SPECIAL REQUEST FOR OUT-OF-STATE TUITION AWARD
FOR GRADUATE ASSISTANTS
Use this form for the following claims only (please use a separate form for each type)
Code 1 Code 2 Code 3 Code 4 Code 5 Code 6 Code 7 Code 8 * department is paying the out-of-state tuition for a GA who is NOT on a permanently budgeted line. * Academic Common Market support. * Capstone International Program Center students sponsored by Academic Affairs. * Law School sponsored students. * National Student Exchange Program students approved by NSE coordinator. * Summer out-of-state tuition support where GA appointment held in previous spring semester. * Contract or grant pays in-state only. * Graduate fellowship or scholarship under Academic Affairs with awards equivalent to at least 0.25 FTE.
Division:							Fall
Department/Area:							Spring
Date prepared:							Interim
Prepared by:							Summer 1
Type (code #):							Summer 2
Student Number		Name (Last, first, MI)					FTE
Contract & Grant Accounting Approval
Does the contract or grant contain a cost of education allowance?					Yes		No
Is budget limited to in-state only?					Yes		No
Account number to charge OOS tuition:
Approval
Graduate School Approval
Approval
Account number