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KSRE Employee Resources

K-State Research and Extension - County/District Forms

Ext.Form File NameTitle & DescriptionUser Instructions
logos>Conflict of InterestDeclaration of Conflict of Interest and
Time Commitment Forms - KSU
Instructions
logos>ApplicationApplication for Sabbatical Leave from
Kansas State University
 

logos>

GuidelinesGuidelines for Sabbatical Leave from
Kansas State University
 
logos>publishMaking a Difference

Making a Difference Template - Local Units

Instructions
logos>publishMaking a Difference Template - SAMPLEMaking a Difference Template - Local Units
SAMPLE
 
PrintAdult Health FormVoluntary Adult Health Information Form 
 Memorandum of UnderstandingMemorandum of Understanding 
 Uniform Facsimile SignatureUniform Facsimile Signature
of Public Officials Act
 
logos>pdfCR - 1Annual Civil Rights Mini-Review 
logos>pdfCR - 2Civil Rights Program Compliance
Review Guide 2010-2013
 
logos>Printer Logo

EXOP3-2

Overtime Compensation Agreement for Non-Exempt EmployeesInstructions
logos>pdfEXOP3-5

Approval to Employ an Extension Program Assistant

Instructions
logos>Printer LogoEXOP3-9Screening of Office Professional and Program Assistant Applicants Prior to Interview
(Print Only)
Instructions
 logos>pdfEXOP3-11Employment Agreement
Office Professionals and Program Assistants
Instructions
 logos>pdfEXOP3-13Employee Performance Review
Office Professionals and Program Assistants
Instructions
logos>pdfEXOP3-15Personnel Action Form
(For Area Office Use Only)
Instructions
logos>pdfEXOP3-16Extension Agent Exit InterviewInstructions
logos>pdfEXOP3-17Employee Separation Checklist
for Local Unit
Instructions
logos>pdfEXOP3-18Exit Interview
Office Professional and Program Assistant
Instructions
logos>pdfFMLA1-1 to 1-4Family and Medical Leave Act
Overview (FMLA) & forms
Instructions
logos>pdfGAAP1-1 & 1-2.pdfGenerally Accepted Accounting Principles (GAAP) Waiver Resolution for Extension
Councils and District Governing Bodies
Instructions
logos>pdfKSU1-2.pdfExtension Agent Employment AgreementsInstructions

logos>pdf

KSU1-9c.pdfApplication for Study Leave
other than Sabbatical Leave
Instructions

logos>pdf

KSU1-10.pdf

Kansas Master Farmer-Master
Farm Homemaker Workbook
Instructions

logos>pdf

KSU1-11.pdfPayment of Health Care Premiums for
State of Kansas Employees Health
Care Program for Non-State Groups
Instructions
logos>pdfKSU1-11b.pdfNotice of Intent to Participate in the State of
Kansas Health Care Program for
Non-State Groups
Instructions

logos>pdf

KSU1-12.pdfBank Draft Approval for State of Kansas
Employee Health Care Program
for Non-State Groups
Instructions

logos>pdf

KSU1-13.pdfExtramural Funds Approval Form 
logos>pdfKSU1-14.pdfElectronic Funds Transfer AuthorizationInstructions
logos>pdfKSU1-16.pdfArea Specialist Performance Appraisal
Input Form
Instructions
logos>xlsKSU1-17.xlsRecruiting/Offer FormInstructions
logos>pdfKSU1-18.pdfDirect Deposit of Salary AuthorizationInstructions

logos>Printer Logo

KSU4-1 to 4-4 - Financial Review Committee Responsibilities
- Financial Review Checklist
- Annual Financial Report
- 4-H Club Treasurer Job Description
Instructions

logos>pdf

KSU8-1.pdfBudget for County
Extension Council
Instructions

logos>pdf

KSU8-2.pdfCertificate of Filing County
Extension Budget
Instructions

logos>Printer Logo

KSU8-3.pdfCertificate of Appropriation
(Print Only)
Instructions

logos>pdf

KSU8-4a.pdfExtension Council Executive Board Members
& County Extension Council Members
Elected by Commissioner Districts
Instructions

logos>pdf

KSU8-4b.pdfExtension Council Executive Board
Members & County Extension Council
Members Elected At Large
Instructions
logos>xlsKSU8-4a&b.xlsExtension Council Executive Board Members
& County Extension Council Members
(Excel)
Instructions
ExcelKSU8-6, 8-7a, 8-7b & 8-9Financial Summary Forms for QuickBook UsersInstructions

logos>pdf

KSU8-10.pdfEquipment InventoryInstructions
logos>xlsKSU8-10.xlsEquipment Inventory
(Excel)
Instructions

logos>pdf

KSU8-15.pdfExtension Council
Member Record
Instructions
logos>xlsKSU8-15.xlsExtension Council Member Record - ExcelInstructions

logos>pdf

KSU8-17.pdfTravel Payment VoucherInstructions

logos>xls

KSU8-19.xlsFinancial Check Sheet with Budget
Development & Management Worksheets
(Excel)
Instructions

logos>pdf

KSU8-20.pdfOath to Support U.S. and
Kansas Constitution
(County Version)
Instructions

logos>pdf

KSU8-23.pdfPublic Notice of Annual Meeting of
County Extension Council
Instructions

logos>pdf

KSU8-24a.pdfPublic Notice of Extension Council
Election at Large
Instructions

logos>pdf

KSU8-24.pdfPublic Notice of Extension Council
Election at Three Locations
Instructions
logos>xlsKSU8-25.xlsRecord of Hours Worked & Leave for
Office Professionals (Excel)
Instructions
logos>Printer LogoKSU8-25.pdfRecord of Hours Worked & Leave for
Office Professionals (Print Only)
Instructions
logos>pdfKSU8-29OP.pdfOffice Professional
Application for Employment
Instructions
logos>pdfKSU8-29PA.pdfProgram Assistant
Application for Employment
Instructions
 Link to LoginAnnual Extension Agent Performance Review
Electronic Version
 
pdfKSU8-30a.pdfBoard Member Agent Evaluation 
logos>pdfKSU8-30c.pdfOptional Annual Extension Agent Performance
Review:  External Feedback
Instructions
logos>pdfKSU8-32.pdfConsulting Request for Use by Extension AgentsInstructions

logos>pdf

KSU8-33.pdf

Crisis Management PlanningInstructions

logos>pdf

KSU8-33a.pdfCrisis Management Planning
(Pocket Form)
Instructions

logos>pdf

KSU8-34.pdfTransfer of Property and Funds
(From County Extension Councils
to Extension Districts)
Instructions
logos>pdfKSU8-35.pdfInvoiceInstructions
logos>xlsKSU8-37.xlsSalary Proposal WorksheetInstructions
logos>Printer LogoKSU8-38.pdfTemplate for Extension Board Meeting MinutesInstructions
logos>xlsKSU8-39.xlsExtension Council/District Staff
Salary and Benefits Record
Instructions
PDFKSU8-40.pdfExcellence in Board Leadership
Board Assessment
 
logos>xlsKSU8-41.xlsProgram/Service Costs Calculation
Worksheets (On-Campus & Off-Campus)
Instructions
logos>xlsKSU8-42.xlsLocal Unit Employee Leave Monthly SummaryInstructions
ExcelKSU8-43.xlsProgram Staffing Plan Spreadsheet 
pdfKSU8-44 a & bChange Fund Authorization/Maintenance, Reconciliation of Change Fund and PolicyInstructions
pdfKSU8-45 a & bRaffle Application, Raffle Final Report, Sample and PolicyInstructions
pdfKSU8-46.pdfExtension Agent Self-Evaluation 
pdfKSU8-47.pdfOrganizational Leadership and
Citizenship Summary
 
 KSU8-48Performance Review Narrative
(Word Document)
Instructions
logos>xlsKSU9-4.xlsGoverning Board of the Extension District
(Excel)
Instructions

logos>pdf

KSU9-4.pdfGoverning Board of the Extension DistrictInstructions
logos>pdfKSU9-5.pdfDistrict Operational AgreementInstructions
logos>pdfKSU9-6.pdfDistrict Office Space AgreementInstructions

logos>pdf

KSU9-10.pdfDistrict Equipment InventoryInstructions
logos>xlsKSU9-10.xlsDistrict Equipment Inventory
(Excel)
Instructions

logos>pdf

KSU9-15.pdfGoverning Body
Member Record
Instructions
logos>xlsKSU9-15.xlsGoverning Body Member Record - ExcelInstructions
logos>xlsKSU9-19.xlsDistrict Financial Check Sheet with
Budget Development & Management Worksheets
(Excel)
Instructions
logos>pdfKSU9-20.pdfOath to Support U.S. & Kansas Constitution
(District Version)
Instructions
logos>pdfPM1Handbook for County Extension
Councils & District Governing Bodies
Instructions
logos>Printer LogoPPM 6420.160 & 170Vehicle Daily LogInstructions
pdfPR-5 FY 2018

Unclassified Annual & Sick Leave
Record for FY 2018

Instructions
ExcelPR-5 FY 2018

Unclassified Annual & Sick Leave
Record for FY 2018
(Excel)

Instructions
For Classified Annual & Sick Leave Forms visit Division of Human Capital Services -
Forms Page  (Leave Record)


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