Updated:January2018
SAINTLOUISUNIVERSITY
REQUESTFORCOLLEGEOFARTS&SCIENCES/SPONSOREDPROGRAMS
TUITIONSCHOLARSHIP
PleaseuploadtheformintoeRSandnotifytheDean’sOfficeofyourrequest.
Completedformisrequirednolaterthanoneweekpriortosubmissionofgrant
application.
ProjectDirector/PrincipalInvestigator:
Date:
Department:
CampusAddress:
Phone:
Email:
ProposedSponsor:
ProposedFundingPeriod:
ProjectTitle:
AreIndirectCostsIncluded?
Indirectscalculatedat:
Numberofassistantshipstobefundedbysponsor:
Annualstipendperstudent:
Lengthofassistantship:
Healthinsurancepaidbysponsor?
Tuitionhoursrequestedperstudent:
FiscalYear Student1Hours Student2Hours Student3 Hours
FY19
FY20
FY21
FY22
FY23
FY24
FY25
NOTE:ThefiscalyearisfortheperiodJuly1throughJune30.Forexample,FY2018is
fortheperiodJuly1,2017–June30,2018.