Rev 06/16
Louisiana State University
Office of Accounting Services
Financial Accounting & Reporting
204 Thomas Boyd Hall
REQUEST TO ESTABLISH ENDOWED SCHOLARSHIP AS509
(Excluding LSU Foundation)
Note: Documentation of scholarship criteria and other donor restrictions must be attached to this form.
Approved by
_________________________________ _________________________________ ____________________
Department Head Printed Name Date
_________________________________ _________________________________ ____________________
Dean Printed Name Date
Routing Cash Awards processed through SAE: Dept Dean Financial Accounting & Reporting Student Aid
Bursar Operations
Routing Fee Exemptions: Dept Dean Financial Accounting & Reporting Records & Registration Bursar
Operations Student Aid
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FOR ACCOUNTING SERVICES USE ONLY
Legacy Account # (Acct Svcs) ______________________________ Workday ID ______________________
TRX Code (OBO) ___________________________________
Name of Scholarship
Cost Center Hierarchy
Cost Center
Student Classification
Major
Required GPA
Number of Semesters/Years
Student can receive Scholarship
Full-time status
required?
Yes No
Awarded
Fall Spring Summer Full Year
Other Requirements
Print Form