Fillable Fall Spring Summer Total (California State University, East Bay)

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Fall Spring Summer Total (California State University, East Bay)

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SCHOLARSHIP RECIPIENT AUTHORIZATION
Principal Investigator:
Phone: Email:
Project Title:
Sponsor:
Fiscal Year:
PeopleSoft Chartfield:
Net ID
Peoplesoft ID
Contract
Attached
Fall Spring Summer Total
_____ Recipients meets program scholarship eligibility requirements.
_____ Recipients are current on all program requirements and is eligible to receive the requested disbursement.
_____ Additional Institutional responsibilities (see award terms and conditions for student repayment instructions)
Date
Date
Rev 07/ 2018
Instructions:
Submit this form and each student's agreement contract/letter 4 weeks before the start of the scholarship applicable
term.
4 weeks before the start of each semester, submit the Scholarship Eligibility Form to verify the students continued
involvement with the project
*Note: credential disbursements will be awarded in the Fall for both Summer and Fall terms
Account - Fund - Dept ID - Project
Award Recipient Name
Grants & Contracts Manager Signature
Principal Investigator / Project Director Signature
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Fall Spring Summer Total (California State University, East Bay)

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Completed 18 August 2020

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