Fillable Gateway Community College Request for $500 Travel Stipend

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Gateway Community College Request for $500 Travel Stipend

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Gateway Community College
Request for $500 Travel Stipend
Name of Employee:
Semester: / Dates:
Subject / Course No.:
Course Title:
CRN:
Location:
Miles from College:
I certify that I am teaching one or more course sections; or have one or more clinical assignments; or have
been assigned to perform administrator job functions at a location more than 10 miles from the college
and am eligible for payment of the $500 stipend authorized through collective bargaining between the
AFT, 4C's, AFSCME, CSCU and the Board of Regents.
Requested by / Date:
Signature of Employee / Date
Approved by / Date:
Signature of approving Supervisor or Dean / Date
Note: Payment should be made as a lump sum payment at the end of the semester or term.
For Payroll Use Only:
Date of paycheck in which
payment was made:
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Gateway Community College Request for $500 Travel Stipend

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Completed 2 September 2020

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