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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