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Agricultural Experiment Station


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Cooperative Extension Service Departments
Family and Consumer Sciences Programming
EFNEP Forms

Adult Enrollment Form – F.C.S.-381 (MSWord)

Adult Exit Form - F.C.S.-463 (MSWord)

Attendance Record - AFFACT-08 (Excel)

Checklist – F.C.S.-382  (MSWord)

Certificates

EFNEP Certificate-Adult (MSWord)
EFNEP Certificate-Youth (MSWord)
EFNEP Certificate of Appreciation (MSWord)

Data Tool (to be complete by E.F.N.E.P. Program Assistant) – F.C.S.-391 (MSWord)

EFNEP Labels (Print on Avery 5160 labels) (MSWord)

Employee Performance Evaluation Form

PMGS-08-1 - Division of Agriculture Classified Employee Performance Evaluation Form

  • Division of Agriculture Classified Employee Performance Evaluation Form (blank) - (MSWord)
  • Classified Performance Evaluation Definitions (PDF)
  • Universal Duty Areas  (PDF)
  • Example: Classified Performance Evaluation (beginning of rating period - completed evaluation results (Program Assistant-EFNEP)  (PDF)

Extension Paraprofessinal Weekly Itinerary F.C.S.-464 (MSWord)

Extent to which E.F.N.E.P. Families and Youth Participate in Other Extension Programs – F.C.S.-393 (MSWord)

General Information Data Tool – F.C.S.-390 (MSWord)

Interview Record – F.C.S.-389 (MSWord)

Lesson Topics-Participant Progression Report – F.C.S.-383 (MSWord)

Monthly Report Form (The report is due in the State Office no later than the 10th of every month) – F.C.S.-392 (MSWord)

Participant Interest Survey – F.C.S.-386 (MSWord)

Time and Effort Documentation – F.C.S.-387 (MSWord)

Volunteer Registration Form – F.C.S.-385 (MSWord)

Youth Contact Hours Form (MSWord or PDF)

Youth Group Enrollment Form – F.C.S.-384 (MSWord)

 

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University of Arkansas
Division of Agriculture
All rights reserved.
Last Date Modified 06/03/2011
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University of Arkansas • Division of Agriculture
Cooperative Extension Service
2301 South University Avenue
Little Rock, Arkansas 72204 • USA
Phone (501) 671-2000
 

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