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Alumni Award Payment Request Form

Alumni Award Payment Request Form

Please use the following form for Alumni Awards Payment requests only.

Allow for up to 30 days for processing after submission of this form.

Instructions: To be completed by the Head of Alumni Affairs or designee for Alumni Awards paid directly by the School/Foundation to awardees. Please work with the Development Office for Alumni Awards paid directly by funders to awardees.

Requestor First Name(Required)

Requestor Last Name(Required)

Requestor Email(Required)

Alum Legal First and Last Name(Required)

Alum Email (personal)(Required)

Alum Current mailing address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Award Amount(Required)

Select Alumni Award Type(Required)

Enter name of the Award(Required)

Is the most current description and criteria for the above selected Alumni Award (new or existing) on file with the Finance Office?(Required)

Yes

Upload Award description and criteria – for first-time new Award type and/or if the description and/or criteria for existing Awards have changed.(Required)

Accepted file types: pdf, Max. file size: 5 MB.

Upload Signed Alumni Award Letter or Email notification and awardee acceptance of the Award(Required)

Accepted file types: pdf, Max. file size: 5 MB.

Upload any other relevant documents

Drop files here or

Accepted file types: pdf, Max. file size: 5 MB.

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Alumni Award Payment Request Form