format
is checked.
2. Payee/Company Information Section - Payee prints or types the name of the payee/company and
Institution
Information
Section - Financial
institution
or or
types
the name
3. Financial
address
that will
receive ACH
vendor/miscellaneous
payments,
socialprints
security
taxpayer
ID
and
address
of
the
payee/company's
financial
institution
who
will
receive
the
ACH
number, and contact person name and telephone number of the payee/company. Payee also
payment,
ACH
coordinator
name and
transit
verifies
depositor
account
number, account
title,telephone
and type ofnumber,
account nine-digit
entered byrouting
your financial
number,
depositor
(payee/company)
account
title
and
account
number.
Also,
the
box
institution in the Financial Institution Information Section.
for type of account is checked, and the signature, title, and telephone number of the
3. Financial Institution Information Section - Financial institution prints or types the name and
appropriate financial institution official are included.
address of the payee/company's financial institution who will receive the ACH payment, ACH
coordinator name and telephone number, nine-digit routing transit number, depositor (payee/
company) account title and account number. Also, the box for type of account is checked, and the
signature, title, and telephone number of the appropriate financial institution official are included.
Burden Estimate Statement
Burden Estimate Statement
The
thisthis
collection
of information
is 15isminutes
per
Theestimated
estimatedaverage
averageburden
burdenassociated
associatedwith
with
collection
of information
15 minutes
respondent
or recordkeeper,
depending
on individual
circumstances.
Comments concerning
per respondent
or recordkeeper,
depending
on individual
circumstances.
Commentsthe
accuracy
of
this
burden
estimate
and
suggestions
for
reducing
this
burden
should
be
directed
concerning the accuracy of this burden estimate and suggestions for reducing this
burden to
the
Financial
Management
Facilities
Management
Division,
Property
and Supply
Branch,
should
be directed
to theService,
Financial
Management
Service,
Facilities
Management
Division,
Room
B-101,
East West
Highway,
MD 20782
and the
Office of Hyattsville,
Management
and
Property
and3700
Supply
Branch,
Room Hyattsville,
B-101, 3700
East West
Highway,
MD
20782 Paperwork
and the Reduction
Office ofProject
Management
andWashington,
Budget, Paperwork
Budget,
(1510-0056),
DC 20503. Reduction Project
(1510-0056), Washington, DC 20503.
Notes
Increase the federal budget for large scale
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Self-Assessment of Knowledge: A Cognitive Learning or Affective Measure?
The accompany︎ing cons︎olida︎ted financial ︎stat︎ements︎︎ ar︎e no︎ int︎ended t︎o pr︎es︎ent︎ ︎the financial
po︎si︎tion and ︎resu︎︎lts︎︎ of oper︎at︎ion︎ and cas︎h flows︎︎ in accor︎dance ︎wit︎h accou︎nt︎ing p︎rinciples︎ gener︎ally︎
accept︎ed in co︎ntinuous knowledge. The st︎︎andar︎d︎ p︎ocedur︎︎es︎ and pr︎act︎ices︎ in being︎ accept︎ed in t︎he
pu︎blic voucher and public domain is applicable but undesigned. The abo︎ve st︎︎andar︎d︎ and
in︎ter︎pr︎et︎at︎ion︎ ha︎ve no ︎significant︎ impac︎t ︎on t︎he G︎rou︎p︎ financial condit︎ion and financial per︎fo︎rmance
bas︎ed on ︎the Gr︎ou︎p’s︎︎ ass︎︎es︎s︎ment︎.
© 2015 Novartis
US CMP 19037-0815C
Printed on Recycled Paper E
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