POLICIES

& PROCEDURES

manual

University of Arkansas at Pine Bluff Offi ce of the Chancellor1200 North University Drive • Mail Slot 4982 • Pine Bluff , AR 71601

September 28, 2011

Dear Colleagues:

This publication is intended to assist your adherence to Title III guidelines and policies. To continue our participation in this program, it is imperative that we totally fulfi ll the grant commitments; failure to do so will disqualify the university for future grants.

The major role that Title III has played in improving our University mandates that we emphasize it as a high priority program.

Best wishes for a successful project. Please contact my offi ce if my assistance is needed.

Sincerely,

Lawrence A. Davis, Jr.CHANCELLOR

LADjr:rat

offi ce if my assistance is needed.

Sincerely,

Lawrence A. Davis, Jr.CHANCELLOR

2011 - 2012PROCEDURES MANUAL table of contents

Introduction 1Forward 2Overview 3Objectives of Title III 4Eligibility (Part B-HBCU) Eligibility (SAFRA) 5Special Conditions for Disclosure of Federal Funding 6Allowable Activities (Part B-HBCU) 8Allowable Activities (SAFRA) 9Fiscal Accountability 10- 12Personnel Policies and Practices 13Travel Procedures 14Program Reporting 15Annual Performance Report 16Organizational Chart 18Definitions 19- 20 Forms 21

The operating policies and procedures manual for Title III has been prepared to provide a standardized written record of administrative policies and procedures of common interest to administration and departments throughout the University of Arkansas at Pine Bluff (UAPB). It is a reference for the Title III office staff, college administration, Title III activity directors, faculty and staff on the University of Arkansas at Pine Bluff campus.

The policies, procedures and guidelines will be reviewed periodically and amended as necessary to conform to changes in the Education Department General Administrative Regulations (EDGAR). Where possible, the document will be amended to conform to any UAPB policies, procedures and guidelines. With respect to Title III, Federal regulations will prevail over institutional policy.

The information contained in this document is a broad overview, as it would be impossible to anticipate all questions or problems that may arise related to the Title III Program.

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It is with pleasure that the Chancellor and I share with you the Title III Policies and Procedures Manual.

This document is intended to provide the information and guidance needed t o successfully manage your Title III activity. The contents consist of background information for the Title III Strengthening HBCU Program, Student Aid Fiscal Responsibility Act (SAFRA) and practical day-to-day information regarding policies and procedures as they relate to the Title III Program.

The Title III Program Administration personnel is always available to assist you; however, in order for the program to function successfully and expeditiously, it is imperative for you to become familiar with the contents of the manual.

Margaret Martin-Hall, Ed.D.Director

Title III Program Administration

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Margaret Martin-Hall, Ed.D.Director

Title III Program: Strengthening Historically Black Colleges and Universities

It is the goal of the Title III Program at the University of Arkansas at Pine Bluff to assist in establishing and strengthening the university’s physical plant, academic resources, and student services so that UAPB may con-tinue fulfilling its goal to provide quality education. The Aid for Institutional Development Programs (commonly referred to as the Title III programs) support improve-ments in educational quality, management, and finan-cial stability at qualifying postsecondary institutions. Funding is focused on institutions that enroll large proportions of minority and financially disadvantaged students with low per-student expenditures. This serves to help equalize educational opportunities for these individuals. The programs provide financial assistance to help institutions solve problems that threaten their ability to survive, to improve their management and fis-cal operation, and to build endowments. Approximately 500 colleges and universities throughout the United States, its territories and possessions benefit from Title III funds annually.

The Chancellor has the overall responsibility for the im-plementation of the Title III-Strengthening Historically Black Colleges and Universities Program at UAPB. The Title III Director, who reports directly to the Chancellor, assists with the administration of the program by over-seeing “day-to-day” operations.

The process begins when Title III Program Administra-tion is notified of grant availability. The Title III Program Administration Office, upon notification, coordinates an intra institutional call for proposals to meet the guide-lines set forth by the U.S. Department of Education. Suc-cessful intra institutional applicants (activity directors) meet with staff from the Title III Program Administration Office, individually and in-group, to “fine tune” the appli-cation. The activity directors refine the individual narra-tives and budgets, and submit them to Title III Program Administration for review. Upon completion of the final review of individual components by the Chancellor, the proposal is compiled and submitted to the U.S. Depart-ment of Education, Office of Postsecondary Education, Institutional Services.

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At the University of Arkansas at Pine Bluff

To enhance opportunities for undergraduates to obtain employment with upward mobility by improving the learning environment, revising and expanding the cur-riculum.

To improve academic instruction (a) by strengthening faculty skills through in-service training, self-evaluation programs, travel to professional meetings, and the use of off-campus consultants, and (b) by facilitating fac-ulty performance through an identification of specific problems and needs then supplying solutions for those problems.

To meet the needs of students who have been classified as educationally disadvantaged by providing academic programs which will prepare them to pursue both tra-ditional and non-traditional careers.

To improve the operation of the university by providing a systematic program of planning, management, and evaluation.

To increase supportive services so that the needs of a heterogeneous student body will be met.

To increase the university’s enrollment through planned and systematic student recruitment and retention pro-grams.

To improve the teaching and learning environment through planned programs for new construction, reno-vation, and maintenance.

To improve the development program in order to at-tract additional funds.

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Part B – HBCU Strengthening Grant

To be eligible to receive a grant under the Strengthening HBCU Program, an institution must be designated by the Secretary of the U.S. Department of Education as a Historically Black College or University. The Higher Education Act of 1965, as amended, defines a HBCU as an institution established prior to 1964 whose principal mission was, and is, the education of Black Americans, and must --

1. Satisfy section 322 (2) OF THE Higher Education Act of 1965, as amended (HEA)

2. Be legally authorized by the State in which it is located-

• To be a junior or community college.

• To provide an educational program for which it awards a bachelor’s degree.

3. Be accredited or pre-accredited by a nationally recognized accrediting agency or association.

Student Aid and Fiscal Responsibility Act (SAFRA)

The Student Aid and Fiscal Responsibility Act (SAFRA), which was included in the health care reconciliation bill that was passed on March 21, 2010, and signed into law on March 30, 2010, embraces the president’s challenge to produce the most college graduates by 2020. SAFRA makes the single largest investment in federal student aid ever.

The Student Aid and Fiscal Responsibility Act (SAFRA) grant is awarded through the Historically Black Colleges and Universities (HBCU) Program of the Department of Education for a ten year period beginning October 1, 2010. Title III, Part F of the Higher Education Act of 1965, as amended, provides an additional $85 million annually until fiscal year 2019 for the Title III, Part B HBCU program. These mandatory (SAFRA) funds are added to monies appropriated in a regular or supplemental grant awarded under the Title III, Part B Strengthening HBCU Program.

Recipients of the HBCU and SAFRA Grants must comply with these conditions under Public Law 105-78, Sec. 508.

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The recipient agrees that, when issuing statements, press releases, requests for proposals, bid solicitations, and other documents or announcements describing this project, the recipient will state clearly:

1. The dollar amount of Federal funds of the project.

2. The percentage of the total cost of the project that will be financed with Federal funds.

3. The percentage and dollar amount of the total cost of the project that will be financed by non-governmental sources.

4. Add a statement to this effect – This activity (equipment, material, event) was paid for in total or in part by funding from the U.S. Department of Education, Office of Postsecondary Education, Institutional Services Program, Title III Part B Strengthening Historically Black Colleges & Universities Program or Student Aid and Fiscal Responsibility Act.

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Title III – Part B Strengthening Historically Black Colleges and Universities Programs

1. Purchase rental or lease of scientific or laboratory equipment, educational purposes, including instructional or research purposes.

2. Construction, maintenance, renovation, and improvement in classroom, library, laboratories, and other instructional facilities, including purchase or rental of telecommunications and technology equipment or services.

3. Support of faculty exchanges, faculty development, and faculty fellowships to assist in attaining advanced degrees in the fields of instruction.

4. Academic instruction in disciplines in which Black Americans are underrepresented.

5. Purchase of library books, periodicals, and other educational materials, including telecommunications program materials.

6. Tutoring, counseling, and student services programs designed to improve academic success.

7. Funds management and administrative management, and acquisition of equipment for use in strengthening funds management.

8. Joint use of facilities, such as laboratories and libraries.

9. Establishing or improving a development office to strengthen or improve contributions from alumni and the private sector.

10. Establishing or enhancing a program of teacher education designed to qualify students to teach in a public elementary or secondary school in the state that shall include, as part of such program, preparation for teacher certification.

11. Establishing community outreach programs that will encourage elementary and secondary students to develop the academic skills and the interest to pursue postsecondary education.

12. Establishing or improving an endowment fund.

13. Acquisition of real property in connection with the construction, renovation, or addition to or improvement of campus facilities.

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14. Education or financial information designed to improve the financial literacy and economic literacy of students or the students’ families, especially with regard to student indebtedness and student assistance programs.

15. Services necessary for the implementation of projects or activities that are described in the grant application and that are approved, in advance, by the Secretary, except that not more than two percent of the grant money may be used for this purpose.

Student Aid and Fiscal Responsibility Act (SAFRA)

1. Purchase, rental or lease of scientific or laboratory equipment for educational purposes, including instructional or research purposes.

2. Construction, maintenance, renovation, and improvement in classroom, library, laboratory, and other instructional facilities, including purchase or rental of telecommunications technology equipment or services.

3. Academic instruction in disciplines in which Black Americans are underrepresented.

4. Purchase of library books, periodicals, microfilm, and other educational materials, communications program materials.

5. Establishing or enhancing a program of teacher education designed to qualify students to teach in a public elementary or secondary school in the state that shall include, as part of the program, preparation for teacher certification.

6. Other activities that are proposed in its application that contribute to carrying out the purpose of this part and one approved by the Secretary as part of the review and acceptance of the application.

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Activity Account Numbers

Whenever possible, regular University business procedures are used to document accountability for Title III regulations. Separate account numbers have been assigned by the Controller’s Office to identify the Title III grant activities. These numbers always begin with 205 and are followed by ten other digits and a five-digit object code. New account numbers are assigned yearly for each activity.

All expenditures (i.e. requisitions, purchase orders, personnel action forms, travel authorizations) submitted to the Title III Office for payment must show the designated activity number and be signed by the budget officer. These requests are checked for programmatic and financial accuracy. The financial check includes a check for availability of funds. If all is accurate, the request is initialed by the Title III Director and submitted for further University required processing.

Activity Expenses

Requests for payment of activity expenses can be processed by the Title III Director when all required documentation and signatures are submitted; however, expenditures were approved by the U. S. Department of Education and cannot be changed without the approval of that agency. Items not specifically identified, such as additional equipment, personnel, or travel (no matter how much money is left over as a result of cost savings) cannot be approved by the Title III Director.

Activity budgets were carefully prepared to support the narrative of the activity, and no changes or substitutions can be made without prior approval of the Title III Director, and in some cases the U. S. Department of Education (DOE). Approval from DOE is a lengthy process and is discouraged.

Requests for expenditure of funds for approved items are processed within 72 hours after being received in the Title III Office. When a request is received in the Title III Office it is stamped for the date and time of receipt. It is then checked for programmatic and financial accuracy. If all is correct and funds are available, the request is submitted for further processing in accord with University policies and procedures. If the request is inaccurate programmatically or financially, the inaccuracies are noted to the requester so that corrections if possible can be made. If a Budget Amendment Request is needed to rectify the problem (by transferring available funds into the appropriate category) Title III staff works closely with the requester to complete the transfer form.

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Equipment: Defined Requirements

The Office of State Accounting has determined that equipment is defined as those purchases which have a cost of $5,000 or more, a life of two (2) years or more and a separate identity of their own. Ex: the car not the motor.

While $5,000 is the threshold for the equipment classification this is no way precludes that the Agency Head is not responsible and accountable for those items with a lesser cost such as a printer at $450, a computer at $1,800 or sets of items like tools or dishes.

To assure accountability for these lesser items, this agency has classed them as non-capitalized equipment and the Property Control Section of Finance maintains a separate accountability just for these.

(See State Procedure Manual 2011 online www.uapb.edu under Purchasing)

Property Management

General grant regulations for Title III require that all equipment be properly accounted for by the Title III Director. To comply with this regulation, Activity Directors will complete an Inventory Form listing all equipment purchased by Title III. This Inventory List should be submitted when an item is received. Remember it is very important that:

An inventory list of Title III purchased equipment should be sent to the Title III Office upon receipt of the equipment by the requester. The inventory list must be up-to-date, and include all equipment that has been purchased for an activity by Title III.

In addition to the Inventory List, which will be kept on file in the Title III Office, all equipment must bear a decal for University inventory as well as a decal for Title III inventory. The Title III decal will clearly identify the equipment as being purchased with federal funds. A physical inventory of Title III equipment will be made at a minimum every other year and reconciled with the University’s property management records.

No property purchased with Title III funds may be sold or disposed of except through the office of the Title III Director and consistent with federal regulations.

Money received from the sale of such property must be disposed of consistent with federal guidelines. Any loss, damage, or theft of property must be investigated and fully documented in a report to the Title III Director. Thefts must be documented with a police report. Adequate security and maintenance procedures must be implemented for the equipment.

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When Title III purchased equipment is no longer needed for its original purpose (activity), or is not repairable, the Office of Title III should be notified by providing the decal number (s) and other descriptive information for the equipment. A copy of the moving request form should be sent to Title III.

SUPPLANTING - SUPPLEMENTAL REQUIREMENTS

Title III grant funds may not support any service, program, or position that was supported by University resources prior to awarding of the Title III grant.

The following procedures will insure that Title III funds are used to supplement not supplant institutional funds:

1. University Funded Positions

• University continues to fund the position

• No Title III funds are used

• Position is University contribution to Title III Program

2. Title III Funded Positions Requirements

• Personnel paid by the University cannot be moved to Title III funding for performing the same duties that were University funded.

• Salaries for individuals pursuing terminal degrees under the Faculty Development component cannot be paid from Title III funds.

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Title III regulations are very specific on obligation of funds for personnel and in the documentation of time for persons paid from grant funds. Regular University personnel procedures and policies will be followed. Additional requirements may be requested by the Title III Director in order to satisfy federal regulations.

University Employment Procedures

Procedures to be followed in hiring persons wholly or partially by the grant will be identical to those generally practiced at the University:

1. The same approvals are required as would be required in the hiring of persons supported by University funds.

2. The Title III Director needs to be consulted to insure that the hiring of persons supported by grant funds is within the budget constraints of the activity.

3. All University personnel forms must be completed (check with the University Personnel Department for needed forms and compliance with University policy) in order to be in compliance with University personnel policies and practices.

4. A Job Description should be completed and submitted to the Title III Office.

Time and Effort Documentation

Time and Effort Forms provides documentation prior to salary payment and is due the first working day of the month and covers the preceding month. Each report should accurately display daily time allocation, personal leave days, absences, holidays and vacation. Staff with multiple assignments; require a clear accounting of all (100%) employment time. To fully document all time spent on grant activities, those persons fully or partially supported by the Title III grant, are required to complete Time and Effort Forms signed by the supervisor prior to salary payment. This information is used to show that supplementing not supplanting is occurring. Work logs may also be requested.

When a person’s salary is divided among federal grant, teaching, administration, or other responsibilities there must be a clear accounting of all (100%) work time. The Activity Director is responsible for the accuracy of the Time and Effort Form. The university’s leave record can be substituted in place of the Time and Effort Form for salaries paid 100% with Title III funds.

Extra-help time sheets require Title III signatures for processing.

All UAPB personnel policies apply to the Title III staff as PER

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Only travel that is approved in the original budget narrative can be approved. Any requests for changes in the approved budgets must be submitted by the Title III Director to the U. S. Department of Education for authorization to make the change(s).

The Title III grant regulations require specific documentation of all travel funded by the grant. A requisition, travel authorization, and supporting materials (i.e. registration form, conference leaflet) must be submitted before travel commences. After travel is completed a Travel Reimbursement Form (TR-1) and Trip Report Form must be submitted to the Title III Office before reimbursement can be made to the traveler (the Trip Report Form must be attached to the TR-1). You must specifically state your plan of action as a result of your travel experience. You may include your recommendations but we are more interested in knowing how your travel experience will enhance job performance and/or student outcomes.

Necessary and reasonable expenses for lodging, meals, transportation and related costs will the allowable and paid in accordance with existing University practices. However, under no circumstances will expenses in excess of the amount in the approved budget be paid.

There are State limits in the allowable amounts for certain states and cities. Please check with the Controller’s Office for the allowable limits. Registration fees are allowable if these have been included in your original budget narrative. Some unallowable expenses are: bar bills, long distance calls for personal business, laundry and dry cleaning, entertainment cost, and flight insurance, (except under extenuating circumstances and with the prior approval of the Title III Director).

Air travel will be by coach class or the lowest fare available. When a personal car is used, reimbursement for actual mileage will be at the approved rate. Please check with the Controller’s Office for the current rate. Mileage reimbursement should not exceed comparable coach airfare to the destination. Receipts are required in accordance with University practice.

All requests for travel for professional development should be submitted to the Office of Title III at least one month prior to commencement of travel and must be approved before any travel commences. If the request is not received in accordance to stated time specifications, a travel advance and discounts relating to early registration may not be possible; the requestor should be prepared to pay for the trip and obtain reimbursement for the expenses upon return to campus. It is the responsibility of the requesting individual to ensure that all forms are submitted in a timely manner to the Office of Title III.

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Quarterly ReportsIt is important to monitor progress on objectives and target dates to enable effective oversight and problem solving. A quarterly progress report is required on each Activity. These are to be submitted on the Title III Quarterly Progress Report Form by the 10th of each month following the end of the quarter.

The quarterly reports are designed to address the Implementation Strategy Forms that were submitted with the original application and consistent with data required for reporting in the Annual Performance Report (APR). The Implementation Strategy Form identified specific tasks that were required to accomplish the objectives of the activities.

The quarterly report will contain the following information:

ObjectivesThe objectives are the major points of accountability for the Title III activities for the grant period. All objectives that were submitted in the application for the current reporting year should be listed.

ProgressWhat was planned for the quarter? Comment on the progress of each task that was listed on the Implementation Strategy Forms. Be quantitative where possible, and comment on the status of targeted timelines.

Describe any activities that went beyond the accomplishment of tasks. Identify any integration with other programs, activities or services.

ChallengesWhat was scheduled for the quarter according to the proposal and Implementation Strategy Form, but was not accomplished? Please state why it was not accomplished. Discuss, substantiate, and recommend any needed changes in the projected Implementation Strategy Form and plan of operation.

ExpendituresIndicate the purchase and the amounts spent for the quarter, and if there are no expenditures, please state the reason.

Are expenditures on target in utilizing grant funds? If not explain discrepancies. If the grant year is half over, you should have depleted at least half if not more of your funds. Equipment purchases and supplies should be purchased at the beginning of the grant year so that these may be utilized in bringing the grant to fruition.

APR ResponsesBased upon your specific funded activity, additional responses based upon requirements of the APR should be included in your report.PRO

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In addition to the quarterly reports, an Annual Performance Report (APR) should also be completed by each activity director. This report is a final narrative of the year’s activity and is due by October 31 after the grant year ends on September 30.

• The Annual Performance Report is submitted in the following format:

• • Introduction - give an overview of the activity

summarizing its basic intent. • • Objectives - list the objective(s) that you were to

accomplish during the fiscal year.• • Accomplishments - in this section, give a view

of the overall impact to the institution. Put your grant into the larger context of the university as a whole as you evaluate its effectiveness. This might include:

a. Describe the positive impacts, direct as well as indirect, the grant activities are having on other areas of the university. The intent is to describe the “ripple effect” of your activity within the institution.

b. Describe any cooperatives with other units and staff of the university (non-Title III as well as Title III activities. Indicate their impact on the institution. Include the expertise of non-grant personnel devoted to the project.

c. Additional information specific to the requirement of the APR for your activity will also be required.

Mid-Year Report

The mid-year report is required for grants activities that are in the first year of operation. The mid-year report is usually due in the Spring following the initial funding year.

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THE UNIVERSITY OF ARKANSAS AT PINE BLUFF TITLE III PROGRAM ADMINISTRATION

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The following terms are relevant to the Title III Program.

Allocable CostA cost that is set apart specifically for or to a particular cost objective (i.e., specific function, project, sponsored agreement, department) if the goods or services involved are chargeable or assignable to such cost objective in accordance with relative benefits received or other equitable relationship.

AllowableApproved activities

APRAnnual performance report

AuditThe examination of records or financial accountants to ascertain their correctness. An independent evaluation required by the Office of Management and Budget of the United States Government.

AwardFinancial assistance that provides support or stimulation to accomplish a public purpose. Awards include, but are not limited to, grants and other agreements in the form of money or property, in lieu of money, by the Federal Government to an eligible recipient.

BudgetRecipient’s financial plan or schedule for carrying out the activity by adjusting expenses during a certain period to the estimated or fixed income for that period.

CFRCode of Federal Regulation

CDPComprehensive Development Plan

CloseoutThe process by which the Secretary determines that all applicable administrative actions and all required work of the award have/has been completed by the recipient and the U.S. Department of Education.

Disallowed CostsThose charges to an award that the Secretary determines to be unallowable, in accordance with the applicable Federal Cost Principles or other terms and conditions contained in the award.

DOEDepartment of Education

EDGAREducation Department General Administrative Regulations

EquipmentTangible non-expendable personal property including exempt property charged directly to the award having a useful life of more than one year and an acquisition cost of $5,000 or more per unit.

Federal Awarding Agency The entity that provides an award to a recipient.

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Fiscal YearPeriod commencing October1 and ending September 30 of the following year.

Funding PeriodPeriod of time when costs may be charged against the grant.

HBCUHistorically Black Colleges and Universities

IDUESInstitutional Development and Undergraduate Education Service

OMBOffice of Management and Budget

RecipientThe agency, institution or organization receiving Federal financial assistance including sub-grantees, but does not include contractors who receive funds from the recipient pursuant to a grant or award by the Commissioner (U.S. Commissioner of Education).

Reasonable CostsA cost may be considered reasonable if the nature of the goods or services acquired or applied and the amount involved therefore, reflect the action that a prudent person would have taken under the circumstances prevailing at the time the decision to incur the cost was made. Major considerations involved in the determination of the reasonableness of a cost are: (a)whether or not the cost is of a type generally recognized as necessary for the operation of the institution or the performance of the sponsored agreement; (b) the restraints or requirements imposed by such factors as arm’s length bargaining, Federal and State laws and regulations, and sponsored agreement terms and conditions; (c)whether or not the individuals concerned acted with due prudence in the circumstances considering their responsibilities to the institution, its employees, its students, the Federal Government, and the incurrence of the cost are consistent with established institutional policies and practices applicable to the work of the institution generally, including sponsored agreements.

SAFRAStudent Aid and Fiscal Responsibility Act

SuppliesThose non-equipment items of tangible personal property which are consumed in use or which may not reasonably be expected to last longer than one (1) year.

Unallowable CostsAny costs which cannot be included in prices, costs reimbursements, or settlements under a government sponsored agreement to which it is allocable.

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FORMS• Quarterly Report• Mid-Year Report• Annual Performance Report• Time and Effort• Travel Request• Travel Report Form• Equipment and Software

Request Form• Title III Equipment Follow-Up Report Form• Travel Authorization• TR-1• Purchase Requisition

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Quarterly Report Form

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Quarterly Report Form

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Quarterly Report Form

Mid-Year Report

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Annual Performance Report

Title III The University of Arkansas at Pine Bluff FACULTY/STAFF REQUEST FOR DOMESTIC TRAVEL October 1, 2011- September 30, 2012 Name _________________________________________Date ___________________________ Department ___________________________________________________________________ Telephone _____________________________________FAX ___________________________ Campus Address: Mail Slot _______Building _________________________Room _______ Please answer the following questions: If you are FACULTY: Are you full-time faculty? _____ If yes, are you tenured? _____ If no, are you in a tenured-track position? _____ If you are STAFF: Are you permanent and full-time? _____ What is your position/job title? _________________________________ Do you work directly with students? _____ Will this travel result in certification and/or licensure? ______ If yes-

What is the title of the certification and/or licensure? ___________________________________________________________

Have you or other UAPB employees attended this event in the past? _____ If yes-

How were the expenses covered? State Funds______ Federal/other funds ______ Are there state funds in your department budget? _______

Is this travel related to a federally funded activity? ______ Name of the event _____________________________________________________________ Date _____________________________________Location ___________________________ The individuals whose signatures appear below have read this proposal and agree to the terms and conditions of this request. Signatures: Requester ___________________________________ Chairperson/Immediate Supervisor _________________________________ Dean/Director _________________________________ Vice Chancellor ________________________________ Title III

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Time and Effort

Travel Request Form

Travel Request Page 2 THE CHAIRPERSON/IMMEDIATE SUPERVISOR IS REQUIRED TO COMPLETE THIS SECTION: Please justify why you feel this professional development event is important to your department and/or the students. What departmental benefits do you expect to secure as a result of this person’s receiving this training or professional development? Please be specific. By signing below, I agree to the terms of the application, and attest that the requester will become more proficient in his/her assigned tasks thereby heightening the efficiency and effectiveness of the department. I also agree to submit a Title III Follow-up report verifying how the obtained information has made my department more productive, effective and efficient. ___________________________________________ Signature (Immediate Supervisor/Chairperson) Title III Travel Request

Page 3 ON SEPARATE SHEETS OF PAPER, PLEASE RESPOND TO THE FOLLOWING:

I. Briefly relate the nature of the event. Attach a copy of event announcement.

2. Why are you requesting Title III funds for this event? Please provide detailed information why you would like to attend this event.

3. How will you use the information you acquire from this event to benefit UAPB?

As you discuss the needs and benefits include, CLEARLY stated goals, objectives and implementation strategy for carrying out a plan of action when you return to campus. Your action plan should include specific details for sharing this information with colleagues and students.

4. Please provide detailed information on cost involved to complete this travel

(i.e., airfare/mileage, registration fee, lodging, meals (per diem), ground transportation, and etc.). NOTE: Title III funds cannot be used to pay individual membership fees, purchase conference t-shirts, shipping for conference materials, and etc.

5. Attach signed travel authorization form and attach requisitions for costs as appropriate.

6. If this travel will result in certification and/or licensure or partial requirements of a certification and/or licensure. Please state how the certification and/or licensure will benefit UAPB.

Please note that if you are given Title III funds for travel, you will be required to submit reports discussing the benefits of the event you attended and later the progress you have made in transferring the benefits of the event to UAPB. Failure to complete these reports may cause you to forfeit the opportunity to travel again using Title III funds. Additionally, all travel that results in certification/licensure will carry a one-year obligatory period to the university, beginning with the completion of the requirements for certification. If you have questions, please phone Sharon Hildreth at 8045. Please submit an original request to: Title III Program Administration Mail Slot 4924 R. C. Childress Hall Room 202

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Travel Request Form

The University of Arkansas at Pine Bluff TITLE III PROGRAM ADMINISTRATION

Title III Travel Report Form

October 1, 2011-September 30, 2012

Please answer the following questions regarding the Title III sponsored travel:

Name Department Mail Slot Telephone Number FAX Number Conference/Seminar/Workshop/Course/Class Information: Name/Title: Date(s): City/State: As a result of this travel, I received… (Check all that apply.) Training in educational technology; Training in new or alternative teaching techniques; Training in developing new curriculum; Training for developing teaching techniques; Fellowship or other assistance to attain advanced degree; Training in developmental activities (seminars, workshops, etc.); Professional development training designed to improve academic quality; Professional development training designed to improve job performance; Training in how to use new administrative management systems; Certification or license in _____________________________;

Other, please explain ________________________________________________________________________________________________________________________

Objective(s): Please provide a brief summary describing how the meeting assisted in accomplishing the objective(s):

Observations:

Recommendations or plan of action as a result of attending conference, workshop, seminar, course, and/or class: Other: On a separate sheet of paper, and in whatever format that will work for you, please provide specific narratives on how the Title III sponsored travel has or will assist you in performing your professional duties. Give examples and provide quantitative data, such as how many students and or professional colleagues will benefit from training. Please share with us how this has helped you in preparing lectures, classroom assignments and/or performing administrative duties. How have our students benefited? Also, please include specific information you have been able to share with your colleagues at UAPB through forums, presentations, seminars, or workshops. Be sure to give the number of colleagues that have benefited from the training you received. Signature: ___________________________________Date _______________________

Travel Report Form

FOR

MS

Form

s

29

FOR

MS

Forms

30

Equipment and Software Request Form

2

FOR

MS

Form

s

31

Title III Equipment Follow-Up Report Form

Travel Authorization

FOR

MS

Forms

32

TR-1 Form

Purchase Requisition

06/01/09/DI

PURCHASE REQUISITIONUNIVERSITY OF ARKANSAS AT PINE BLUFF Date Req.#

NOT FOR DEPARTMENTAL USEV (1) DepartmentEN (2) Funds Available Yes____ No ____D Checked ByO (3) CommentsR

Tax ID or Soc. Sec. #(2&3 for Fund Check use)

Ethnicity OVERRIDE APPROVAL:

Delivery Information: Building Room #Requester: EX: Budget OfficerQUANTITY UNIT DESCRIPTION UNIT PRICE

*Use this section to charge the expense to one or more accounts

VICE CHANCELLOR:(Required for consulting services, and purchases over $2500.00)

All signatures must be originally signed except "requester" this must be typed or printed.

(Required)

(Required for all individuals)

06/01/09/DI

NOT FOR DEPARTMENTAL USE

(2) Funds Available Yes____ No ____Date

EXT. TOTAL

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