Student Funding Review

Fields marked with an asterisk (*) are required.

• Name of Person Completing this Form *

  First Last
• Phone Number of Person Completing this Form *

  - Area Code - Prefix Line Number
• Email Address of Person Completing this form *

• Reason for Payment

  Attributes of Financial Aid Awards:
  Scholarships or grants. Primary purpose is to assist with costs incurred during student's pursuit of their degree, training, or research. IU does not provide direct oversight in the study or research; however, faculty may provide guidance to the student. Not associated with past, present, or future services (no employer/employee relationship). Typically paid in advance. REUs (Research Experience for Undergraduates). Federal aid recipients may be limited.
  
  Attributes of Prizes:
  Contests or drawings. Cash, cash equivalent (e.g. gift card, Crimson Card deposit) or non-cash item must have value reported.
  
  Attributes of Travel:
  When the student primarily benefits, funds provided are scholarship/fellowship regardless of intent and must be accounted for. Federal aid recipients may be limited. IU Business: if the student is representing IU, always use Chrome River.
  
  Attributes of Compensation:
  For teaching, research, peer counseling, etc--supports IU's mission. IU has direction or supervision over the individual. The individual has a defined workweek and/or schedule. Receipt of the funding is contingent on performance of services.

• Payment Type*

  Financial Aid Award Prize Travel/Conference/Registration Compensation for Services
• Is your dean aware of this payment? *
  Yes No
• Was this prize open to only current IU students?*

  Yes No

• Alert!

  Prizes open to the public or recent IU graduates should be paid via check request in Buy-IU. Please contact Accounting Services with questions.

• Alert!

  Compensation must be paid via payroll. Please contact HR for assistance.

• Please provide the following information regarding these funds

  Please monitor the email address provided for follow-up from the Scholarships Coordinator. In the meantime, you may email Jamie Mosby at jamhoke@ius.edu with any questions.

• Term to which the award(s) is to be applied *
  Fall-Spring Fall Only Spring Only Summer
• Account Number Funding the award(s) *
• Description/reason for the award(s) *

• Please upload an Excel Spreadsheet with the following information:
  Student Name
  Student ID Number
  Dollar Amount to be Awarded

• Upload a File *
  Attach Files

• Faculty Sponsoring Travel/Conference Information

• Faculty Sponsor Name *

  First Last
• Faculty Sponsor Phone Number *

  - Area Code - Prefix Line Number
• Faculty Sponsor Building *
  HB - Hausfeldt CC - Children's Center AK - Activities LF - Life Sciences PS - Physical Sciences CV - Crestview Hall LB - Library HH - Hillside Hall US - Univ. Center South UC - Univ. Center North KV - Knobview Hall OG - Paul W. Ogle Center SV - Service Building GL - Grove Lodge OL - Orchard Lodge FL - Forest Lodge ML - Meadow Lodge WL - Woodland Lodge
• Faculty Sponsor Room Number *
• Faculty Sponsor Email Address *
• Account Number Funding the award(s) *

• Student Traveler/Attendee Information

• Student 1 Full Name *

  First Middle Last
• Student 1 ID# *
• Add another student

  Yes, add another
• Student 2 Full Name *

  First Middle Last
• Student 2 ID# *
• Add another student

  Yes, add another
• Student 3 Full Name *

  First Middle Last
• Student 3 ID# *
• Add another student

  Yes, add another
• Student 4 Full Name *

  First Middle Last
• Student 4 ID# *
• Add another student

  Yes, add another
• Student 5 Full Name *

  First Middle Last
• Student 5 ID# *
• Add more students

  Yes, add more students
• Additional Students * Include FULL NAME and STUDENT ID NUMBER for each recipient

  Include FULL NAME and STUDENT ID NUMBER for each recipient

• Purpose of Travel/Conference

• Select the Purpose of Travel *
  Presenting a paper (research paper, poster session, research project) at a conference Competition (engineering project, Model UN, theatrical) at an association conference Performance (defend/debate, theatrical) at a conference Displaying or exhibiting a creative/artistic work which is unique (art) Other Purpose (explain below)
• Other Purpose - Please explain *
• Did the student have to submit a proposal or abstract to be selected or invited to present their work?*

  Yes No
• Are all of the students presenting or displaying work?*

  Yes No
• Please Explain *
• Is the activity away from campus?*

  Yes No
• Is the activity academic in nature?*

  Yes No
• Is this activity part of a course requirement?*

  Yes No

• Travel/Conference Details

• Name of Conference/Event/Activity *

• Location of Conference/Event/Activity

• City *
• State / Province / Region *
• Start Date of Conference/Event/Activity *

  / MM / DD YYYY
• End Date of Conference/Event/Activity *

  / MM / DD YYYY
• Actual Travel Dates *

• Travel Expenses

• Please show the total cost for all student travelers

  Mileage ($0.5550 per mile for the first 500 miles; $0.2775 per mile for 501-3000 miles)

• Total Miles Traveled (includes Student Travels) *If not reimbursing for mileage, please enter "0.00"

  If not reimbursing for mileage, please enter "0.00"

• Mileage Cost (Automatically Calculated) *

  $ . Dollars Cents
• Hotel Cost *

  $ . Dollars Cents

  If 0, please enter 0.00

• Registration/Entry Cost *

  $ . Dollars Cents

  If 0, please enter 0.00

• Other/Additional Cost (ex. airfare, tolls, etc.) *

  $ . Dollars Cents

  If 0, please enter 0.00

• Additional details
• Total Cost Number (Automatically Calculated)
• Total Cost (Automatically Calculated)
• List other funding sources and amounts funded

• Supporting Documentation

  Please upload any supporting documentation (i.e. conference information, program submission, registration information, etc.)

• Upload any Supporting Documentation (You may upload up to 5 files)
  Attach Files

• Funds for Student Travel are provided by the Dean of Research and the Student Life Committee (paid for by the Student Activity Fee).
  
  The Office of the Dean of Research can award up to $400 per student.
  
  The Student Life Committee can award up to $200 per student per academic year and award groups up to $1,000 per academic year.

• Are you requesting funds from the Dean of Research and/or the Student Life Committee?
  Yes No

• Admin Section

• Dean of Research

  $ . Dollars Cents
• Student Affairs

  $ . Dollars Cents
• Other

  $ . Dollars Cents
• Financial Aid Reviewed

  Yes No
• Travel Confirmation

  Yes, travel has been confirmed
• FA notes, if any