ILLINOIS STATE UNIVERSITY
Comptroller's Office Datatel Account Usage for Scholarships - Report Form
QUESTIONNAIRE FORM
1. What will the individual(s) be doing while on campus? 2. Are they attending a class or is it a workshop sponsored by ISU? 3. Are they in a degree program? 4. Are they rendering services for ISU or are they required to render services in the future? 5. If so, is the service a condition of the payment? 6. If so, is the payment for these services? If yes to questions 4-6, contact HR and set up as an employee. 7. Are they required to work a certain number of hours? If yes, this may be employment. Contact Brenda Banwart 438-3106. 8. Are they required to do any research? If yes, are they working on their own research or a professor's? 9. Are they are doing an activity designed to further their education or are they functioning as an aide to a professor? 10. Are they enrolled in classes for the term of the payment? Will their tuition be covered? 11. Is this an extension of a previous class or mentorship? 12. Are they being paid in one lump sum or a weekly amount? Student scholarships will be given in one lump sum to Student Accounts to be applied to the student's billing. 13. Who benefits and/or is the owner of the data or discoveries found through any of the individual's research? 14. Who is funding the payment? What is the name of the scholarship? Provide a website or more information especially if this is a grant.
IF ALL INDIVIDUALS ARE STUDENTS - FILL IN FORM 1 The payment(s) will be processed by Student Accounts. IF ALL INDIVIDUALS ARE NOT STUDENTS - CONTACT BRENDA BANWART
ILLINOIS STATE UNIVERSITY
Comptroller's Office Datatel Account Usage for Scholarships - Report Form
FORM 1 Datatel General Ledger acct # (22 digits required). 00000-00-000000000-000000 Award Reporting Form - Year 20___-20___ Processed by Student Accounts
Department Name/Phone Number (required) P/I or Coordinator's Name - PRINTED (required) Fiscal Agent Name - PRINTED (required) OFFICE USE Cancel Award for Session and Award Code Award Added Amount 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Fed Grant _______ State Grant _______ FUNDING SOURCE: Istu Grant _______ General Rev _______ Agency _______ 3 copies total: Original to the Comptroller's Accounting Office (1200), 1 copy for department records, 1 copy for College Dean. Recipient is US Citizen or Resident Alien Y/N
Recipient's Last Name, First, Middle Initial 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Recipient's UID Number
For Session(s) (Must be enrolled) Fall Spring Summer $ $
Total
Cumulative Total Answer questions on Scholarship Questionnaire form. If all recipients are students, use this form and payment will be processed through Student Accounts, all others will be issued through the Comptroller's Office using form two.
Signatures indicate we have answered the Scholarship/Fellowship Questionnaire form and believe this is a scholarship payment. (attach completed questionnaire) ________________________________________
Form prepared by (required)
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Date (required)
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P/I or Coordinator's Signature (required)
_______________________
Date (required)
________________________________________ Fiscal Agent Signature (required) For Comptroller's Office Use Only: Date Received ____________________ Processed by Scholarship Resource Office ________________________________
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Date (required)
Approved by ______________________ Approval Date _________________ Approved by ______________________ Approval Date _________________ Approval Date ____________________