U. of A. C.E.S. Policy Manual: Templates: FY4-H

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Template Updates

Summary: Changes in templates are listed with the most recently changed template first.

MAJOR CHANGES are policy changes or procedural changes.

MINOR CHANGES are typographical or word changes.

NEW Forms that have never been a template before.

2007 | 2008

2009

November

A.G.R.I.-420: Plant Health Form Sample Submission Form
MINOR	November 4, 2009
Download	A.G.R.I.-420
Summary	Changed Plant Health Clinic's address to: 2601 N. Young Ave. Fayetteville, AR 72704

A.G.R.I.-422: Information Sheet for Water Analysis
MINOR	November 4, 2009
Download	A.G.R.I.-422
Summary	Updated package price list.

University of Arkansas Superior Vision Plan Enrollment Application
MINOR	November 3, 2009
Download	Superior Vision Plan Enrollment Application
Summary	Updated form to reflect Superior Vision 2010 Enrollment Form

October

FINANCE-210: Non-Extension Banner User ID Request
MINOR	October 27, 2009
Download	FINANCE-210
Summary	Replaced Sheryl Baker's contact information with Sandra William's contact information and Angela Stacey with Crystal Anderson.

F.Y.4-H - 655: Basic Arkansas Youth Application for 4-H activities
MINOR	October 27, 2009
Download	FY4-H-655
Summary	Addition of Advanced Camp Counselor Training Activity Addition of State Camp Activity Addition of Question about Parental Military Involvement

F.Y.4-H - 656: Arkansas Adult 4 - H Volunteer Leader Activity Application
MINOR	October 27, 2009
Download	FY4-H-656
Summary	Addition of High Adventure Activity Addition of State Camp Activity Addition of Question about 4-H Alumni Status

F.Y.4-H - 657: Arkansas 4 - H Activity Application For Youth Leadership Roles
MINOR	October 27, 2009
Download	FY4-H-657
Summary	Addition of Operation Military Kids Camp Activity Addition of Question about CPR & First Aid Certification Status Addition of Question about Parental Military Involvement

E.B.E.N.-365: Spouse/Dependent Request - Registration Fee Discount
MINOR	October 22, 2009
Download	E.B.E.N.-365
Policy	C.E.S.P. 3-35
Summary	Minor wording revisions

A.F.F.A.C.T.-347: Civil Rights Review Check List
MAJOR/NEW	October 14, 2009
Download	A.F.F.A.C.T.-347
Summary	New Template

A.F.F.A.C.T.-01: Civil Rights Compliance Review
MAJOR	October 14, 2009
Download	A.F.F.A.C.T.-01
Summary	Changed to: Civil Rights Yearly Assessment

A.F.F.A.C.T.- 11:Annual Civil Rights Compliance Desk Audit Report
DELETED	October 9, 2009
Summary	Template no longer used.

A.F.F.A.C.T.- 12: Program Compliance Calculator
NEW	October 9, 2009
Download	AFFACT-12
Summary	New Template

EPERS-105: Supervisor's Notice of Termination
MAJOR	October 5, 2009
Download	EPERS-105
Summary	Changed: Section "Give a brief evaluation of the employee's work." to a section for HR Use only." Added: Performance evaluation rating.

September

M.I.S.C.-118: Cooperative Extension Service Educational Wing Booking Agreement
MINOR	September 30, 2009
Download	M.I.S.C.-118
Summary	Changed: • Cancellation from: Reservation/s must be cancelled at least one (1) week prior to time of the meeting. to: If the organization cancels a reservation, the cancellation must be made at least seven (7) days prior to time of the meeting. The UA Cooperative Extension Service reserves the right to cancel the use of its facility at any time for any reason with at least seven (7) days notice to the organization prior to the time of the meeting. • Food and Drinks from: No food or drink of any kind is allowed in the auditorium or foyer. to: No food or drink of any kind is allowed in the auditorium. Added: • a field for Purpose of meeting • a section for Violations: If an organization violates any of the above policies, the UA Cooperative Extension Service reserves the right to refuse to rent its facilities to that organization in the future. • EEO Statement

A.G.R.I.-328: Soil Sampling Supplies Order Form
MINOR	September 29, 2009
Download	A.G.R.I. - 328
Summary	Changed: - Order using AGRI-349 to Order using on line order system. - 650 per case to 550 per case Updated: EEO Statement

A.G.R.I.-349: Soil Testing Supplies Order Form
DELETED	September 19, 2009
Summary	Replaced with on line ordering system

FY4-H-617: 4-H Individual Enrollment Form
MINOR	September 17, 2009
Download	F.Y.4-H - 617 Short form (pdf) or (Word) F.Y.4-H - 617 Long form (pdf) or (Word)
Summary	Added: question about parents being in the military Updated: UA logo, Clover Logos, EEO Statement.

MISC-392: Employee of the Quarter Nomination Form for Outstanding Achievement
MINOR	September 11, 2009
Download	MISC-392
Summary	Deleted Hamilton, Hornsby, Millard. Added Sharon Reynolds, Martha Sartor

P.U.R.C.H. - 308: Request for Qualifications
NEW/MINOR	September 1, 2009
Download	P.U.R.C.H. - 308
Summary	Converted from paper to electronic copy

P.U.R.C.H. - 309: Request for Qualifications: Tax School
NEW/MINOR	September 1, 2009
Download	P.U.R.C.H. - 309
Summary	Converted from paper to electronic copy

August

E.H.I.R.E. - 180: Banner Information Form
MINOR	August 28, 2009
Download	EHIRE-180
Summary	Updated the EHIRE-180 to reflect the new categories of veterans. The choices "During Vietnam," "Post Vietnam," or "Disabled Veteran" are replaced with: "Disabled," "Armed Forces Services Medal Veteran," "Other Protected Veteran," and "Recently Separated."

F.Y.4-H - 121: Behavioral Guidelines for 4-H Volunteers working with 4-H Youth Development Programs in Arkansas

REMOVED

August 25, 2009

Summary
Replaced with: M.I.S.C.-120: UofA Division of Agriculture Cooperative Extension Service Code of Conduct and Volunteer Agreement

F.Y.4-H - 120: University of Arkansas Cooperative Extension Service 4-H Volunteer Agreement

REMOVED

August 25, 2009

Summary
Replaced with: M.I.S.C.-120: UofA Division of Agriculture Cooperative Extension Service Code of Conduct and Volunteer Agreement

M.I.S.C. - 120: UA Division of Agriculture Cooperative Extension Service Code of Conduct and Volunteer Agreement

NEW/MAJOR August 6, 2009

Policy:

Download: MISC-120

Summary: New Code of Conduct Agreement for all volunteers at Extension

June

FY4-H-102: Intra-Foundation Transfer
DELETED	June 9, 2009
Policy:
Summary:	Deleted per Brad Davis' request

M.I.S.C. - 109: Request for rubber stamp
MINOR	June 9, 2009
Policy:
Download:	MISC-109
Summary:	Added "Send to Financial Services"

M.I.S.C. - 372: Agreement to Donate Equipment to U of A Cooperative Extension Service
DELETED	June 8, 2009
Policy:
Summary:	Deleted because it is not used.

May

MISC-391: Facsimile (FAX) Message
MINOR	May 1, 2009
Policy:
Download:	MISC-391
Summary:	Added text field

April

F.Y.4-H - 108-P: Request for Payment (P-CARDS)
NEW	April 20, 2009
Policy:
Download:	F.Y.4-H - 108-P
Summary:	New

EHIRE-119: Proposed Appointment Salary and Rank Approval
MINOR	April 2, 2009
Policy:	C.E.S.P. 1 - 62
Download:	EHIRE-119
Summary:	Changed name to: Proposed Faculty Appointment Salary and Rank Approval

March

F.Y.4-H - 105-A: Arkansas 4-H Foundation, Inc. Request for New Fund Number F.Y.4-H - 105-C: Arkansas 4-H Foundation, Inc. Request to Change Fund Information F.Y.4-H - 105-X: Arkansas 4-H Foundation, Inc. Request to Close Fund Account
MAJOR	March 20, 2009
Download:	F.Y.4-H - 105-A F.Y.4-H - 105-C F.Y.4-H - 105-X

FY4-H-110: Arkansas 4-H Foundation Travel Reimbursement Claim
MAJOR	March 19, 2009
Policy
Summary	Changed signature lines to Fund Manager Assistant Director - 4-H Youth Development (Programs) Treasurer, Arkansas 4-H Foundation (4-H Center)
Download	FY4-H-110

FY4-H-103: Arkansas 4-H Foundation, Inc. Purchase Request
MAJOR	March 19, 2009
Policy
Summary	Changed: List at least two companies for requests over $500.00 and less than $4,999.99 List at least three companies for items over $ 5,000.00 including one minority vendor. Requestor Instructions Added: Single Source Supplier explanation field
Download	FY4-H-103

FY4-H-104: Transmittal Form For Arkansas 4-H Foundation Funds
MAJOR	March 19, 2009
Policy
Summary	Changed: - Specific restrictions for the use of these funds are listed below. (Please be specific and note if money is for participant fees, sales or contributions and for which event) - Make sure to list check number(s) as well as name on check. and (Send one copy of this form to the Arkansas 4-H Foundation Office with documentation). If the funds are for sales or participant fees you may send transmittal and money directly to the Financial Services. All contributions, donations, or grants must be sent to the Arkansas 4-H Foundation Office first.
Download	FY4-H-104

FY4-H-108: Arkansas 4-H Foundation , Inc. Request for Payment
MAJOR	March 19, 2009
Policy
Summary	Changed signature lines to Fund Manager Assistant Director - 4-H Youth Development (Programs) Treasurer, Arkansas 4-H Foundation (4-H Center)
Download	FY4-H-108

FY4-H-109: Arkansas 4-H Foundation Travel Advance Request
MAJOR	March 19, 2009
Policy
Summary	Changed signature lines to Fund Manager Assistant Director - 4-H Youth Development (Programs) Treasurer, Arkansas 4-H Foundation (4-H Center)
Download	FY4-H-109

T.R.A.V. - 207: In-State Travel Form - Long Version and Short Version
MAJOR	March 16, 2009
Policy	C.E.S.P. 6-1
Summary	Decreased mileage from $0.45 cents/mile to $0.42 cents/mile
Download	T.R.A.V. - 207 (.42/mile, Short Form) T.R.A.V. - 207 (.42/mile, Long Version)

TRAV-212: Out of State Travel Form
MAJOR	March 9, 2009
Policy	C.E.S.P. 6-1
Summary	Decreased mileage from $0.45 cents/mile to $0.42 cents/mile
Download	TRAV-212

TRAV-204 Request for use of Extension Van
MAJOR	March 1, 2009
Policy
Summary	Decreased mileage: Mini van 46 cents/mile; 15 and 12 passenger vans: 46 cents/mile
Download	TRAV-204

TRAV-210 Out-of-State Trip Application TRAV-229 Travel Authorization for Non-Extension Employees and Guests
MAJOR	March 1, 2009
Policy	C.E.S.P. 6-12 C.E.S.P. 6-11
Summary	Decreased mileage from $0.45 cents/mile to $0.42 cents/mile
Download	TRAV-210 TRAV-229

February

EBEN-232, Certification of Health Care Provider for Family Member's Serious Health Condition
MAJOR/NEW	February 24, 2009
Policy	C.E.S.P. 7-18
Summary	Split this form in two forms, one for employee (EBEN-230)and one (EBEN-232) for family member.
Download	E.B.E.N. - 232 (word)

EBEN-230, Certification of Health Care Provider for Employee's Serious Health Condition
MAJOR	February 24, 2009
Policy	C.E.S.P. 7-18
Summary	Split this form in two forms, one for employee (EBEN-230)and one (EBEN-232) for family member.
Download	E.B.E.N. - 230-231 (word)

EBEN-231, Request for Consideration Under the Family and Medical Leave Act
MINOR	February 24, 2009
Policy	C.E.S.P. 7-18
Summary	Removed Dr. Lyles' title from signature and adding Donna Rothberg's in its place. This form is used for both the employee and the family member.
Download	E.B.E.N. - 230-231 (word)

MISC-392: Employee of the Quarter Nomination Form for Outstanding Achievement
MINOR	February 17, 2009
Policy
Summary	Removed: Dr. French
Download:	MISC-392

EBEN - 109: Employee Request - Leave for Study
MINOR	February 17, 2009
Policy
Summary	Added: Option for other campus
Download:	EBEN-109

FY4-H-657 - Arkansas 4-H Activity Application for Youth Leadership Roles
MINOR	February 3, 2009
Policy
Summary	URL's updated. References to CAPS Camp deleted. Addition of Question for Certified Lifeguards. Addition of EHIRE-164 requirement for Counselors. Update of a few spellings, etc
Download:	FY4-H-657

FY4-H-656 - Arkansas Adult 4-H Volunteer Leader Activity Application
MINOR	February 3, 2009
Policy
Summary	URL's updated. References to CAPS deleted. Deletion of $200 for the deposit required for CWF Deletion of reference to Southern Region Co-Coordinator.
Download:	FY4-H-656

FY4-H-655 - Basic Arkansas Youth Application for 4-H Activities
MINOR	February 3, 2009
Policy
Summary	URL's updated. References to CAPS deleted. Deletion of $200 for the deposit required for CWF
Download:	FY4-H-655

January

FY4-H: 635: 4-H Scholarship Application
MINOR	January 30, 2009
Policy
Summary	Added three scholarships: Updated the revision date Re-ordered the listing of scholarships Removed the requirement for a photo to be submitted Deleted the year slots for Junior High School and Graduate School Changed the request for a list of colleges accepted by to listing the college to be attended
Download:	FY4-H-635

FINANCE - 201: Payroll Time Sheet

REMOVED

January 28, 2009

Policy

CESP 7-4

Summary

No longer valid.

E.E.V.A.L. 171: Annual Performance Evaluation: Program Assistants: E.F.N.E.P. E E V A L - 172: Annual Performance Evaluation:Program Assistants: 4-H E.E.V.A.L. 173: Annual Performance Evaluation: Program Assistants - Family and Community Connections E.E.V.A.L. 174: Annual Performance Evaluation Program Assistants (NIRI)
REMOVED	January 26, 2009
Policy
Summary	No longer valid.

E.E.V.A.L. - 156: Annual Performance Evaluation Classified Employees
REMOVED	January 13, 2009
Policy	C.E.S.P. 1-19 (has been removed)
Summary	Removed because the first year of the new classified employee performance evaluation cycle is completed.

University of Arkansas Superior Vision Plan Enrollment Application
NEW	January 13, 2009
Policy
Summary	2009 Enrollment/change form
Download:	Superior Vision Plan Enrollment Application

F.Y.4-H - 144: Arkansas 4-H Governor's Award Report Form
NEW	January 7, 2009
Policy	4-H Policy
Summary	Was previously available only in .pdf format in 4-H Events Packet
Download	F.Y.4-H - 144 (Word) F.Y.4-H - 144 (pdf)

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