K-State Research and Extension - County | District Forms
Ext. Form File Name Title & Description User Instructions
logos> Conflict of Interest Declaration of Conflict of Interest and
Time Commitment Forms - KSU
Instructions
logos> Application Application for Sabbatical Leave from
Kansas State University
 
logos>
Guidelines Guidelines for Sabbatical Leave from
Kansas State University
 
  Making a Difference Making a Difference Template - Local Units Instructions
  Making a Difference Template - SAMPLE Making a Difference Template - Local Units
SAMPLE
 
 logos>pdf CR - 1 Annual Civil Rights Mini-Review  
logos>pdf CR - 2 Civil Rights Program Compliance
Review Guide 2010-2013
 
logos>Printer Logo Overtime Compensation Agreement for Non-Exempt Employees Instructions
logos>pdf EXOP3-5
Approval to Employ an Extension Program Assistant
Instructions
logos>pdf EXOP3-7 Applicant Information Profile
Office Professionals and Program Assistants
Instructions
logos>Printer Logo EXOP3-9 Screening of Office Professional and Program Assistant Applicants Prior to Interview
(Print Only)
Instructions
 logos>pdf EXOP3-11 Employment Agreement
Office Professionals and Program Assistants
Instructions
 logos>pdf EXOP3-13 Employee Performance Review
Office Professionals and Program Assistants
Instructions
logos>pdf EXOP3-15 Personnel Action Form
(For Area Office Use Only)
Instructions
logos>pdf EXOP3-16 Extension Agent Exit Interview Instructions
EXOP3-17 Employee Separation Checklist
for Local Unit
Instructions
EXOP3-18 Exit Interview
Office Professional and Program Assistant
Instructions
logos>pdf FMLA1-1 to 1-8 Family and Medical Leave Act
Overview (FMLA) & forms
Instructions
logos>pdf GAAP1-1 & 1-2.pdf Generally Accepted Accounting Principles (GAAP) Waiver Resolution for Extension
Councils and District Governing Bodies
Instructions
logos>pdf KSU1-2.pdf Extension Agent Employment Agreements Instructions
logos>pdf
KSU1-9c.pdf Application 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.pdf Payment of Health Care Premiums for
State of Kansas Employees Health
Care Program for Non-State Groups
Instructions
logos>pdf KSU1-11b.pdf Notice of Intent to Participate in the State of
Kansas Health Care Program for
Non-State Groups
Instructions
logos>pdf
KSU1-12.pdf Bank Draft Approval for State of Kansas
Employee Health Care Program
for Non-State Groups
Instructions
logos>pdf
KSU1-13.pdf Responsibilities for Extension
Council/ District Administration of
Extramural Funds Form
Instructions
logos>pdf KSU1-14.pdf Electronic Funds Transfer Authorization Instructions
logos>pdf KSU1-16.pdf Area Specialist Performance Appraisal
Input Form
Instructions
logos>xls KSU1-17.xls Recruiting/Offer Form Instructions
logos>pdf KSU1-18.pdf Direct Deposit of Salary Authorization Instructions
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.pdf Budget for County
Extension Council
Instructions
logos>pdf
KSU8-2.pdf Certificate of Filing County
Extension Budget
Instructions
logos>Printer Logo
 
KSU8-3.pdf Certificate of Appropriation
(Print Only)
Instructions
logos>pdf
KSU8-4a.pdf Extension Council Executive Board Members
& County Extension Council Members
Elected by Commissioner Districts
Instructions
logos>pdf
KSU8-4b.pdf Extension Council Executive Board
Members & County Extension Council
Members Elected At Large
Instructions
logos>xls KSU8-4a&b.xls Extension Council Executive Board Members
& County Extension Council Members
(Excel)
Instructions
logos>pdf
KSU8-10.pdf Equipment Inventory Instructions
logos>xls KSU8-10.xls Equipment Inventory
(Excel)
Instructions
logos>wb3
KSU8-10.wb3 Equipment Inventory
(Quattro Pro)
Instructions
logos>pdf
KSU8-15.pdf Extension Council
Member Record
Instructions
KSU8-15.xls Extension Council Member Record - Excel Instructions
logos>pdf
KSU8-17.pdf Travel Payment Voucher Instructions
logos>xls
KSU8-19.xls Financial Check Sheet with Budget
Development & Management Worksheets
(Excel)
Instructions
logos>pdf
KSU8-20.pdf Oath to Support U.S. and
Kansas Constitution
(County Version)
Instructions
logos>pdf
KSU8-23.pdf Public Notice of Annual Meeting of
County Extension Council
Instructions
logos>pdf
KSU8-24a.pdf Public Notice of Extension Council
Election at Large
Instructions
logos>pdf
KSU8-24.pdf Public Notice of Extension Council
Election at Three Locations
Instructions
logos>xls KSU8-25.xls Record of Hours Worked & Leave for
Office Professionals (Excel)
Instructions
logos>Printer Logo KSU8-25.pdf Record of Hours Worked & Leave for
Office Professionals (Print Only)
Instructions
 logos>Printer Logo
KSU8-29OP

Office Professional
Application for Employment (Print Only)

Instructions
logos>Printer Logo
 
KSU8-29PA Program Assistant
Application for Employment (Print Only)
Instructions
logos>pdf KSU8-29OP.pdf Office Professional
Application for Employment
(This form can be filled in and printed)
Instructions
logos>pdf KSU8-29PA.pdf Program Assistant
Application for Employment
(This form can be filled in and printed)
Instructions
 logos> Link to Login Annual Extension Agent Performance Review
Electronic Version
 
logos>pdf
KSU8-30a.pdf Annual Extension Agent
Performance Review
Instructions
logos>pdf KSU8-30b.pdf Annual Extension Agent Performance
Review:  Summary
Instructions
logos>pdf KSU8-30c.pdf Annual Extension Agent Performance
Review:  External Feedback
Instructions
logos>pdf KSU8-32.pdf Consulting Request for Use by Extension Agents Instructions
logos>pdf

KSU8-33.pdf

Crisis Management Planning Instructions
logos>pdf
KSU8-33a.pdf Crisis Management Planning
(Pocket Form)
Instructions
logos>pdf
KSU8-34.pdf Transfer of Property and Funds
(From County Extension Councils
to Extension Districts)
Instructions
logos>pdf KSU8-35.pdf Invoice Instructions
logos>Printer Logo KSU8-36.pdf Vehicle Daily Log Instructions
logos>xls KSU8-37.xls Salary Proposal Worksheet Instructions
logos>Printer Logo KSU8-38.pdf Template for Extension Board Meeting Minutes Instructions
logos>xls KSU8-39.xls Extension Council/District Staff
Salary and Benefits Record
Instructions
logos>Printer Logo KSU8-40.pdf Excellence in Board Leadership
Board Assessment
 
logos>xls KSU8-41.xls Program/Service Costs Calculation
Worksheets (On-Campus & Off-Campus)
Instructions
KSU8-42.xls Local Unit Employee Leave Monthly Summary Instructions
logos>xls KSU 9-4.xls Governing Board of the Extension District
(Excel)
Instructions
logos>pdf
KSU9-4.pdf Governing Board of the Extension District Instructions
logos>pdf KSU9-5.pdf District Operational Agreement Instructions
logos>pdf KSU9-6.pdf District Office Space Agreement Instructions
logos>pdf
KSU9-10.pdf District Equipment Inventory Instructions
logos>xls KSU9-10.xls District Equipment Inventory
(Excel)
Instructions
logos>wb3
KSU9-10.wb3 District Equipment Inventory
(Quattro Pro)
Instructions
logos>pdf
KSU9-15.pdf Governing Body
Member Record
Instructions
KSU9-15.xls Governing Body Member Record - Excel Instructions
KSU9-19.xls District Financial Check Sheet with
Budget Development & Management Worksheets
(Excel)
Instructions
logos>pdf KSU9-20.pdf Oath to Support U.S. & Kansas Constitution
(District Version)
Instructions
logos>pdf PM1 Handbook for County Extension
Councils & District Governing Bodies
Instructions
PR-5 FY 2014 Unclassified Annual & Sick Leave
Record for FY 2014
Instructions
PR-5 FY 2014
Excel
Unclassified Annual & Sick Leave
Record for FY 2014
(Excel)
Instructions
PR-5 FY 2015 Unclassified Annual & Sick Leave
Record for FY 2015
Instructions
PR-5 FY 2015 Excel Unclassified Annual & Sick Leave
Record for FY 2015
(Excel)
Instructions
For Classified Annual & Sick Leave Forms visit Division of Human Resources -
Forms Page  (Leave Record)


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