Pharmacy Worksheets by akq60387

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									                                      FINANCIAL SUMMARY FOR STANDARD 30 OF SELF-STUDY

                                                      Name of College or School of Pharmacy:

                                                         SECTION I: INCOME AND REVENUE
                                        Please note that this spreadsheet has four sections on five work

                                                      LAST YEAR
                     Source              Intramural               Extramural
Sales and Services
Tuition
Endowment Return
Gifts
Overhead Return
State Budget Allocation/Subsidy
University Allocation
Grants, Contracts, Special Projects
Other (Please describe):
Other (Please describe):
Other (Please describe):
Total Income and Revenue                               $0                      $0

Note: Blue cells contain a formula
R STANDARD 30 OF SELF-STUDY REPORT

lege or School of Pharmacy:

: INCOME AND REVENUE
dsheet has four sections on five worksheets

                       CURRENT YEAR                              NEXT YEAR
               Intramural         Extramural        Intramural               Extramural




                           $0                  $0                  $0                     $0
                                                                            FINANCIAL SUMMARY FOR STANDARD 3

                                                                                             Name of College or School

                                                                                                         SECTION II: EXPENDI
                                                                                 Please note that this spreadsheet has four s

A. SALARY AND FTEs (Please round salaries to the nearest dollar)
Do not include fringe benefits

                                                             LAST YEAR
                                                Source of Funds                                                      Source of F
                                                                                          Total
                                        Intramural            Extramural                                      Intramural
                                     Amount         FTEs   Amount         FTEs     Amount         FTEs     Amount
Faculty                                                                                $0
Professional Non-Faculty                                                               $0
Support Staff                                                                          $0
Teaching Assistants                            N=                    N=                $0   N=
Research Assistants                            N=                    N=                $0   N=
Fellows/Residents                              N=                    N=                $0   N=
Student Hourly Employees                       N=                    N=                $0   N=
Subtotal (Salary Expenditures)            $0                    $0                     $0                       $0

  Fringe benefits as a percentage of salary:                         %
(The percentage used for forecasting fringe expenditures. This will be an approximation.)

Note: Blue cells contain a formula
RY FOR STANDARD 30 OF SELF-STUDY REPORT

of College or School of Pharmacy:

SECTION II: EXPENDITURES
 spreadsheet has four sections on five worksheets




                        CURRENT YEAR                                                     NEXT YEAR
             Source of Funds                                                Source of Funds
                                                Total                                                           Total
     Intramural         Extramural                                  Intramural           Extramural
               FTEs   Amount         FTEs   Amount        FTEs   Amount         FTEs   Amount        FTEs   Amount
                                                $0                                                              $0
                                                $0                                                              $0
                                                $0                                                              $0
          N=                    N=              $0   N=                    N=                   N=              $0
          N=                    N=              $0   N=                    N=                   N=              $0
          N=                    N=              $0   N=                    N=                   N=              $0
          N=                    N=              $0   N=                    N=                   N=              $0
                           $0                   $0                    $0                   $0                   $0
Total

        FTEs




  N=
  N=
  N=
  N=
                                                   FINANCIAL SUMMARY FOR STANDARD 30 OF SELF-STU

                                                                  Name of College or School of Pharmacy:

                                                                    SECTION II: EXPENDITURES continued
                                                      Please note that this spreadsheet has four sections on five w

B: NON-SALARY (Please round entries to the nearest dollar)


                                                                  LAST YEAR
                                                       Source of Funds
                                                                                 Total
                                                  Intramural     Extramural
           Experiential Site Payments                                                    $0
                        Renovations                                                      $0
        Capital         Equipment                                                        $0
                        Other                                                            $0
                        Travel                                                           $0
                       Materials/Supplies/
                       Services/Non-Capitalized
     Operations        Equipment                                                         $0
                       Telecommunications and
                       Postage                                                           $0
                       Student Scholarships                                              $0
                       Other                                                             $0
Fringe Benefits                                                                          $0
Subtotal (Non-Salary Expenditures)                         $0             $0             $0
Total Expenditures                                         $0             $0             $0

Note: Blue cells contain a formula
OR STANDARD 30 OF SELF-STUDY REPORT

llege or School of Pharmacy:

: EXPENDITURES continued
adsheet has four sections on five worksheets




                          CURRENT YEAR                                 NEXT YEAR
                  Source of Funds                            Source of Funds
                                           Total                                     Total
             Intramural     Extramural                  Intramural     Extramural
                                                   $0                                        $0
                                                   $0                                        $0
                                                   $0                                        $0
                                                   $0                                        $0
                                                   $0                                        $0



                                                   $0                                        $0

                                                   $0                                        $0
                                                   $0                                        $0
                                                   $0                                        $0
                                                   $0                                        $0
                      $0            $0             $0            $0             $0           $0
                      $0            $0             $0            $0             $0           $0
                             FINANCIAL SUMMARY FOR STANDARD 30 OF SELF-STUDY REPORT

                                              Name of College or School of Pharmacy:

                 SECTION III: EXPENDITURES OF EXTRAMURAL FUNDS FOR RESEARCH AND TRAININ
                              This section collects additional information on funds already reported in Section II
                                 Please note that this spreadsheet has four sections on five worksheets

                                                              LAST YEAR
                   Source of Funds                          Amount Expended
                                     NIH
                       Federal
                                     Other
   Grants and
                  State
    Contracts
                  Corporate/Industry
                  Foundations/Non-Profits
Other
Total Expenditures of Extramural Income for
Research and Training                                                             $0

Note: Blue cells contain a formula
DARD 30 OF SELF-STUDY REPORT

chool of Pharmacy:

AL FUNDS FOR RESEARCH AND TRAINING
n on funds already reported in Section II
s four sections on five worksheets

                   CURRENT YEAR               NEXT YEAR
                  Amount Expended           Amount Expended




                                       $0                     $0
                                          FINANCIAL SUMMARY FOR STANDARD 30 OF SELF-STUDY REPOR

                                                          Name of College or School of Pharmacy:

                                                    SECTION IV: ADVANCED EXPERIENTIAL SITE SUPPORT
                                           This section collects additional information on funds already reported in Section I
                                             Please note that this spreadsheet has four sections on five worksheets


                                         Category

Total Payments to Stipend-Supported Practitioners (Preceptors)

Total Payments to Experiential Sites Based on Per Student Per Rotation Payments

For the Experiential Sites that You do Provide Payment to, Please Indicate:

• Average Payment Per Student Per Rotation

• Greatest Payment Per Student Per Rotation

• Lowest Payment Per Student Per Rotation
TANDARD 30 OF SELF-STUDY REPORT

e or School of Pharmacy:

D EXPERIENTIAL SITE SUPPORT
mation on funds already reported in Section II
eet has four sections on five worksheets

                   LAST YEAR              CURRENT YEAR   NEXT YEAR
                    Amount                   Amount       Amount

								
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