Fillable As498 - AS498-Revised 10102017

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As498 - AS498-Revised 10102017

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Finance and Administration • Office of Accounting Services • Sponsored Program Accounting
240 Thomas Boyd Hall • Baton Rouge, LA 70803 • P 225-578-5337 • F 225-578-7217
REV 10/25/17
REQUEST TO ESTABLISH SCHOLARSHIP/FELLOWSHIP AS498
(Excluding LSU Foundation)
General Information
*For students not required to be enrolled as a condition of award or non-LSU students.
Criteria**
** Documentation of scholarship criteria and other donor restrictions must be attached.
** For sponsored agreement accounts, documentation of fellowship criteria must be maintained by the department.
** If unrestricted funds are to be used, Board of Supervisors’ approval must be attached.
Approvals
______________________________
__________ ____________________________________________ _______________________________________
Department Head (Required) Print Name Date
________________________________________ ____________________________________________ _______________________________________
Dean (Required) Print Name Date
________________________________________ ____________________________________________ _______________________________________
Graduate School Print Name Date
Routing
Graduate Fellowship: Graduate School
SPA
Student Aid
Bursar Operations
Undergraduate Fellowship: SPA
Student Aid
Bursar Operations
Scholarship – Cash Award: SPA
Student Aid
Bursar Operations
Scholarship – Tuition/Fees: SPA
Bursar Operations
Student Aid
Grant ID FDM Translation (SPA only)
Requested By Request Date
Phone # E-mail
Please check all that apply: Spend Category
TRX Code
LSU Students
TRX Code*
Non-LSU Students
Graduate Fellowship (SAE) SC0111
Undergraduate Fellowship (SAE) SC0114
Scholarship – Cash Award (SAE) SC0112
Scholarship – Tuition/Fee Exemption (ABS) SC0112
Name of Scholarship/Fellowship
Cost Center Hierarchy Cost Center
Student Classification Major
GPA
(For Original Award)
GPA
(To Retain)
Full-time required?
Yes No
Amount
Semesters Awarded
Fall
Summer
Spring
Full Year
Number of Semesters/Years Student
can receive Scholarship/Fellowship
Online Semesters Awarded
First Fall (1L)
Second Fall (1P)
First Spring (2D)
Second Spring (2L)
First Summer (3D)
Second Summer (1D)
Other Requirements
Louisiana State University
Office of Accounting Services
Sponsored Program gam Accountin
240 Thomas Boyd Hall
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As498 - AS498-Revised 10102017

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Completed 15 February 2020

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