ࡱ> LK T8\pUCAmesha Jemerson Ba==pb*8X@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial1.@Times New Roman1Arial1Arial1Calibri1 Calibri1Calibri14Calibri1 Calibri1Calibri1Calibri1,8Calibri18Calibri18Calibri1>141<Calibri1?Calibri1h8Cambria1Calibri1 Calibri"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)$[$-409]dddd\,\ mmmm\ dd\,\ yyyy[$-409]mmmm\ d\,\ yyyy;@"Yes";"Yes";"No""True";"True";"False""On";"On";"Off"],[$ -2]\ #,##0.00_);[Red]\([$ -2]\ #,##0.00\)                                                                      ff + ) , *     P  P        `            a>  "     ! " ! 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Currency [0]/Explanatory TextG5Explanatory Text % 0Good;Good  a%1 Heading 1G Heading 1 I}%O2 Heading 2G Heading 2 I}%?3 Heading 3G Heading 3 I}%234 Heading 49 Heading 4 I}% 5InputuInput ̙ ??v% 6 Linked CellK Linked Cell }% 7NeutralANeutral  e%"Normal 8Noteb Note   9OutputwOutput  ???%????????? ???:$Percent ;Title1Title I}% <TotalMTotal %OO= Warning Text? Warning Text %XTableStyleMedium9PivotStyleLight16`:Sheet1 oSheet2rSheet3  ; A> :5%APPLICATION FOR AN AGENCY ACCOUNTPLEASE STATE THE MAIN PURPOSE OF THIS ACCOUNT. FOR EXAMPLE: THE MAIN PURPOSE OF THE SGA ACCOUNT IS TO PROVIDE FUNDING FOR CAMPUS-WIDE, STUDENT ACTIVITIES.iWILL ANY FUNDS IN THIS AGENCY ACCOUNT BE USED TO FUND UCA DEPARTMENTAL EXPENSES? IF YES, PLEASE EXPLAIN.fWILL ANY FUNDS BE EARNED THROUGH A CONTRACT WITH THE UNIVERSITY OR AN OUTSIDE ENTITY? PLEASE EXPLAIN.NAME OF ORGANIZATION: ADVISOR(S):ON-CAMPUS PHONE NUMBER:; A UNIVERSITY EMPLOYEE ESCROW ACCOUNT, e.g. PERSONNEL DEPT." A UNIVERSITY FACULTY ORGANIZATION, AN ORGANIZATION HELD OUTSIDE THE UNIVERSITY A UNIVERSITY DEPARTMENT OTHER - PLEASE EXPLAIN:YESNONOT A STUDENT ORGANIZATIONgPLEASE INDICATE THE CORRECT ORGANIZATIONAL OWNERSHIP OF THIS ACCOUNT BY CHECKING THE APPROPRIATE SPACE.}IF THIS IS A STUDENT ORGANIZATION, HAS IT SUBMITTED RECOGNITION FORMS TO THE OFFICE OF STUDENT AFFAIRS FOR THE FALL SEMESTER:nTHE FUNDS TO BE DEPOSITED IN THE AGENCY ACCOUNT COME FROM THE FOLLOWING SOURCES. PLEASE CHECK ALL THAT APPLY.CONTROLLER SIGNATURE:450-3182 MEMBERSHIP DUES FUND-RAISING PROJECTS GRANTS (NAME OF GRANT) UNIVERSITY FEES CONSULTING STUDENT GOVERNMENT ASSOCIATION DONATIONS OTHER - PLEASE STATE THE SOURCEON-CAMPUS ADDRESS:If your organization is requesting an agency fund account to be established, the attached questionnaire must be completed and returned to the Accounts Payable office. Please make sure to include an on-campus mailing address and an on-campus telephone number. fThis form must be submitted and approved by the Controller before funds can be deposited or disbursed.Upon approval an account number will be assigned by the Controller. You will receive, via campus mail, your new account number and an authorization sheet which is to be signed by the advisor and the treasurer and returned to Accounts Payable as soon as possible.3If you have any questions please feel free to call: Lynette Long450-5025Marcia GirdlerMary Kay Dunaway450-3183Upon approval, a fund number will be assigned by the Controller. You will receive, via campus mail, your new fund number and an authorization sheet which is to be signed by the advisor and the treasurer and returned to Accounts Payable as soon as possible.FUND NUMBER ASSIGNED:DATE: Pam Giblet Jeremy BrunerIf your organization is requesting an agency fund to be established, the attached questionnaire must be completed and returned to the Accounts Payable office. Please, make sure to include an on-campus mailing address and an on-campus telephone number. Carmesha Jemerson450-5023% UCA EMPLOYEES (FUNDS HELD IN ESCROW) A UNIVERSITY STAFF ORGANIZATION A STUDENT ORGANIZATIONBusiness Office Use Only:Revised 10/12/17WILL ANY FUNDS IN THIS AGENCY ACCOUNT BE USED TO REIMBURSE/COMPENSATE UCA EMPLOYEES FOR EXPENSES/SERVICES PERFORMED? IF YES, PLEASE EXPLAIN.WILL ANY FUNDS IN THE ACCOUNT BE GENERATED USING UNIVERSITY RESOURCES SUCH AS SUPPLIES, EMPLOYEES DURING WORKING HOURS, OR UCA FACILITIES? 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A! @" @@ @# @@ @ @@@ @$ @@ @% @@@x(((*:>@ 7ggD T8 s  dMbP?_*+%&?'?(?)?"??&U>@7ggD Oh+'0HPht Jeremy BrunerUCAMicrosoft Excel@ _C@@`C՜.+,0  PXd lt|  Sheet1Sheet2Sheet3Sheet1!Print_Area  Worksheets Named Ranges  !"#$%&'()*+,-./0123456789:<=>?@ABDEFGHIJRoot Entry FDk]Workbook(tSummaryInformation(;DocumentSummaryInformation8C