EGMS Forms Preparation  
REPA - A report of external professional activities Cancel and delete this REPA Form
 
 
 
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  Step two, REPA preparation Save and close this REPA Form  
         

Summary:
REPA For:
Bianco
Year and Period:
2004-09/01/03-08/31/04
Departmental Approver:
Brandt,Barbara F
Collegiate Approver:
Bock,Terry L

 
Help Options
REPA Guidelines
 
Code of Conduct
 
Outside Consulting, Service Activities, and Other Work
 
Conflict of Interest
 
EGMS Technical Helpline - (612) 624-1600
EGMS Business Helpline - (612) 624-1033
Email comments
      repa@egms.umn.edu
 
 
 
 
 
 
A previous answer indicated that you:



arrow right Provided professional services that were related to your University activities to at least one outside organization, where the total time of service to a single organization exceeded three days over the course of the REPA reporting period 09/01/03-08/31/04.


For each organization to whom you provided professional services of more than three days duration, complete a Details of External Professional Activity entry describing the services.
 
 
What activities do and do not need to be reported?
 
 
Details of external professional activities
 
  Name of Organization


Description of Activity  (limit 200 characters)


Type of Organization

  Which type should I choose?
Type of Compensation


 
Number of Days(responses to the quarter day; eg: 5.25)
On Campus  Off Campus  Total 

  How do I prorate the number of days if I'm not a fulltime University employee?
  What do "on campus" and "off campus" mean?

ROC Details- if Filed (Request for Consultant or Outside Service Agreement)
ROC Approval  
Date
 (mm/dd/yy)  
     EGMS ROC ID Number  
(if filed using EGMS)  

  What is a ROC and when do I need prior approval?

  To detail services to more than one organization, click Next Organization to add another entry table.
 
 
Next organization