10.5 Test v1

Click here to enter Policy # and Title

Effective Date: [Click here to enter the date the policy was first put into effect]

Revised Date: [Click here to enter the date the policy was last revised

Reviewed Date: [Click here to enter the last date the policy was reviewed without revision

Next Review Date: [Click here to enter the date the policy will next be reviewed]

Administrative Responsibility: [Click here to enter the POSITION, not name of the individual, responsible for interpreting and revising the policy]

  1. PURPOSE
    • [Click here to enter a statement describing the purpose of this policy.]
  2. SCOPE
    • [Click here to replace this text with a statement indicating the employee groups that are impacted by this policy.]
  3. DEFINITIONS
    • [Click here to enter Term and Definition or "N/A" if not applicable]
    • [Click here to enter Term and Definition or "N/A" if not applicable]
    • [Click here to enter Term and Definition or "N/A" if not applicable]
  4. POLICY
    • [Click here to enter policy]
    • [Click here to enter policy]
    • [Click here to enter policy]

‚ 

  1. PROCEDURE
    • [Click here to enter procedure guideline]
    • [Click here to enter procedure guideline]
    • [Click here to enter procedure guideline]

‚ 

  1. REFERENCES
    • [Click here to enter reference or "N/A" if not applicable]
    • [Click here to enter reference or "N/A" if not applicable]
    • [Click here to enter reference or "N/A" if not applicable]
  2. APPENDICES
    • [Click here to enter Appendix name and title or "N/A" if not applicable]
  3. PREVIOUS REVISION DATES

[Click here to enter all previous revision dates or "N/A" if not applicable]

  1. SUPERSEDES POLICY
    • [Click here to enter Policy # and title or "N/A" if not applicable]
  2. APPROVALS

Policy Committee:‚  [Click here to enter date approved.]

‚ 

‚ 

[Click here to enter name of VP approving this policy.]‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚  [Click here to enter date.]

[Click here to enter title of approver]‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚ ‚  DATE