
Name:
W#:
Coursetitle:
CRN#:
Semester:

Afacultymemberreceivesastipendforacompletedcontract.TheamountvariesdependingupontheHonor
Program’s(HP)budgetforthatyear.


Inordertoreceivethestipend,pleasebesureallformsforeachstudentcontracthavebeensubmitted,either
byyouorthestudent.Deadlinedatesare
onthewebsite:www.laspositascollege.edu/honors.
FORMS:
StudentcontractCompletionFormwithOnePageSummary
StudentEvaluationForm
InstructorEvaluationForm
ThisRequestforStipend
Ifyouchoosetodeclinethestipend,pleasecheckhere:
NameofStudent:
TitleoftheProject:
Instructor’sSignature: Date:
KIT|G:/DOCUMENT/WORD/HTP/FACULTYREQUESTFORSTIPEND(9/30/11)
FACULTYREQUESTFORSTIPEND
click to sign
signature
click to edit