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Stipend or Honorarium Request
Note: This is for active St. Olaf exempt employees only. This form is not for students, nonexempt/hourly or non-employee payments. Please see
Payroll
for more information. Sipends and Honorariums are paid on the regular exempt payroll cycle.
Requested by:
*
First
Last
Requestor
*
This is the same person whose name is above
Aaron Looney
Abbey Showalter-Loch
Abbi McMillen
Abby Engbrecht
Abdulai Iddrisu
Abigail DeGezelle
Adam Berliner
Adam Kaiser
Adam Pickerign
Adam Reinwald
Adam Svenkeson
Adam Vazquez Rosales
Ahmad Shah Mobariz
Aiden Yung
Aileen Razey
Alden Adolph
Alex Bittner
Alex Cardenas
Alex Hanhart
Alexandra Early
Alexandra Jacob
Alexis Kim
Alicia Regan
Alicia Wood
Alison Feldt
Alison Flannery
Allen Koch
Allison Luedtke
Alyssa Melby
Alyssa Ness
Alyssa Ondich
Amanda Anderson-You
Amanda Randall
Amanda Robbins-Butcher
Amanda Weber
Amber Chavie
Amber Holzmer
Amra Mucic
Amy Boxrud
Amy Hill Cosimini
Amy Larsen
Amy Rachuba
Anabelle Xiong
Anda Tanaka
Anders Nienstaedt
Andrea Conger
Andrea Marshall
Andrew Henrickson
Andrew Jacob
Andrew Johnson
Andrew Meyer
Andrew Mullenmeister
Andrew Prehall
Angela Mathews
Angeline Martin
Ann Schaenzer
Anna Brezny
Anna Clift
Anna Erickson
Anna Kochevar
Anna Kraut
Anna Kuxhausen
Anna Marie DeLaRosby
Anna Pearce
Anna Schmid
Anna Soderquist
Anne Berry
Anne Breckbill
Anne Gothmann
Anne Groton
Anne Keasling
Anne Neumann
Anne von Bibra
Anne Walter
Annika Patterson
Anthony Bateza
Anthony Becker
Anthony Lott
Anthony Mathison
Anthony Moonen
Anton Armstrong
Antone Truss
April Baum
April Kim
Ariel Strichartz
Arpan Pal
Arthur Cunningham
Ashley Hodgson
Ashley Morse
Ashley Ringlien
Audrey Gunn
avalos1
Averill Earls
Aye Bra Tha
Aztlan Thao
Barbara Barth
Barbara Johnson
Barbara Majchrzak
Becca Machado
beck1
Belinda Zubia
Ben Pelegano
Benjamin Braman
Benjamin Gottfried
Benjamin Lebgue
Benjamin Ranstrom
Beryl (Alli) Esther
Beth Pettitt
Beth Winterfeldt
Betty Schultz
Bianca Bassetto
Björn Nordfjörd
Bob Breid
Brandon Cash
Brandon Koontz
Brandy Hale
Bree Maddox
Brenda Keilen
Brenda Kragseth
Brendon Westler
Bret Farley
Brett DeFries
Brian Borovsky
Brian Greening
Brian Ims
Brian Knox
Brian Power
Brian Soderquist
Brian Stevens
Brianna Johnson
Brice Erickson
Brice Larson
Bridget Draxler
Brisa Zubia
Brittan Duffing
Bruce Homa
Bryan Shealer
Cade Rickford
Caitlin Lamont-Kreienkamp
Caitlin Sackrison
Cali Goulet
Carl Lehmann
Carlo Veltri
Carlos Fernandez Lopez
carlsonb
Carol Leahy
Carolyn Pierson
Cassandra Feidt
Cassandra Joiner
Catalina Ahumada Escobar
Catherine Ramirez
Catherine Rodland
Cathie Skluzacek
Cedric Briand
Chad Langeslag
Chang Vang
Charlene Cox
Charles Fountaine
Charles Gray
Charles Huff
Charles Sadler
Charles Umbanhowar
Charles Wilson
Cheri Coutermash
Chiangkhai Her
Chris George
Chris Jerome
Chris Strom
Christen Cole
Christina Spiker
Christine Boone
Christine Rasmussen
Christopher Atzinger
Christopher Chapp
Christopher Chiappari
Christopher Medley
Chung Park
Cindy Yang
Claudia Gonzalez-George
Claudia Klug
Clemonce Heard
Cole Swanson
Colin Harris
Colin Wells
Colleen Nelson
collin1
Colton Funk
Connor Smith
Constance Ertz
Cooper Lukenda
Corey Jonas
Corliss Swain
Corrina Zoltai
Courtney Humm
Courtney Leonard
Craig Landsteiner
Craig Lusty
Craig Rasmussen
Craig Rice
Cristi Sorensen
Curtis Balz
Cynthia Book
Cynthia Herda
czarne1
D'Angelo Christian
Dale Hovland
Dale Kruse
Damian Waite
Damien Fox
Dan Beach
Dan Dressen
Dan Farnham
Dan Forstner
Dan Hofrenning
Dana Gross
Dana Horton
Dana Maeda
Dana Rechtzigel
Dana Scopatz
Dana Thompson
Dana Zimmerman
Daniel Hollerung
Daniel Kosmoski
Daniel Nelson
Daniel Noreen
Daniel Riehle-Merrill
Daniel Stoertz
Daniel Troska
Danny Muñoz-Hutchinson
Darcy Deutsch
Darin Johnson
Darla Ceplecha
Darla Frandrup
Daryush GhaneaBassiri
David Adams
David Carter
David Castro
David Cole
David Herman
David Metzger
David Olson
David Schalliol
David Stewart
David Thomas
David Wagner
David Walmsley
David Williamson
Dawna Hendricks
Deanna Thompson
DeAnna Walker
Dee Tulkki
Delores Little
Dennis Bengtson
Derek Kruse
Desiree Solomon
Dezra Young
Diana Perez Guzman
Diane Angell
Diane LeBlanc
Diane Strom
Diedre Green
Don Bezanson
Donna Malecha
Donna McMillan
Dorothee Ischler
Doug Johnson
Douglas Beussman
Douglas Casson
Douglas Nordmeyer
Dustin Quam
Duy Nguyen
Dylan Johnson
Edmund Santurri
Eduardo Pazos
Edward Effinger
Elaigwu Ameh
Elisa Olson
Elisabeth Alderks
Elisabeth Haase
Elizabeth Black
Elizabeth Leer
Elizabeth Sandberg
Ellen Draeger Cattadoris
Elodie Marlier
Emery Stephens
Emily Barta
Emily Blumhoefer
Emily Bowman
Emily Carroll
Emily Gill
Emily Hazlett
Emily Mastin
Emily Mohl
Emily Neighbors
Emily Oberto
Emily Rose McManus
Emma Fradgley
Emma Jenks
Emma Scheetz
Emmanuel Cudjoe
Enning Zhang
Enoch Blazis
Eric Becklin
Eric Cole
Eric Hafemeyer
Eric Hazlett
Eric Holst
Eric Kolstad
Eric Mattson
Eric Tvedt
Erica Kanewischer
Erica Maker
Erick Mullenmeister
Ericka Peterson
Erik Hays
Erik Hong
Erik Mainellis
Erin Drummond
Erin Ellefsen
Erin Eltonga
Erin Garry
Erin Kleeberger
Erin Wiebe
Erinn Liebhard
Ernesto Villa
Esther Wang
Ethan Hamblin
Ethan Johnson
Evan Davis
Evan Fisher-Damsgard
Ezra Plemons
Faith Geer
Fernando Sevilla
Francesca Anderegg
Francesca Gandini
Fremio Sepulveda Ortiz
Gabbie Holtzman
Gabriel Kortuem
Gareth Bly
Gary Muir
Gina Kaderlik
Giulia Dossi
Gladys Cortes
Gordon Marino
Grace Cho
Grant Furgiuele
Grant Herfindahl
Grant Ravndal
Greg Muth
Gregg Menning
Gregory Taubman
Gregory Walter
Greta Anderson
Gwendolyn Anderson
Gwendolyn Barnes-Karol
Hannah Remsburg
Hannah Robb
Hannah Ryan
Hassel Morrison
Hazel C Uhler
Heather Campbell
Heather Klopchin
Hector Vega
Heidi Albers
Heidi Quiram
Henry Dorn
Henry Smith
Hikari Meyer
Hilary Bouxsein
Hillary Lamberty
Hiroe Akimoto
Hsiang-Lin Shih
Hui Bi
Huy Le
Hyein Choi
Ian Knowles
Ibtesam Al Atiyat
Isaac Leonhardi
Isaiah Scharen
Jack Kronzer
Jack Peterson
Jacob Dunn
Jaden Janak
Jaime Davila
Jaime Simon
Jaime VanderWoude
Jake Grossman
James Anderson
James Bobb
James Demas
James Hanson
James Kilian
James Narum
James Schultz
James Valentini
Jamie Schillinger
Jane Becker Nelson
Jane Campbell
Jane Moreau
Jane Nordhorn
Janice Manning
Janine Haidar
Janis Johnson
Jarred McKinney
Jason Engbrecht
Jason Hallen
Jason Marsh
Jason Ripley
Jason Tanksley
Jean Callister-Benson
Jean Owens
Jean Parish
Jean Porterfield
Jeff Dixon
Jeff Partington
Jeff Schwinefus
Jeffrey Holter
Jeffrey O'Donnell
Jenele Grassle
Jenna Coughlin
Jenna McBride-Harris
Jenna Weber
Jenna Wieden
Jennie Moberg
Jennifer Halko
Jennifer Hillesheim
Jennifer Holbein
Jennifer Kratage-Dixon
Jennifer Kwon Dobbs
Jennifer Peterson
Jennifer Pflager
Jennifer Schultz
Jennifer Shaiman
Jennifer Sonnenburg
Jennifer Whitson
Jennifer Wright
Jenny Howenstine
Jered Jensen
Jeremiah Jackson
Jeremy Bokman
Jeremy Loebach
Jerry Elsbernd
Jesse Bauernfeind
Jessica Benson
Jessica Haugsland
Jessica Mueller
Jessica Petok
Jessica VanZuilen
Jill Dietz
Jill Fisher
Jill Mahr
Jill Olstad
Jill Sauber
Jill Watson
Jillian Sparks
Jo Beld
Joanna Hunt
Joanna Perez
Joanne Quimby
Jodi Larson
Jodi Malmgren
Joe Barthel
Joe Toegel
Joe Udelhofen
Joel Arpin
Joel Gotfredson
Joel Leer
Joey Grube
John Arndt
John Linse
John Madigan
John Martinez
John Moening
John Riley
John Saurer
John Waters
Johnathan Moeller
Jon D Pfeifer
Jonathan D Kopplin
Jonathan Larson
Jonathan Naito
Jonathan O'Conner
Jonathan Trevathan
Jordan Borman
Jordan Castillo
Jordan Dull
Jordan Frausto
Jordan Hamzawi
Jordan Tarango
Jose Gomez-Romero
Jose Payes
Joseph Jefferson
Joseph Kronzer
Joseph Mbele
Joseph Roith
Joshua Anderson
Joshua Armbruster
Joshua Lee
Joshua Sonnenburg
Josie Mottram
Juan Telles
Julaina Owen
Julie Graf
Julie Meincke
Julie Rappe
Juliet Patterson
Justin Fleming
Justin Merritt
Justin Oliver
Ka Wong
Kadie Ausherbauer
Kaethe Schwehn
Kali Hickman
Kara Voigt
Karen Cherewatuk
Karen Dempsey
Karen Marsalek
Karen Olson
Karen Wilkerson
Karen Yang
Kari Dorer
Kari VanDerVeen
Karil Kucera
Karina Sierra
Karl Wiederwohl
Karla Grotting
Karla Jurgemeyer
Kasandra Petersen
Kasey Coutermash
Kate Adams
Kate Kaufman
Katherine Fick
Katherine Obidimalor
Katherine Tegtmeyer Pak
Katherine Woodstrup
Kathie Towler
Kathleen Stuart
Kathryn Ananda-Owens
Kathryn Cardwell
Kathryn Steed
Kathryn Ziegler-Graham
Kathy Glampe
Katie Hochman
Katie Howard
Katie McKenna
Katie Warren
Katrinna Dodge
Kayla Hatting
Kayla Lantz
Kelby Anderson
Kellen Lambeau
Kelli Hoskins
Kelly Mahlum
Kelly Roehl
Kelly Sherman-Conroy
Kelly Shirah
Kelly Spillman-Kramer
Kelsey Baumann
Kelsey Bosch
Kelsey Thompson
Kelsy Martin
Ken Johnson
Kendall George
Kendall Mueller
Kendra Weinrich
Kenneth Beckers
Kenneth Weskamp
Kent Buell
Keri Peterson
Kevin Brochman
Kevin Crisp
Kevin Larson
Kevin Merkle
Kiara Jorgenson
Kierra Lopac
Kim Foss
Kim Kandl
Kim Mandery
Kimberly Doran
Kimberly Horner
Kirk Martinson
Kirsten Cahoon
Kraig Gregor
Kris Cropsey
Kris Ehresmann
Kris Herreid
Kris Thalhammer
KrisAnne Weiss
Krista Anderson-Larson
Kristell Benson
Kristen Dobosenski
Kristi Kehrwald Adair
Kristi Kortuem
Kristin Kivell
Kristin Larson
Kristina Anderson
Kristina Garrett
Kristina Medina-Vilariño
Kristina Warner
Kulsoom Hisam
Kurt Claussen
Kurtis Gibson
Kurtis Johnson
Kyle Helms
Kyle Sanborn
Lacy Williams
Lance Halberg
Laura Boehm Vock
Laura Knobel-Piehl
Laura Listenberger
Laura Malaver
Laurel Brook
Lauren Bitner
Lauren Feiler
Laurie Lee
Layton Borst
Leigh Ann Garner
León Narváez
Lesley Bonfe
Leslie Moore
Levi Price
Libby Barth
Liesl Eckstrom
Lily Hollerung
Lily Nelson
Linda Mokdad
Lionel Franks
Lisa Bowers
Lisa McDermott
Lise Faillettaz
Livi Yoshioka-Maxwell
Lori Folland
Louis Epstein
Lucas Kleinschrodt
Lucas Kopnick
Lucas Sletten
Lucas Wheelock
Lucia Cervera Vazquez
Lukas Wymer
Luke VanZuilen
Luke Wood
lundgr2
Lynda Maus
Lynn Schofield
MacKenzie Kampa
Madeleine Wolf
Madeline Carlson
Madeline Miller
Madi Salisbury
Maetzin Cruz Reyes
Maggie Broner
Maggie Matson Larson
Maggie Piotraschke
Malabi Dass
Malwina Tkacz
Mara Bertelsen
Maraia Ener-Goetz
Marc David
Marci Sortor
Marcus Bansah
Margaret Ludwig
Mari Avaloz
Maria Davis
Maria Jimena Dominguez
Maria Vendetti
Mariana Reyes Payán
Marie New
Marietta Ruppe
Marit Hanson
Marita Stryker
Marjanne O'hara-David
Mark Burmeister
Mark David
Mark Keilen
Mark Koktavy
Mark Neuerburg
Mark Skeba
Martha Zillig
Martin Hodel
Martin Olague
Mary Barbosa-Jerez
Mary Doroff
Mary Hanson
Mary Huismann
Mary Trull
Mary Walczak
Mathew Wood
Matt McDonald
Matt Paulson
Matt Pedersen
Matthew Eppen
Matthew Gibbons
Matthew Marohl
Matthew McClung
Matthew Neuger
Matthew Viken
Matthew Wright
Max Dresow
Maxwell Parlin
Maya Koffski
Maya Mogren
Mayumi Amada
McKenzie Stack
Megan Healy
Megan Kennedy
Megan Lueck
Megan Nelson
Megan Norman
Megan Proft
Megan Riley
Megan Thomas
Megan Timmerman
Megan Witt
Meghan McMillan
Melissa Kittock
Melissa Lynn
Melissa Melgar
Melissa Schori
Melynda Paul
Menevis Cilizoglu
Mia Facio
Mia Pardo
Michael Abdella
Michael Berthelsen
Michael Buck
Michael Fuerstein
Michael Kratage-Dixon
Michael Kyle
Michael Schultz
Michael Strand
Michael Wilson
Michaela Brown
Michelle Erdahl
Michelle Fredrickson
Michelle Jurewicz
Michelle Potter-Bacon
Michon Weeks
Mickaylie Bade
Mijung Kim
Mikayla Brenna
Mila Surada
Mitchell Kleinschrodt
Moise Nken
Molly Boes Ganza
Molly Fiedler
Molly Westler
Monica Murray
Myron Engle
Naafey Sardar
Nadiya Safonova
Nancy Carpenter
Nancy Kalina
Nancy Pelegano
Nancy Simpson-Younger
Nancy Stuckmayer
Nancy Thompson
Nancy Veverka
Naomi Rushing
Natalia Moiseeva
Natalie Berg-Wall
Natalie Mogren
Nathan Engle
Nathan Jacobi
Nathan Riley
Nathaniel France
Nathaniel Powell
Neil Velie
Nicholas McCollum
Nick Hoverstad
Nick Hupton
Nicole Yokum
Nicolette Bucciaglia
Nissa Parmar
Noah Braun
Noel Ponder
Nolan Arnold
Nora Vosburg
Norma Charlton
Norman Lee
Norman Muzzy
Nou Yang
Olaf Hall-Holt
Oleksandr Dmytrenko
Olivia Spellmire
Oren Safdie
Pajaie Thao
Pam Christoffers
Pamela McDowell
Paolo Debuque
Parker Noah
Patricia Budd
Patricia Crowley
Patricia Laufenberg
Patricia O'Donnell
Patrick Ceas
Patrick Korbitz
Patrick Riley
Patrick Wadzinski
Patrick Wilz
Patty Cohn
Paul Davis
Paul Edwards
Paul Jackson
Paul Mogren
Paul Roback
Paula Mercurio
Paula Sannes
Pauline Mathews
Peder Jothen
Peggy Johnson
Peng Wu
Peter C Schattauer
Peter Gittins
Peter Hansen
Peter Maus
Peter Moench
Peter Nelson
Peter Whitman
Philip Terpstra
Piercarlo Valdesolo
Pippa Younger
Prabal Adhikari
Presley Martins
Rachael Norton
Rachel Brandwein
Rachel Henry
Ranjan Muthukrishnan
Ray Shows
Rayn Samson
Rebecca Beam
Rebecca Bernstein
Rebecca Hranj
Rebecca Otten
Rebecca Saxton
Rehanna Kheshgi
Reid Kennedy
Reid Rognerud
Ricardo Rivera-Carrasquillo
Richard Goedde
Richard Moon, Jr.
Richie Kammer
Ricky Bonilla
Rika Ito
Riley Becker
Rinat Yarmakov
Rob Htoo
Robert Hauck
Robert Kasel
Roberta Lembke
Rolf Belgum
romero
Ronald Haines
Rosa Payes
Rosalyn Eaton
Rose Mckinney
Rosie Carter
Roy Cady-Kimble
Ruben Duffie
Ryan Cleasby
Ryan Eichberger
Ryan O'Dell
Ryan Sheppard
Ryan Townzen
Ryota Matsuura
Sabrina Bakken
Sadie LaPlante
Sadie Smith
Sam Barbato
Sam Mendez
Sam Owens
Samantha Herman
Samantha Mitchell
Sandra Tucker
Sandy Peralta
Sara Eldridge
Sara French
Sara Fruehling
Sara Halpern
Sara Lynnore
Sara McLain
Sara Pillatzki-Warzeha
Sarah Gingerich
Sarah Gorman
Sarah Hohenstein Burk
Sarah J. Jurewicz
Sarah Oppenheim
Sarah Pecore
Sarah Pradt
Sarah Quimby
Sarah Sheldon
Sarah Zager
Scott Anderson
Scott Ims
Scott Nesbit
Sean DuBe
Sean Killackey
Sean Lauderbaugh
Sean Nolan
Sean Peterson
Sean Tonko
Sean Tynan
Sean Ward
Seda Bagiryan
Seneca Norvell
Sequoia Nagamatsu
Seth Binder
Seth Lambert
Shannon Cron
Shari Speer
Sheila Welch
Shelbie Pleskonko
Shelly Dickinson
Shoaib Munir
Shosh Dworsky
Sian Christie
Sidonia Alenuma
SooJin Pate
Sophia Davies
Sophia Legare
Sophia McComb
Sophia Strommen
Sravya Kondrakunta
Stacey Argabright
Stephanie Grey
Stephanie Johnson
Stephen Lydon
Stephen Schroeder
Stephen Suss
Steve
Steve Hahn
Steve Lindley
Steve Reece
Steve Romenesko
Steve Sigstad
Steven Cole
Steven Fenster
Steven Freedberg
Steven Zubik
Sungha Yun
Susan Canon
Susan Couture
Susan Fiser
Susan Hill
Susan Huehn
Susan Singer
Susan Smalling
Susana Hernandez
Susie Johnson
Sydney Miller
Szu-Ling Wu
Takashi Maie
Tami Hulburt
Tammera Sirek
Tamrat Hathaway
Tanya Thresher
Tara Hupton
Tara McGinnis
Tara Thieling
Tara Woods
Tatum Hauck
Teagan Olin
Tendor Norbu
Tenzin Gyaltsen
Terra Widdifield
Terri Rosen
Terry Pumper
Terry VanDeWalker
Thea Groth
Therees Hibbard
Theresa Heath
Thien Kim
Thomas Graupmann
Thomas Langfeldt
Thomas Reinartz
Thomas Williamson
Thomas Worth
Tiara Jellum
Tiarra Glogowski
Tim Howe
Tim Isom
Tim Schroer
Timothy Rainey
Timothy Swanson
Tina Moen
Tobias Kohl
Tony Skalski
Tony Taylor
Tor Hanson
Tracey Engleman
Tracy Goodwin
Tracy Johnson
Tracy O'Neill
Tracy Torgerson
Travis Estrem
Travis Grant
Trent Davis
Tricia Kasa
Trish Zimmerman
Troy Peterson
Tyler Franklin Vogel
Tyler Keith
Tyler Lindstrom
Tyler Meyer
Tyler VanDenHemel
Tzolquin Pinedo
Urbashi Mookerjee
Valeng Cha
Valentin Gomez
Vanessa O Bodrie
Vanessa Reyna
Vera Foley
Veronica White
Victoria Campbell
Vivian Choi
Wade Schulz
Wade Steene
Wendy Gonzalez
Wendy Woitalla
Wes Kemming
Wesley Braker
Wesley Dunnagan
William Leeson
William Matchett
William Raible
William Roberts
William Sonnega
Wyatt Lawrence
Xochizeltzin Castaneda-Camacho
Yann Chen
Yeng Xiong
Ying Zhou
Zach Evenson
Zach Lee
Zhenhu Jin
zimmer1
Zita Toth
Zoe Davis
Zoe Yangzom
Zookong Lee
FormEntriesViewer
Employee
Workflow User
Subscriber
Contributor
Author
Editor
Administrator
Requestor Email Address (St. Olaf Only)
*
Are you filling out this form on behalf of another person?
*
For example, if you are a AAA filling this out on behalf of a Department Chair, select "Yes".
Yes
No
If you are completing on behalf of another person what is your name?
This is the name of the person filling out the form on behalf of the requester
First
Last
If you are completing on behalf of another person what is your email address?
This is the email address of the person filling out the form on behalf of the requester
Is the reason for the stipend an Academic, Athletics or Other meeting/event request?
*
Note: This does not mean who is included in the stipend, but under what area of the College does this lie in general
Academic
Athletics
Other
President's Leadership Team Member
Select which presidential leadership team member should approve your stipend request type of "Other".
Susan Rundell Singer
Jo Beld
Mike Berthelsen
Enoch Blazis
Ryan Bowles
Michael Kyle
Carl Crosby Lehmann
Reginald Miles
Leslie Moore
Hassel Morrison
Marci Sortor
Is this request Grant Funded?
*
For look up of the new accounting structure please visit https://www.stolaf.edu/apps/lawsonlookup/login.cfm
Yes
No
Company (No longer used)
Fund (Oracle accounting)
*
For look up of the new accounting structure please visit https://www.stolaf.edu/apps/lawsonlookup/login.cfm
Cost Center (Oracle Accounting)
*
For look up of the new accounting structure please visit https://www.stolaf.edu/apps/lawsonlookup/login.cfm
Account
*
If you select "Other", please provide the 5 digit account number. For look up of the new accounting structure please visit https://www.stolaf.edu/apps/lawsonlookup/login.cfm
Honorarium - Faculty or Staff
Faculty Pay (Temp Replacement)
Other
This field is hidden when viewing the form
Activity (not required)
Must be preassigned and must already be set up within Oracle via the Finance office. For look up of the new accounting structure please visit https://www.stolaf.edu/apps/lawsonlookup/login.cfm
Reason For Payment / Description Of Service
*
Dates or Time Period of Service
*
Payment must be over the period work is performed or immediately after work is complete. This does not determine the month the stipend is to be paid for.
Please note that stipends and honorariums are excluded from compensation for retirement plan purposes.
Month(s) to be Paid
*
Please note this needs to be approved by the 15th of the month it is to be paid in. The month(s) you select here will indicate what month(s) the amount you enter in the field below 'Amount Per Month' will be paid to the individual(s) indicated.
January
February
March
April
May
June
July
August
September
October
November
December
Faculty or Staff Member to be Paid
*
If more than one individual is receiving the stipend, click on the + sign to add more lines. The dollar amount to be paid does not need to be the same for each individual being paid.
Pay To (first name & last name)
Amount Per Month
Activity (not required)
For questions regarding the form, please contact
Payroll
at 507-786-3299