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
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".
Is this request Grant Funded?*
Unit should begin with a 4 or 5.
- Yes
- No
Company*
- 010
- 900
Unit*
Account*
If you select "Other", please provide the 5 digit account number.
- Honorarium - Faculty or Staff
- Faculty Pay (Temp Replacement)
- Other
Hidden
Sub-Account (not required)
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 Sub-Account (not required)
For questions regarding the form, please contact Payroll at 507-786-3299

Pay To (first name & last name)	Amount Per Month	Sub-Account (not required)