Log in and this form will be prefilled with your profile data (like email address and default department).

Please see Procedure Overview at the bottom of this form for instructions and next steps.

Required fields are shaded yellow and marked with a red asterisk.

Triage Information
Please call to confirm. Shared Services will expedite processing according to University best practices.
Department and Budget Information
A confirmation will be sent to this address.
Payment Information
Please include (1) student name, (2) student number, (3) amount, (4) distribution dates/quarters. (5) budget, and (6) distribution dates.
Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx ppt pptx xls xlsx.
You can also copy and paste into this box.
Additional Attachments

You may attach up to three additional documents here.  Remember to click the "Upload" button after selecting the document.  Do not attach documents that contain sensitive data such as SSN.

Files must be less than 2 MB.
Allowed file types: txt rtf odf pdf doc docx xls xlsx.
Files must be less than 2 MB.
Allowed file types: txt rtf odf pdf doc docx xls xlsx.
Files must be less than 2 MB.
Allowed file types: txt rtf odf pdf doc docx xls xlsx.

Submission of this form serves as confirmation that pertinent approvals are on file in department.

Procedure Overvie

Departments are responsible for budget set-up in SDB.  Before submitting this form, departments should verify that the affected budget is set up to pay out scholarships.  CASSS staff members are not authorized to change budget set-up.

  1. Intake form is completed by unit administrative staff.  Submitter receives confirmation email, including FMRT ("RT") ticket number.  All further correspondence regarding the request occurs through RT.
  2. Shared Services contacts department with questions or clarifications, if necessary. Otherwise, Shared Services completes the entries in SDB and sends department administrator confirmation.

 

Relevant Services: