SAN PEDRO SULA2 Training and Events Participant Stipend Payment Form and Instructions C2 HN

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Best Practices for Receiving and Disseminating Stipend Payments

The purpose of this document is to ensure all staff understand their roles and responsibilities in receiving cash and disseminating stipend payments.

Role Responsibilities
Ensure all cash recipients receive proper training on roles and responsibilities in handling and disseminating
1 Supervisor/Operations Director cash. Trainings should cover the following:
Purpose of training, amounts to be disseminated, and how funds will be disseminated
Exact payment amounts shall be made directly to the approved participants
Cash should be kept in a safe and secure place. Cash recipients should always be aware of the location of the
cash and maintain accurate records of any transfers of cash. If feasible, cash should be kept in a locked safe
until they are distributed to participants to avoid theft.
Cash received by the project shall not be transferred to another person without receiving prior approval from
COP/DCOP
Provide Training Participant Sheet for all trainees to sign. No information on the Training Participant Sheet
shall be altered, exaggerated, or falsified
Cash recipient shall not request or accept anything of value from the attendees
Elevate any irregularities such as ineligible trainees and improper requests immediately to senior leadership
Disseminate cash to participants in a safe area. For security incidents, file police report immediately

Sign Cash Receipt Form when receiving cash, which includes confirmation that training has been received and
2 Recipient acknowledgement of an understanding of their responsibilities in handling and disseminating cash

3 Operations Project will provide names of all trainees, contact information, and amount to be disseminated to cash recipient
4 Operations Someone independent will verify the eligibility of trainees in advance of the training activity
Disseminate Trainees LOV Acknowledgement Form to trainees to ensure they understand their roles and
5 Operations responsibilities.
6 Operations Include a second person as a witness (when possible)
7 Recipient Submit signed completed and accurate Training Participation Sheet to Operations and/or Finance teams
8 Recipient Deposit remaining cash directly to project bank account and provide deposit slip to finance (if applicable)
Conduct sample independent verification to confirm recipients received their full amount within 48 hours of
event. Any irregularities in stipend distributions discovered during the independent verification process should
9 Finance be immediately reported to the COP/DCOP.
PROJECT NAME
Training Attendance Sheet

Name of Activity:Curso Taller Agricultura Sostenible Comercial y los Desafíos para la Seguridad Alimentaria La Lima
Dates of Activity: March 8 - 9, 2023

By signing the below, I certify the following:


I understand as a participant of this activity, I am entitled to receive $ 15 amount per day.
I understand that if anyone requests any portion of these funds, I will elevate this to businessconduct@chemonics.com or xx.
I received the full amount listed below.

Verification
Conducted by
Contact information (phone, in person,
Participant Full Name Stipend Rate # of days Amount Received Dates Attended Date Received (Phone Number or email) Signature Verified by (Print Name) email)

1 Adela Zelaya 15 2 $30.00 3/6- 7/2023 6-Mar-23

2 Alexis Luna 15 2 $30.00 3/6- 7/2024 7-Mar-23

3 Angel Antonio Pereira 15 2 $30.00 3/6- 7/2025 8-Mar-23

4 Armando Escobar Ortega 15 2 $30.00 3/6- 7/2026 9-Mar-23

5 Carlos Roberto Coto Chavez 15 2 $30.00 3/6- 7/2027 10-Mar-23

6 Dania Juliet Luna 15 2 $30.00 3/6- 7/2028 11-Mar-23

7 Daniel Reyes Orellana 15 2 $30.00 3/6- 7/2029 12-Mar-23

8 Edin Mauricio Garcia Lopez 15 2 $30.00 3/6- 7/2030 13-Mar-23

9 EdY Portillo 15 2 $30.00 3/6- 7/2031 14-Mar-23

I certify that I disseminated the amounts above to the above participants and the information is truthful and accurate.

Name: Title: Date:

I certify that as a witness the amounts were disseminated to above participants and the information is truthful and accurate.

Name: Title: Date:


PROJECT NAME
Training Attendance Sheet

Name of Activity:Curso Taller Agricultura Sostenible Comercial y los Desafíos para la Seguridad Alimentaria La Lima
Dates of Activity: March 6- 7, 2023

By signing the below, I certify the following:


I understand as a participant of this activity, I am entitled to receive $ 15 amount per day.
I understand that if anyone requests any portion of these funds, I will elevate this to businessconduct@chemonics.com or xx.
I received the full amount listed below.

Verification
Conducted by
Contact information (phone, in person,
Participant Full Name Stipend Rate # of days Amount Received Dates Attended Date Received (Phone Number or email) Signature Verified by (Print Name) email)

10 Elder Sebastian Rivera Alvarado 15 2 30 3/6- 7/2031 44999

11 Fredy Funez 15 2 30 3/6- 7/2032 45000

12 Gabriel Diaz Romero 15 2 30 3/6- 7/2033 45001

13 Guillermo Escobar Pereira 15 2 30 3/6- 7/2034 45002

14 Henry Alexis Perez 15 2 30 3/6- 7/2035 45003

15 Jose Antonio Rodas 15 2 30 3/6- 7/2036 45004

16 Jose Victor Garcia 15 2 30 3/6- 7/2037 45005

17 Julio Cesar Arriaga Martinez 15 2 30 3/6- 7/2038 45006

18 Luis Ayala 15 2 30 3/6- 7/2039 45007

I certify that I disseminated the amounts above to the above participants and the information is truthful and accurate.

Name: Title: Date:

I certify that as a witness the amounts were disseminated to above participants and the information is truthful and accurate.

Name: Title: Date:


PROJECT NAME
Training Attendance Sheet

Name of Activity:Curso Taller Agricultura Sostenible Comercial y los Desafíos para la Seguridad Alimentaria La Lima
Dates of Activity: March 6- 7, 2023

By signing the below, I certify the following:


I understand as a participant of this activity, I am entitled to receive $ 15 amount per day.
I understand that if anyone requests any portion of these funds, I will elevate this to businessconduct@chemonics.com or xx.
I received the full amount listed below.

Verification
Conducted by
Contact information (phone, in person,
Participant Full Name Stipend Rate # of days Amount Received Dates Attended Date Received (Phone Number or email) Signature Verified by (Print Name) email)

19 Luis Miguel Rivera Lopez 15 2 30 3/6- 7/2039 45007

20 Manuel de Jesus Bonilla Diaz 15 2 30 3/6- 7/2040 45008

21 Marco Tulio Lopez 15 2 30 3/6- 7/2041 45009

22 Marvin Vicente Reyes Caceres 15 2 30 3/6- 7/2042 45010

23 Mito Diaz 15 2 30 3/6- 7/2043 45011

24 Nelly Ondina Garcia 15 2 30 3/6- 7/2044 45012

I certify that I disseminated the amounts above to the above participants and the information is truthful and accurate.

Name: Title: Date:

I certify that as a witness the amounts were disseminated to above participants and the information is truthful and accurate.

Name: Title: Date:


PROJECT NAME
Training Attendance Sheet

Name of Activity:Curso Taller Agricultura Sostenible Comercial y los Desafíos para la Seguridad Alimentaria La Lima
Dates of Activity: March 6- 7, 2023

By signing the below, I certify the following:


I understand as a participant of this activity, I am entitled to receive $ 15 amount per day.
I understand that if anyone requests any portion of these funds, I will elevate this to businessconduct@chemonics.com or xx.
I received the full amount listed below.

Verification
Conducted by
Contact information (phone, in person,
Participant Full Name Stipend Rate # of days Amount Received Dates Attended Date Received (Phone Number or email) Signature Verified by (Print Name) email)

26 Nelson Domingo Salvador Cortes 15 2 30 3/6- 7/2044 45012

27 Nicolas Paz 15 2 30 3/6- 7/2044 45012

28 Osmin Rivera 15 2 30 3/6- 7/2044 45012

29 Pedro Antonio Rivera Rivera 15 2 30 3/6- 7/2044 45012

30 Prudencio Rodriguez 15 2 30 3/6- 7/2044 45012

31 Ramon David Aldana 15 2 30 3/6- 7/2044 45012

32 Rigo Alberto Murcia 15 2 30 3/6- 7/2044 45012

I certify that I disseminated the amounts above to the above participants and the information is truthful and accurate.

Name: Title: Date:

I certify that as a witness the amounts were disseminated to above participants and the information is truthful and accurate.

Name: Title: Date:


PROJECT NAME
Training Attendance Sheet

Name of Activity:Curso Taller Agricultura Sostenible Comercial y los Desafíos para la Seguridad Alimentaria La Lima
Dates of Activity: March 6- 7, 2023

By signing the below, I certify the following:


I understand as a participant of this activity, I am entitled to receive $ 15 amount per day.
I understand that if anyone requests any portion of these funds, I will elevate this to businessconduct@chemonics.com or xx.
I received the full amount listed below.

Verification
Conducted by
Contact information (phone, in person,
Participant Full Name Stipend Rate # of days Amount Received Dates Attended Date Received (Phone Number or email) Signature Verified by (Print Name) email)

34 Rigoberto Lopez 15 2 30 3/6- 7/2044 45012

35 Roberto Rivera Alvarado 15 2 30 3/6- 7/2045 45013

36 Roberto Rivera Ortega 15 2 30 3/6- 7/2046 45014

37 Santos Rivera 15 2 30 3/6- 7/2047 45015

38 Wilmer Andres Zuniga Santamaria 15 2 30 3/6- 7/2048 45016

39 Wilmer Cruz 15 2 30 3/6- 7/2049 45017

40 Carmen Claudina Rivas Murcia 15 2 30 3/6- 7/2050 45018

I certify that I disseminated the amounts above to the above participants and the information is truthful and accurate.

Name: Title: Date:

I certify that as a witness the amounts were disseminated to above participants and the information is truthful and accurate.

Name: Title: Date:


PROJECT NAME
Training Attendance Sheet

Name of Activity:Curso Taller Agricultura Sostenible Comercial y los Desafíos para la Seguridad Alimentaria La Lima
Dates of Activity: March 6- 7, 2023

By signing the below, I certify the following:


I understand as a participant of this activity, I am entitled to receive $ 15 amount per day.
I understand that if anyone requests any portion of these funds, I will elevate this to businessconduct@chemonics.com or xx.
I received the full amount listed below.

Verification
Conducted by
Contact information (phone, in person,
Participant Full Name Stipend Rate # of days Amount Received Dates Attended Date Received (Phone Number or email) Signature Verified by (Print Name) email)

42 Denia Joselin Garcia Henriquez 15 2 30 3/6- 7/2044 45012

43 Doris Roxana Torres Zelaya 15 2 30 3/6- 7/2045 45013

44 Elsa Marina Henrriquez Orellana 15 2 30 3/6- 7/2046 45014

45 Elvira Bonilla 15 2 30 3/6- 7/2047 45015

46 Ledy Yolibeth Paz 15 2 30 3/6- 7/2048 45016

47 Maria Angelica Rivas Murcia 15 2 30 3/6- 7/2049 45017

48 Maria Pedrina Tobias 15 2 30 3/6- 7/2050 45018

I certify that I disseminated the amounts above to the above participants and the information is truthful and accurate.

Name: Title: Date:

I certify that as a witness the amounts were disseminated to above participants and the information is truthful and accurate.

Name: Title: Date:


PROJECT NAME
Training Attendance Sheet

Name of Activity:Curso Taller Agricultura Sostenible Comercial y los Desafíos para la Seguridad Alimentaria La Lima
Dates of Activity: March 6- 7, 2023

By signing the below, I certify the following:


I understand as a participant of this activity, I am entitled to receive $ 15 amount per day.
I understand that if anyone requests any portion of these funds, I will elevate this to businessconduct@chemonics.com or xx.
I received the full amount listed below.

Verification
Conducted by
Contact information (phone, in person,
Participant Full Name Stipend Rate # of days Amount Received Dates Attended Date Received (Phone Number or email) Signature Verified by (Print Name) email)

49 Rosa Lidia Barrera Bonilla 15 2 30 3/6- 7/2044 45012

50 Sandra Elizabeth Rivas Murcia 15 2 30 3/6- 7/2045 45013

I certify that I disseminated the amounts above to the above participants and the information is truthful and accurate.

Name: Title: Date:

I certify that as a witness the amounts were disseminated to above participants and the information is truthful and accurate.

Name: Title: Date:


PROJECT NAME
Training Attendance Sheet

Name of Activity:Curso Taller Agricultura Sostenible Comercial y los Desafíos para la Seguridad Alimentaria La Lima
Dates of Activity: __________________, 2023

By signing the below, I certify the following:


I understand as a participant of this activity, I am entitled to receive $________________ amount per day.
I understand that if anyone requests any portion of these funds, I will elevate this to businessconduct@chemonics.com or xx.
I received the full amount listed below.

Verification
Conducted by
Contact information (phone, in person,
Participant Full Name Stipend Rate # of days Amount Received Dates Attended Date Received (Phone Number or email) Signature Verified by (Print Name) email)

I certify that I disseminated the amounts above to the above participants and the information is truthful and accurate.

Name: Title: Date:

I certify that as a witness the amounts were disseminated to above participants and the information is truthful and accurate.

Name: Title: Date:


Cash Receipt Form for Disseminating Stipends to Participants

Date: Amount Given:


(____________________________________________________________________) in letters

Requested by: ______________________________­­__­___________ Employee PIN:

Name: Title:

Purpose/description of expense:___________________________________________________
______________________________________________________________________________

Amount to be provided to participants:

Advance Approved by:_____________________________________________ Date:

Name: Title:

I acknowledge that I have received the amount listed above and I received training and understand that I am responsible to disseminate xx amount directly to Training Participants.
I understand that I will not request or accept any portion of this amount and will elevate to project leadership if I am offered anything.
I am responsible for presenting complete training participants sheets and/or returning cash to clear this advance within two business days.

Advance Received by: _____________________________________________ Date:

Name: Title:

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