RESEARCH, ADMINISTRATIVE, & OTHER ASSISTANTS
Use this form for all assistants not involved in teaching or grading or assisting a teacher of record.
Division:						Fall
Department/Area:						Spring
Date prepared:						Summer
Student Number	Name (Last, First, MI)							Tuition
(Numerically)								Award (FTE)
							Total value of tuition award this page
Department/Program Head/Director							Date:
OR Dean
Graduate School Approval							Date:
Account Number to Charge:
		Submit in duplicate to Graduate School, Box 870118, 102 Rose