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Warning Text %XTableStyleMedium9PivotStyleLight16`:Sheet1  ; C5 42 ADVISOR(S): OTHER - PLEASE EXPLAIN:YESNO450-3182 MEMBERSHIP DUES FUND-RAISING PROJECTS GRANTS (NAME OF GRANT) UNIVERSITY FEES STUDENT GOVERNMENT ASSOCIATION DONATIONS OTHER - PLEASE STATE THE SOURCE450-3183FUND NUMBER ASSIGNED:% UCA EMPLOYEES (FUNDS HELD IN ESCROW)Demetrice Woods(501)Carissa Castleberry FUND NAME:Revised 09.16.25For Financial Accounting Only:Accounts Payable Coordinator ControllerUCA AGENCY ACCOUNT APPLICATION?If you have any questions please contact the following persons:dwoods9@uca.educcastleberry@uca.eduFor a new agency fund to be established, please fully complete the attached questionnaire and return to the Financial Accounting Department - Office of Accounts Payable at APSTAFF@UCA.EDU. UCA PHONE NUMBER: UCA ADDRESS:1SELECT THE APPROPRIATE ORGANIZATIONAL TYPE BELOW:Upon approval, a fund name and number will be assigned. The named advisors will receive, via email, an approved Application copy and an Authorization Form. The Authorization Form requires completeness by all parties and returned to the Office of Accounts Payable (AP) at the aforementioned email. Once both forms have been confirmed by AP, agency funds may then be deposited or disbursed./ 3ORGANIZATION NAME:2 UCA EMPLOYEE ESCROW ACCOUNT, e.g. PERSONNEL DEPT. UCA FACULTY ORGANIZATION UCA STAFF ORGANIZATION ORGANIZATION HELD OUTSIDE UCA UCA DEPARTMENTN/A, NOT A STUDENT ORGANIZATION CONSULTING SERVICESSTATE THE MAIN PURPOSE OF THIS ACCOUNT. FOR EXAMPLE, THE MAIN PURPOSE OF THE SGA ACCOUNT IS TO PROVIDE FUNDING FOR CAMPUS-WIDE, STUDENT ACTIVITIES.lWILL ANY OF THE FUNDS BE ALLOCATED TO COVER UCA DEPARTMENTAL EXPENSES? IF SO, PLEASE PROVIDE AN EXPLANATION.WILL ANY FUNDS BE GENERATED THROUGH THE USE OF UCA RESOURCES, SUCH AS UCA SUPPLIES, UCA EMPLOYEES DURING WORK HOURS, OR UCA FACILITIES? PLEASE PROVIDE AN EXPLANATION.WILL ANY OF THE FUNDS BE USED TO REIMBURSE OR COMPENSATE UCA EMPLOYEES FOR EXPENSES INCURRED OR SERVICES PROVIDED? IF SO, PLEASE PROVIDE AN EXPLANATION.jWILL ANY FUNDS BE EARNED THROUGH A CONTRACT WITH UCA OR AN OUTSIDE ENTITY? PLEASE PROVIDE AN EXPLANATION.**IF "STUDENT ORGANIZATION" WAS SELECTED ABOVE, HAVE RECOGNITION FORMS BEEN SUBMITTED TO THE OFFICE OF STUDENT AFFAIRS FOR THE FALL SEMESTER? CONTROLLER SIGN/DATE:8 UCA STUDENT ORGANIZATION **IF MARKED, SEE NEXT QUESTIONeFUNDS TO BE DEPOSITED INTO THE AGENCY ACCOUNT COME FROM THE FOLLOWING SOURCES: (CHECK ALL THAT APPLY)UCA EMAIL ADDRESS::20 0y1S%2C5/6 9 ccrB ZO BMQYAaa  dMbP?_*+%  Page &P&?'?(?)?M6Microsoft Print to PDFX/ odLetterGIS4DINU",,S9NSMTJ{084F01FA-E634-4D77-83EE-074817C03581}RESDLLUniresDLLPaperSizeLETTEROrientationPORTRAITResolutionResOption1ColorModeColor,V4DM p"O4wMH5L*@VDocumentUserPasswordDocumentOwnerPasswordDocumentCryptSecurity"d??&U} } } I}  }  B  h S@  @ @       @ h @ @ @ @ @ @ @ X@ @ @ @ @ @ @ @ @ @ @ @ @ MMMMMMMMM OOOOOOOOO OOOOOOOOO [[[[[[[[[Z L AA B A C\ZZ A AA DACZZZE@@@ACZZZ L AA B A CZZ@ A AA FAC@@ @EAABAC@@ ZZZZZZZZZ M MMMMMMMM SSSSSSSSS P  PPQQQQQQ PPQQQQQQQSSQQQQQQQ PPPRRRRRR PPQQQQQQQ P1PQQQQQQQ XXXXXXXXXH P!PPPPPPPH P"PPPPPPPH P#PPPPPPPH P%PPPPPPPH P/PPPPPPPH G$GGGGGGGH PPPQQQQQIQQQQQQQQ N-NNNNNNNNH JH JH P& PPP N0NNNNNNNNH PPPPPPPPD8l((((RFRF(((((((0000000(X( @! @" @# @$ @% @& @' @( @) @* @+ @, @- @. @/ @0 @1 @2 @3 @4 @5 @6 @7 @8 @9 @: @; @< @= @> g@? g@ H P PPPPPPP!H !P!PPPPPPP"H "P"PPPPPPP#H #P#PPPPPPP$H $P'$PPPPPPP%H %P %PPPPPPP&H &P &PPPPPPP'H 'P 'PPPQQQQ (N*(NNNNNNNN)QQQQQQQQQ*QQQQQQQQQ+QQQQQQQQQ ,V(,VVVVVVVV-QQQQQQQQQ.QQQQQQQQQ/QQQQQQQQQ 0V+0VVVVVVVV1QQQQQQQQQ2QQQQQQQQQ3QQQQQQQQQ 4V)4VVVVVVVV5QQQQQQQQQ6QQQQQQQQQ7QQQQQQQQQ 8V,8VVVVVVVV9QQQQQQQQQ:QQQQQQQQQ;QQQQQQQQQ <K<KKKKKKKK =W.=WWTTTTTT >P >PPTTTTTT ?P?PPUUUUUUD l00000000((((((((@ @A @YYYYYYYYY AEAEEEEEEEEl> @EB2F  88@@99::;;556677==((44--..//001122>>??))**++,,33??>>==   '''' !!""##$$%%&&7yK dwoods9@uca.eduyK Fmailto:dwoods9@uca.eduyX;H,]ą'cyK ccastleberry@uca.eduyK Pmailto:ccastleberry@uca.eduyX;H,]ą'cggD Oh+'0HPh Jeremy BrunerCarissa Dawn CastleberryMicrosoft Excel@ɣ-@@J- ՜.+,D՜.+,< PXd lt|  Sheet1Sheet1!Print_Area  Worksheets Named Ranges 8@ _PID_HLINKSA .mailto:ccastleberry@uca.eduH0mailto:dwoods9@uca.edu  !"#$%&'()*+,-./012456789:<=>?@ABRoot Entry FWorkbookeSummaryInformation(3DocumentSummaryInformation8;