ࡱ> M Zbjbj== &WWKlfff8RDW1h0000000$2 400840(888080888p \.|/ Pfr./1HW1.}5}5/8UTAH LIBRARY ASSOCIATION LIBRARY PARAPROFESSIONALS CERTIFICATE OF ACHIEVEMENT PROGRAM GUIDELINES (Revised February 5, 1993March 28, 2003) ------------------------------------- Table of Contents Table of Contents 1 Statement of Purpose 2 Achievement Levels 2 Review Board 2 Issuance of certificate 3 Amendments 3 Table of Appendices A - Registering for the Program 24 B - Primary Requirements 35 C - Levels of AchievementPoint Guidelines 56 D - Sources of Expertise 8 E - Library Service Area Definitions 9 F - Submitting Claims for Points 510 G - Conversion Guidelines for Estimation of Points 11 H - Requirements for Competency Statements 614 I - Review Board 715 Amendments 8 J - Issuance of & Upgrade of a Certificate 816 K - Procedure for Appeals 817 Forms A - Registration Forms 918 B - Claim for Points Submission Form 1019 STATEMENT OF PURPOSE This program is designed to recognize the involvement and contributions of career-oriented library paraprofessionals in Utah and to acknowledge their support of libraries and librarianship. For the purposes of this program, a paraprofessional is defined as a library worker who does not hold a professional library degree. Paraprofessionals support the mission of libraries by providing important patron and support services. They promote personal development through professional involvement. They share concerns about issues facing the library profession and work with professional librarians in addressing them. Through this program, paraprofessionals demonstrate a continuing commitment to librarianship. by renewing the certificate on a regular basis. Library paraprofessional service is recognized by library professionals and administrators as a valid career choice. The certificate of Achievement is not a substitute for the Master of Library Science degree, the Utah Library Media Certificate, any other library degree, or other professional credentials. ACHIEVEMENT LEVELS Participants register for one of three increasingly demanding achievement levels (see pages 8-9). Each level is reached by accumulating a minimum number of points based on experience, education, and professional activities. After registering for the program, the participant will submit claims for points either at once or over time as experience or education occur. A lower level certificate may be upgraded if it is in the same area of library service. (Footnote: If you wish to switch your area of library service, you must complete all the requirements in that area). LIBRARY SERVICE AREAS Each certificate candidate must meet specified basic requirements and be able to document knowledge of the four areas Library Service Areas: of library service: * * Public Services * Technical Services * Automation * Administration/Management Full details of the program are contained in the attached appendices. Review Board All claims for points must be documented and verified by the participant to the satisfaction of a six-person Review Board. A candidate who disagrees with the final decision of the Review Board may appeal the decision (Appendix K)(see page 13). ISSUANCE OF CERTIFICATE Once requirements are met, a certificate, signed by the President of the Utah Library Association, is presented to the participant at the Annual ULA Conference or a Fall Workshop. Full notification of all certificates awarded will be made in the annual ULA Program. AMENDMENTS Recommendations for amendments or revisions to the Certificate of Achievement Program are given to the Review Board or the Library Paraprofessional & Support Staff round table. Following approval of both of these groups, the recommendation for change is brought before the ULA Board of Directors by the Review Board. The ULA Board of Directors must approve any amendment or revision prior to its implementation. REGISTERING FOR THE PROGRAM A participant must submit the registration form (Form A) with the full registration fee to: Utah Library Association Certificate of Achievement Program 2150 South 300 West, suite 16 Salt Lake City, UT 84115PO Box 970488 Orem, UT 84097-0488 Payment of the non-refundable fee is in no way a guarantee of the final awarding of a certificate of any level. Fee Schedule: * ULA member $15.00$20.00 * ULA non-member $25.00$45.00 (ULA Membership included) A ULA non-member may register at the member rate if they join ULA at the time of registering for the program. They may then claim the points granted for association membership. The participant is expected to fill out the address portion for business and mailing address. If the participant needs a program packet, they may obtain one from the ULA Web site ( HYPERLINK "http://www.ula.org" www.ula.org.????)request one. The AchievementCertificate Level must be designated. If no level is chosen, the Board will register the participant for Level I. The Library Service Area specialization is optional and, if chosen, any certificate awarded will specify that optional specialty. The participant should notify the Review Board of changes in business or mailing address. These changes are made without charge to the participant. After the registration and fee are received, a confirmation letter will be sent. The participant may then begin submitting claims for points. PRIMARY REQUIREMENTS Each participant must have a high school diploma or officially recognized equivalent meet two criteria: * Keyboard score of 25 wpm in an officially timed test on a typewriter or computer keyboard * High school diploma or officially recognized equivalent Each participant must obtain at least 500 points to qualify for the certificate. Each participant must demonstratedemonstrates knowledge of library skills in four Llibrary Sservice Aareas. Examples of sources for points in each area are shown below. The lists are not all-inclusive. Public services Reference Collection Development On-line Book talks Interlibrary loans AV use Children's services Young Adult services Government documents Circulation services Etc. Technical Services Cataloging skills Processing Authority files SelectionPreservation Data Entry Circulation functions Acquisitions Standing Orders Periodicals/Serials Government documents Etc. Automation Computer skills Programming Word processing Computer use Data processing Systems analysis Computer electronics Library automation systems Etc. Administration/Management Personnel Accounting/Bookkeeping Fund-raising Public Relations Inventory control Decision-making Supervision Committee chair You can also obtain points in other ways. Examples are: Etc. GeneralO ther (not a required service area) Public speaking Assertiveness training Interpersonal relations Technical writing Book reviews Personal computer use The participant may claim points for a topic under a different library service area than is shown here by justifying that claim in her/his submitted paperwork. For instance, assertiveness training for the purpose of dealing with problem patrons could be claimed under Public Service. The Review Board makes the final decision of application of a claim to a service area. A participant also has an opportunity to show, through accumulated points, specialization in one of the four areas of library service. A level of achievement is reached by accumulating a minimum number of points based on experience and education. Credit is assigned to Sources of Expertise: Each participant must have obtained library expertise in the areas of experience, education and professional development. * Experience: accumulated progressive library related experience assessed by Full Time Equivalency (FTE) * Education: accredited higher education course work assessed by credit hours * Other: activities of the participant which are demonstrably library related or supportive of librarianship assessed by evaluated contact hours and/or competency statements. PROFESSIONAL EXPERIENCE Points for experience are based on Full Time Equivalency (FTE) of 40 hours per week, 12 months per year and includes both volunteer and paid employment. Library related experience comes from work in media centers, special libraries, and other areas which the Review Board may allow. It does not generally refer to experience in which an individual may use a library as a patron. Claims for points must have information showing the number of hours per week worked for the length of time the participant was employed. If the work was not on a 12-month basis, that difference must also be reported. The participant must provide letters from employers which fully verify this employment. Points are granted for time on the job and do not consider the level of difficulty of the job. Experience points can be applied to areas of library service by stating how many hours are spent in different areas, e.g. two hours a day on the computer, etc. PROFESSIONAL EDUCATION Points awarded are based on higher education credit hours received. Credits do not need to be part of a matriculated program. Credits are verified by transcripts from the institution or by official grade notification slips with the participant's name on the form. Credits transferred from one institution to another may be accepted on the transcript from the latter institution. Official transcripts are not required. PROFESSIONAL CONTRIBUTIONSOTHER DEVELOMENT This sSource allows identification of expertise areas which do not fit into the other two sSources. Within this sSource fall involvements in professional activities, expertise gained from special assignments beyond the job duties, and other experiences which broaden the participant's skills and knowledge. DEFINITIONS AND CONVERSION POINT GUIDELINES 500 points are required to earn the Certificate. 4 areas of library service. (Public Services, Technical Services, Automation, and Administration/Management) If an area of library service is specified the following is required 60-70% of the points must be in the area specified and at least 10% in each of the other areas. If no area is specified the points can be divided between all areas, but no area can have less than 10% of the points. 3 sources of expertise are required as followed: Experience 30-45% of points must be from Experience based on Full Time Equivalency (FTE) of 40 hours per week, 12 months per year. 80 points a year for paid experience 40 points a year for volunteer experience Education 30-45% of points must be from Education 15 points per credit hour for library related courses taken from a institution of higher learning. 2 points credit hour for non-library-related courses. 5 points per 1 hour for non-credit library related workshops/classes. Professional Development 10-20% of points must be from professional development 3 points for Membership in a library related organization 5 points for attending a library related conference 1-15 points for service to a library related organization. (Justified in writing) 5-12 points for publications, presentations or teaching a class or workshop that must be library related. (Justified in writing) 2 points can be added to any of the above if it is sponsored by ULA 90% of points must have been earned in the last 5 years. 80% of points must be library related. OF ACHIEVEMENT ACTIVITIES I. Library Experience A. On-the-Job Experience Points for experience are based on Full Time Equivalency (FTE) of 40 hours per week, 12 months per year and includes both volunteer and paid employment. Library-related experience comes from work in media centers, special libraries, and other areas which the Review Board may allow. It does not generally refer to experience in which an individual may need to use a library as a patron. With the claim for points must come information showing the number of hours per week worked and the length of time the participant was employed. If the work was not on a 12-month basis, that difference must also be reported. The participant must provide letters from employers which fully verify employment claimed. Points are granted for time on the job and do not consider the level of difficulty of the job nor activities beyond the job requirements. Points for the latter are described below under VII. Competency statements. B. Experience Earned Beyond the Job Parameters (EEBJP) This is credit earned for learning gained through experience beyond regular job duties. The number of points granted will depend on the competency statement submitted, with each claim considered on an individual basis. The participant must verify to the satisfaction of the Review Board that the claimed experience is truly beyond her/his required job duties. Further detail is available in Appendix H. Library experience (FTE)6 months 12 months25 points 30 points II. Education These are higher education classes or courses in which academic credit is awarded. Classes may be either on campus or off campus. They may also include institutes, seminars, short courses, workshops, and lecture series which are planned, coordinated, administered and evaluated in terms of learning objectives and for which academic credit is awarded. Credits are verified by transcripts from the institution or by official grade notification slips with the participant's name on the form. Official transcripts are not required. Education1 Semester Credit 1 Trimester Credit 1 Quarter Credit1.5 points 1.4 points 1.0 points III. Workshops and Programs These are activities planned, coordinated, administered, and evaluated in terms of learning objectives for which academic credit is not offered. Instructional programs which bring library workers together for intensive training in current library techniques given under the auspices of a professional library organization, accredited college or university, or a state agency fall in this category. These activities may also include instruction on an audio-visual format. To claim contact hours for this activity, the participant should summarize the important points of the presentation and identify the type of learning gained. A copy of the program description, including length, should also be submitted. A copy of any certificate of completion should be submitted. Workshops and Programs1 hour2 points IV. Presentations and Teaching Credit is given for first time presentations, exhibits or teaching in library, media-related, or educational programs. Each presentation must be for at least one hour. Credit may not be claimed by instructors for classes which are part of their regular required duties. For repeat presentations, the instructor will receive no credit unless it can be demonstrated that the subject matter involved was changed to require additional study or research. Verification may include materials handed out to students, samples of concepts covered, examples of AV support used, etc. Verification that the class or workshop was held is necessary. Presentations and Teaching1 hour6 points V. Publications Verification for publications include a print copy of the published piece with demonstration of when and in what publication it was published. If the participant wished to claim points for a type of publication not identified here, (s)he is encouraged to discuss verification needs with the Review Board prior to formal submission. A. Research Articles Points may be claimed for an information, library, or media-related article that is published in a recognized information, library, or media publication. Credit may be claimed for the first publication of the article, regardless of the format of the first or latter publications. B. Book Reviews Credit may be claimed for a review of 500 or more words which is published in a recognized serial publication. Credit may be claimed only for the first publication of the review, regardless of the format of the first or later publications. PublicationsSingle author 1 article Senior Author 1 article Co-author 1 article Book review (500+ words)10 points 8 points 5 points 1 point VI. Participation or Membership in Library Association Activities Credit may be claimed for holding elected association office, for serving as committee chair, or as a delegate to a regional or national activity. To qualify for the contact hours for the offices held, the individual should verify the position held, specify the nature of the benefit received, and identify the type of learning gained. Credit may be granted for membership within a library association upon verification of membership. Participation in Library Association Activities (points for one year of service/membership)Officer/Director/President Journal editor Committee chair National/Regional delegate Committee member Member of Library Association8 points 8 points 6 points 4 points 4 points 2 points VII. Competency statements Competency statements allow the participant to claim points for learning gained through experience beyond the participant's required job parameters. They may also be used to justify a claim that learning is library related when it is not readily apparent to the Review Board. Further detail is available in Appendix H. Limitations on what applies in this area are defined by the Review Board. Points are awarded on an individual basis and are determined by evaluations of the participant's written competency statements or by point guidelines in Appendix G. All claims must be fully verified, including the claim that a work assignment is beyond routine job parameters for the participant. The chart below shows the minimum or maximum number of points which a participant must accumulate for each level and how those points are spread. The participant receives only the certificate for which (s)he applies. LEVEL 1 - 200 points minimum. Of these: No more than 155 points may be earned from anyone of the Sources of Expertise: Education, Experience or Other. 50 points minimum must be earned within 5 years of the awarding of the certificate. 120 points minimum must be demonstratablydemonstrably l library related. Library Service Area Specialization Selected: The 120 library-related points must be spread as follows: * 72 points minimum earned in the selected Library Service Areaarea of specialization. * 30 points minimum earned which are spread among the three remaining service areas and the general area. Of these, 6 points minimum must be shown in each of the remaining library service areas. General Library ServiceNo Library Service Area Specialization Selected: The 120 library-related points must include 6 points minimum in each of the four library service areas. LEVEL 2 - 350 points minimum. Of these: No more than 262 points may be earned from any one of the Sources of Expertise: Education, Experience or Other. 88 points minimum must be earned within 5 years of the awarding of the certificate. 210 points minimum must be demonstratablyably library related. Library Service Area Specialization Selected: The 210 library-related points must be spread as follows: * 126 points minimum earned in the selected area of specialization. * 53 points minimum earned which are spread among the three remaining service areas and the general area. Of these, 10 points minimum must be shown in each of the remaining library service areas. General Library ServiceNo Library Service Area Specialization Selected: The 210 library-related points must include 10 points minimum in each of the four library service areas. LEVEL 3 - 500 points minimum. Of these: No more than 375 points may be earned from anyone of the Sources of Expertise: Education, Experience or Other. 126 points minimum must be earned within 5 years of the awarding of the certificate. 300 points minimum must be demonstrably library related. Library Service Area Specialization Selected: The 300 library-related points must be spread as follows: * 180 points minimum earned in the selected area of specialization. * 75 points minimum earned which are spread among the three remaining service areas and the general area. Of these, 15 points minimum must be shown in each of the remaining library service areas. General Library ServiceNo Library Service Area Specialization Selected: The 300 library-related points must include 15 points minimum in each of the four library service areas. SUBMITTING CLAIMS FOR POINTS The program is designed to identify the achievements of participants. This is reached by assigning point values to the various activities in the background of the participant. One aspect of the program is to identify achievements within the service areas of the library. All library-related points should be assigned to a library service area. (See Primary requirements) or the general area. The participant must clearly identify how many points are requested for each library service area. The identification must occur on the Claims for Points Submission Form (Form B) and on the supporting documentation itself. Only one type of activity with one type of verification may be submitted with one submission form (Form B). Use a separate Form B for each type of activity and its verification. To identify the points in the supporting documentation, the participants may use abbreviations shown below: Public Services (PS) Technical Services (TS) Automation (AT) Administration/Management (AM) Other (O) General (GN) Not Library Related (NL) The number of points requested for each form submitted should equal the total number of points for all areas. When returning the submission form (Form B), the Review Board will indicate the number of points for each area and for the total granted. The Review Board will include comments for the participant's consideration if there is a disagreement between the claims of the participant and the decision of the Review Board. In any case, the only documentation returned to the participant is the submission form (Form B) which will include any comments from the Review Board.. The participant is strongly encouraged to submit as much from her/his background as possible. Once the participant receives a certificate, any upgrade in the level must use newly earned points. The initial certificate has no limitations on how far into her/his background a participant may go to claim points. An upgrade of the certificate must be done with points earned following the issuance of the participant's latest certificate. The Review Board does not issue a certificate until the participant requests that, with all requirements of the program met, a certificate be issued. If a participant estimates that they have more than the necessary points for a level, they are encouraged to apply for the next higher level and work towards that goal. UPGRADES To upgrade a certificate from one level to the next, the participant must earn the difference in points between the two. The points must have been earned since the issuance of the first certificate. For each level, no more than 75% of the total points may come from one Source of Expertise. At least half of the points earned in either Education or Other must be demonstrably library related. All of the points for Experience must be library related. A minimum of 5% of the library related points must be earned in each of the four library service areas to show some breath of knowledge. At least 41% of the library related points must have been earned within the last five years immediately preceding the awarding of the certificate. The participant may demonstrate specialization in a library service area. (S)he must met the following requirements in addition to those given above. Of the required number of library related points, no less than 60% and no more than 75% may be from the area of specialty. At least 25% must be earned among the remaining library service areas and the general area, with at least 5% in each service area. All claims for points must be verified to the satisfaction of the Review Board, who may request more verification or disallow the participant's claims. In either case, the submission form (Form B) is returned to the participant. The participant is encouraged to keep photocopies of all documents and forms submitted to the Review Board. REQUIREMENTS FOR COMPETENCY STATEMENTS Competency statements allow the participant to claim points for learning gained through experience beyond the participant's required job parameters. They may also be used to justify a claim that learning is library related when it is not readily apparent to the Review Board. The participant must be able to verify the learning experience through documentation that can be gathered from various sources. Documentation may include the following: job descriptions, awards, letters of commendation, letters of corroboration from supervisors, samples of work produced, explanation of tasks performed, licenses, and newspaper or magazine clippings. The participant should remember that these are not all-inclusive and other documents which can verify the learning experience may be used. The Review Board will consider each statement on an individual basis. The number of points given will be based upon the written statement of the participant or on conversion guidelines for points (Appendix G). A competency statement includes the following: * Participant's name, address, library, library address * Library service area(s) to which the activity applies * Narrative * Verification The participant is not required to specify the number of points he/she wishes for a particular activity. However, the participant can specify and request that an activity be awarded a certain number of points. If points are specifically requested, the Review Board may award the final number of points to an activity up to, but not beyond, the number of points requested. The Review Board will view a request for points as only a recommendation but will not award more points than the number requested. The participant is not required to specify a requested number of points. The narrative states how the learning experience benefits the participant in librarianship. Why this statement fulfills the indicated library service area(s) must be explained. Competency statements must be typed, double-spaced on a single side of paper. White or buff paper is acceptable. Each sheet of submission must include the participant's name, address, and phone, preferably placed at the head. REVIEW BOARD The Review Board consists of sevensix voting members, each serving a two-year term: * Chair of the Review Board * A representative from Library Paraprofessional and Support Staff round table (LPSS), but not the chair * A representative from the ULA Continuing Education Committee * A representative from each of the library service areas (Two of whom must possess an MLIS): * Public Services * Technical Services * Automation * Administration/Management In addition to voting members, two non-voting members will sit on the Review Board. * Aa seventh but non-voting secretary, serving a one-year term, will assist the Review Board in completing their duties, keeping records of participants' progress, and coordinating activities of the Review Board. * A non-voting representative of the Library Education Community will serve a two year term. The secretary will be appointed by the Board chair with Board approval. Terms for the representative from LPSS, Public Services, and Automation, and the Chair of the Review Board begin in oddeven-numbered years. Representatives from Continuing Education, Technical Services, and Administration/Management and the representative from the Library Education Community begin their terms in evenodd-numbered years. AllVoting members of the Review Board are appointed by the ULA President and approved by the ULA Board. The secretary will be appointed by the Board chair. The Review Board will meets as needed, but at least semi-annually, to review submissions. The chair is a non-voting member of the ULA Board of Directors. Annually, the a chair will submit a report to the ULA President and request replacement for the Review Board members whose terms have ended. be selected by the Board members from the voting members of the Board. The Review Board may review the certificate of Achievement Program and, with support from LPSS, make recommendations to the ULA Board of Directors for amendments or revisions. The Chair of the Review Board will be a non-voting member of the ULA Board of Directors. The chair of the Review Board must submit an annual report to the ULA President. AMENDMENTS The Review Board may review the certificate of Achievement Program and, with support from LPSS, make recommendations to the ULA Board of Directors for amendments or revisions. Following approval of both of these groups, the recommendation for change is brought before the ULA Board of Directors by the Review Board. The ULA Board of Directors must approve any amendment or revision prior to its implementation. ISSUANCE & UPGRADE OF A CERTIFICATE Upon submission of the necessary forms, the Review Board will meet and approve or reject the statements, forms, and/or documents. When approval is given, the Review Board will affix a seal on the submission form and return it to the participant. It is the responsibility of the participant to retain all forms returned. Once requirements are met, a certificate, signed by the President of the Utah Library Association, is presented to the participant at the Annual ULA Conference or a Fall Workshop. Full notification of all certificates awarded will be made in the annual ULA Program. ISSUANCE Upon submission of the necessary forms, the Review Board will meet and approve or reject the statements, forms, and/or documents. When approval is given, the Board will affix a seal on the submission form and return it to the participant. It is the responsibility of the participant to retain all forms returned. Once the necessary requirements have been met for the participant's achievement level, (s)he requests that the Review Board issue a certificate. If the Board agrees that the requirements have been met, the participant is issued a certificate signed by the current President of the Utah Library Association. Certificates are awarded to the participant by the President of ULA, or President-Elect, at the ULA annual conference or regional conference. Recipients will be listed in the ULA awards booklet. UPGRADE To earn a certificate of a higher level, the participant must register for the new level certificate and pay the full registration fee. The participant uses points earned since receipt of her/his latest certificate to demonstrate an increase in knowledge and skills appropriate to both the Level and any Library Service Area specialty chosen. Points earned and criteria met previously will be applied toward the higher level. The participant needs to earn the point differences between the lower and higher level PROCEDURE POR APPEALS A certificate of Achievement Program candidate who does not agree with a decision of the Review Board may appeal the decision by writing a letter to the Review Board within 30 working days of the decision. The candidate may appear before the Review Board at the next regularly scheduled Review Board meeting to state a position. The Review Board will review its decision and the position statement and give the candidate a final decision. If the candidate is not satisfied with the Review Board's decision, they may write a letter to the Executive Committee of the Utah Library Association (ULA) within 30 working days of the Review Board's final decision and appear at the next regularly scheduled meeting of the ULA Board of Directors to state a position. A member of the Review Board may present an opposing view at the same meeting, with the ULA Board of Directors deciding the matter. FORM A - REGISTRATION FORM Please register me in the Ccertificate of Achievement Program for Library Paraprofessionals. My fee is enclosed. Please print legibly in ink or type and fi1ll out completely: Name: ________________________________________________________________________ Title: _________________________________________________________________________ Institution: ____________________________________________________________________ Business Address: ______________________________________________________________ Business city: _______________________ Business state: ______ Business Zip:___________ Business Phone: _____________________________ Extension: _________________________ E-Mail Address: _______________________________________________________________ Mailing Address: _______________________________________________________________ City: ______________________________ State: _____________ Zip:___________________ Home Phone: _______________________________ Extension: _________________________ __________ Please send me a copy of the certificate of Achievement Program packet. ===================================================================== __________ I am a member of ULA. I have enclosed my $2015.00 registration fee. __________ I am not a member of ULA. I have enclosed my $4525.00 registration fee. Please register me for the certificate at: (check 1) __________ Level 1 __________ Level 2 __________ Level 3 I choose to specialize in a Library Service Area: __________ Public Sservices __________ Technical Services __________ Automation __________ Administration/Management __________ GeneralI do not wish to specialize. __________ Create my own ====================================================================Mail form and check or money-order to: Utah Library Association Certificate of Achievement Program 2150 South 300 West, Suite 16 Salt Lake City, Utah 84115PO Box 970488 Orem, UT 84097-0488 FORM B - CLAIM FOR POINTS SUBMISSION FORM Please photocopy this form as needed. A separate submission is required for each type of activity with one type of verification. Name: ________________________________________________________________________ Mailing Address: _______________________________________________________________ City: __________________________________ State: ______________ Zip: _______________ Daytime Phone: ________________________________ Extension: _______________________ E-Mail Address: ________________________________________________________________ ===================================================================== Source: ____________ Experience ____________ Education __________ OtherProfessional Development Type of Activity: _______________________________________________________________Type of Verification attached: _____________________________________________________ __Library Service Areas Indicate number of points requested for each area. Justification of the number for each area must be clearly indicated in the supporting documentation. __________ Automation (AT) __________ Public Services (PS) __________ Technical Services (TS) __________ OtherGeneral (O) Area (GN) __________ Administration/Mgmt (A/M) __________ Not Library Related (NL) __________ Total Points requested Explanation: ****************************************************************************** Approved: __________ No __________ Yes POINTS GRANTED:__________ By: __________________________________________ Date: ___________________________ PAGE 1 ajz`}~1245pŴ璣pppppp_!HhsFCJOJQJ^JaJ!CJOJQJ^JaJcHdhsF!HhsFCJOJQJ^JaJ!HhsFCJOJQJ^JaJ!CJOJQJ^JaJcHdhsF!HhrsCJOJQJ^JaJ!HhsFCJOJQJ^JaJ!CJOJQJ^JaJcHdhsFCJOJQJ^JaJ5CJOJQJ\^JaJNa 4BCDEFZ[\ X $ X a$$ X a$$a$$ <a$KY5l7c$ X a$H X C$EƀsF X    346]_adxLX % 0 B 㟰㟰㟰ra!HhsFCJOJQJ^JaJ!CJOJQJ^JaJcHdhsF6CJOJQJ]^JaJ5CJOJQJ\^JaJ!HhsFCJOJQJ^JaJ!CJOJQJ^JaJcHdhsF!HhdsfCJOJQJ^JaJ!HhsFCJOJQJ^JaJCJOJQJ^JaJ!CJOJQJ^JaJcHdhsF"cyz) DC$Eƀr$a$B r   W  PҾҦҦ}l[J[9!CJOJQJ^JaJcHdhr!HhsFCJOJQJ^JaJ!HhrCJOJQJ^JaJ!CJOJQJ^JaJcHdhesf!HhrCJOJQJ^JaJ.HhrCJOJQJ^JaJcHdhsF.HhrCJOJQJ^JaJcHdhsF'5CJOJQJ\^JaJcHdhsF!CJOJQJ^JaJcHdhsFCJOJQJ^JaJ!CJOJQJ^JaJcHdhsF  P]^STlm!"?@$a$`HC$Eƀr`P^CPTl Dvx!"@ڮmYH=/=5CJOJQJ\^JaJCJOJQJ^JaJ!CJOJQJ^JaJcHdhsF'5CJOJQJ\^JaJcHdhsF.HhrCJOJQJ^JaJcHdhesF.HhrCJOJQJ^JaJcHdhesF!CJOJQJ^JaJcHdhesF'5CJOJQJ\^JaJcHdhesF.HhrCJOJQJ^JaJcHdhsF!CJOJQJ^JaJcHdhsF'5CJOJQJ\^JaJcHdhsF@23hG$C$Eƀra$G$C$Eƀra$$a$ 12Kfgmn̟}l}`Y}YQ`HHhr0JjU HhrjHhrU!HhesfCJOJQJ^JaJ!HhrCJOJQJ^JaJ!CJOJQJ^JaJcHdhr!CJOJQJ^JaJcHdhr!CJOJQJ^JaJcHdhsFCJOJQJ^JaJ!HhrCJOJQJ^JaJ!HhrCJOJQJ^JaJ!CJOJQJ^JaJcHdhrKLZ$a$HC$Eƀr``2F㺯n`O>25CJOJQJ^JaJ!CJOJQJ^JaJcHdhr!HhrCJOJQJ^JaJ5CJOJQJ\^JaJ.HhrCJOJQJ^JaJcHdhsF.HhrCJOJQJ^JaJcHdhsF!CJOJQJ^JaJcHdhsFCJOJQJ^JaJ!CJOJQJ^JaJcHdhr.HhrCJOJQJ^JaJcHdhsF!HhrCJOJQJ^JaJjHhrUZCD E\ysmmmm`DC$EƀsFDC$EƀsF CUersGHmn&234MR2ҟҎҎ}}l}l}}[!HhrCJOJQJ^JaJ!HhrCJOJQJ^JaJ!CJOJQJ^JaJcHdhr!CJOJQJ^JaJcHdhfsf!HhasCJOJQJ^JaJ!CJOJQJ^JaJcHdhr!HhrCJOJQJ^JaJCJOJQJ^JaJ!HhsFCJOJQJ^JaJ!HhsFCJOJQJ^JaJ# 34YzMRSmHC$Eƀr``m389Bka_  `DC$EƀrHC$Eƀr`` 2389@ABe {!|!!!!!!!!!!_#`#± ~m~\K:!CJOJQJ^JaJcHdhr!Hh)sFCJOJQJ^JaJ!HhsFCJOJQJ^JaJ!HhgsfCJOJQJ^JaJ!HhsFCJOJQJ^JaJ!HhsFCJOJQJ^JaJ!HhsFCJOJQJ^JaJ!CJOJQJ^JaJcHdh sF!CJOJQJ^JaJcHdhsF!HhrCJOJQJ^JaJ!CJOJQJ^JaJcHdhrCJOJQJ^JaJBeV W {!|!$$^`DC$Eƀr |!}!!b""_#`#y#z#$$(')'@'A'(()) $ $L^`LF$C$EƀsF`#m#y###$$)'6'A'((())))))k)l)m))))G*Ұ땁m\K\K\K!CJOJQJ^JaJcHdhwsf!HhwsfCJOJQJ^JaJ'HhsF5CJOJQJ\^JaJ'5CJOJQJ\^JaJcHdhsF4Hhr5CJOJQJ\^JaJcHdhsF!HhhsfCJOJQJ^JaJ!CJOJQJ^JaJcHdhisfCJOJQJ^JaJ5CJOJQJ\^JaJ'Hhr5CJOJQJ\^JaJ)E*F*G*i*u*v**+hhH & FC$Eƀ/sFG$C$Eƀ!sFa$$a$G*b*h*i*t*v*****++--....////00000q6r688ݵqfUNUN cHdh!sF!CJOJQJ^JaJcHdh!sFCJOJQJ^JaJ'HhsF5CJOJQJ\^JaJ'5CJOJQJ\^JaJcHdh/sF Hhksf Hhbs Hhjsf Hh/sF'Hh!sF5CJOJQJ\^JaJ'5CJOJQJ\^JaJcHdhr5CJOJQJ\^JaJ'5CJOJQJ\^JaJcHdhr+[+++2,ooH & FC$Eƀ/sFH & FC$Eƀ/sF2,c,o,,,o''H & FC$Eƀ/sFH & FC$Eƀ/sFH & FC$Eƀ/sF, -6-@-h--.H.a.../Z/ooH & FC$Eƀ/sFH & FC$Eƀ/sF Z//0X00oooH & FC$Eƀ/sFH & FC$Eƀ/sF00000t,'$a$G$C$Eƀra$DC$Eƀ!sFF$EƀsFa$0000Q243e440616J6S6]6g6q6$If`q6r6v66677888888wuuuuuuoooo$If ^`~$$IflF $`  ` 06    4 la 888888899:<<6<=<F<{yyyyyyy~$$IflF $x x x 06    4 la$If8F<G<??4C5CFFGFHFIJJ KKK.K\KKKLLLcMMMMvN|NNNPPMPtY4Hhr6CJOJQJ]^JaJcHdh!sF4Hhr6CJOJQJ]^JaJcHdh!sF.HhrCJOJQJ^JaJcHdh!sF'6CJOJQJ]^JaJcHdh!sF.HhrCJOJQJ^JaJcHdh!sF'5CJOJQJ\^JaJcHdh!sF cHdh!sF!CJOJQJ^JaJcHdh!sF"F<G<H<I<i<j<->.>>>? 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