21-22 MSA Amendment Template

Date: 
10/13/2021
Document Text Version

 

Term Amendment

This Amendment is made to the Member Service Agreement (referred to as “the Agreement”) previously executed by and between the Click or tap here to enter text.Program (referred to as “the Program”) and Click or tap here to enter text. (“Member”).

It is mutually understood and agreed by and between the undersigned contracting parties to amend that previously executed Agreement as follows:

Click or tap here to enter text., (Reference the specific section of the MSA that is being amended) is hereby amended with the with the following:

Click or tap here to enter text. The Member’s term of service begins on Click or tap to enter a date. and ends on Click or tap to enter a date.  The Member is Click or tap here to enter text.

expected to complete all hours during their term of service but are required to serve through their service end date regardless of hours completed.

All other terms and conditions listed in the Agreement that are not hereby amended are to remain in full force and effect.

 

Member Signature ______________________________   Date _________________

 

 

Supervisor Signature  ____________________________   Date _________________

Printed from the website on June 30, 2022 at 11:47pm.