FULL-TIME FACULTY STIPEND AUTHORIZATION

ACADEMIC YEAR  _______________

Last Name:_____________________ First Name:__________________	SS#:___________ Main Assignment Pos#:   25	
	    (last 4 digits only)                                      (found on MER)

Division:_______________________________________________   Dept:_______________________	

	

STIPEND
(this form not to be used for annual coaches’ stipends)

Type of Assignment:	Percentage of base salary:	
Reason: 	

Stipend applied to:  Fall Quarter:  ______ Winter Quarter:  ______ Spring Quarter:  _____  Eleventh month: _____

Charge STIPEND to Account #:_____________ - 1250

Stipends are funded with “B” budget.  From which account would you like “B” budget to be taken from? 	

	

For Accounting Use only
“B” to “A” BUDGET TRANSFER

	 From	  To	         Account No.	           Object Code          A/B	          Amount

	Lbr:		X				 			  - 				B		$ 	

					X	 			  - 	1250			A	

	Ben:		X				 			  - 				B		$ 	

					X	 			  - 	3100			A	

	

APPROVALS

					
	Faculty Member	Date	Division Dean	Date

					
	Vice President or Designee	Date	Director of Budget & Personnel 	Date

Note:  Please forward this form with all signatures to the Director of Budget & Personnel for final approval.
          Copy to be kept on file in Budget/Personnel; original sent to District HR (P. Conens) by Director of Budget & Personnel for processing.

Revised February 2007
By Budget & Personnel, jhl