SAINT LOUIS UNIVERSITY
REQUEST FOR COLLEGE OF ARTS & SCIENCES/SPONSORED PROGRAMS
TUITION SCHOLARSHIP
Return completed form (white boxes only) no later than one week prior to
submission of grant application/proposal to the Arts & Sciences Dean’s Office,
Verhaegen Hall.
Project Director/Principal
Investigator:
Date:
Department:
Campus Address:
Phone:
E-mail:
Proposed
Sponsor:
Proposed Funding
Period
Project Title
Are Indirect Costs
Yes
If Yes calculated at
No
%
Included:
Number of Assistantships to be Funded by
Sponsor
Annual Stipend per
$
Student:
Length of Assistantship
Health Insurance Paid by
Yes
No
Sponsor:
Tuition Hours Requested per
Student:
#1
Student 1
Student #2
Student #3
FY
Hrs
Hrs
Hrs
FY
Hrs
Hrs
Hrs
Update: January 2014
FY
Hrs
Hrs
Hrs
FY
Hrs
Hrs
Hrs
FY
Hrs
Hrs
Hrs
FY
Hrs
Hrs
Hrs
NOTE: The fiscal year is for the period July 1 through June 30. For example, FY
2014 is for the period July 1, 2013 – June 30, 2014.
College of Arts& Sciences Use Only [NOTE: DECISIONS ARE POSTED IN eRS]
[
[
[
[
]
]
]
]
1.
2.
3.
4.
Request Approved
Request Denied
Partial Approval
Tentative Approval Pending Available Funds
Explanation:
The pertinent eligibility requirements are noted below:
 Agency must pay stipend
 Agency must cover health insurance
 Full F&A (51.5% F&A Rate through FY16) must be assessed on direct costs
Update: January 2014