ࡱ> CFBe bjbj:: 4*Xme\Xme\X yD D 8LT&!2ppppp  X"%  pp4 Xpp  p0#@  0&!%z%%" s&!%D > :  Research - Tuition Remission/Scholarship Grant Recommendation 2017-2018 Academic Year Department: ____________________________________________________ Award Period: ____ Academic Year ____Spring Semester Only (please check) ____ Fall Semester Only ____Summer Session Grant Fund Number: __________ Organization Code: 7 _ (check one) Account Number (566R): _____(tuition remission) Or Account Number (5660) ______ (scholarship) Name of Grant/Project:____________________________________________________________ Amount of Award: ________________________________________ If based on enrollment, department must calculate maximum award. Refundable No _____ Yes ____ If pay out restrictions, detail of charges award can cover: ______________________________________________________________________________ Does the award (payment) require the payee to perform services in exchange for receiving the payment, such as teaching, research, or performance of services that benefit the University (i.e. playing in the pep band, dance performances, assisting a professor, working in a department, or keeping office hours)? ___ YES ___ _ NO If yes, please describe in detail the type of services performed. ______________________________________________ _________________________________________________________________________________________________ Check the appropriate box -- the recipient is a __ Full-time or __Part-time employee of ɫƵ or ___ not an employee? Minimum Required Hours of Enrollment: _____ Full time (undergrad= 12+ hrs; grad= 9+ hrs.) _____ time (undergrad= 9-11hrs; grad= 7-8 hrs.) _____ time (undergrad=6-8 hrs; grad= 5-6 hrs.) ______< time (undergrad= 1-5 hrs; grad= 1-4 hrs.) Student's Name: _______________________________ Banner ID: ____________________ _____________________________________ __________________________________ Authorized Signature Office of Research Administration Signature ______________________________________ _________________ _______________ Budget Officer Signature Phone Number Date ______________________________________ _________________ _______________ Department Contact Name (please print) Phone Number Date Notes: __________________________________________________________________________     PLEASE RETURN TO: Angie Zeorlin, Assistant Director for Scholarships OFFICE OF FINANCIAL AID CAMPUS BOX 24  1?@BCDGHIXYkxl`QBhG(hfCJOJQJaJhmh5CJOJQJaJhmCJOJQJaJh~Y%CJOJQJaJhG(CJOJQJaJh5CJOJQJaJh\ECJOJQJaJh{CJOJQJaJh|'SCJOJQJaJhGCJOJQJaJh5CJOJQJaJhe95CJOJQJaJh5CJOJQJaJh4(jh4h4CJUaJmHnHu@XY  q r 4 5 p ` a 2 3 $a$gdG<$gdgdG<$$a$gdG<$ $ !a$gdG<$       . 2 3 8 ? 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