FWS Departmental Funding Request Form FY08

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Please complete all sections of this form.  Include a total dollar figure requested and your chairperson's signature.  If you have questions, please contact the Employment Coordinator, Janelle Kilgore at 7-4794 or janellekilgore@mail.und.nodak.edu.

Date: 

Fiscal Year: 

Department/Agency Name: 

Contact Person: 

Contact Phone Number: 

Contact E-Mail Address:

Provide a brief description of your agency, organization, or department:

Provide an explanation of need and justification for funding request (please note that it is not appropriate to use a student employee to replace a staff member):

Provide a synopsis of the types of jobs that would be available to students, emphasizing the type of experience that students will gain from the work:

Provide information on the total number of hours of work available at each rate of pay for your department (not the number of people you feel you need to hire):

  Classification (by type of work performed)
  I ($5.85/6.49) II ($6.50/10.49) III ($10.50+)*
Hourly Wage (A) $ $ $
Summer 7/1/07 - 8/15/07 (B) hours hours hours
Academic Year (C)
8/16/07 - 5/15/08
 hours hours hours
Summer 5/16/08 - 6/30/08 (D) hours hours hours
Dollar Amount Requested: Hourly Wage (A)   X   
Fiscal Year Hours (B+C+D)
 $ $ $

*Prior approval required.

All applicants must complete #1 below.  Complete #2 or #3 as appropriate to your request.  The amount listed for #2 or #3 should be equal to the total of the "dollar amount requested" row from above minus fiscal year allocated base fund (#1 below).

1.  Fiscal Year Allocated Base Fund:
Check your award letter for the amount given your department for the academic year.
 $
2.  Fiscal Year Additional Base Request (apply spring only):
The amount you would like your original based increased for the next academic year.
$
3.  Fiscal Year Additional Ceiling Request:
One time increase to get you through the year or a special project:
 $

TOTAL Fiscal Year Funding Requested for Your Department:

 $

The Chairperson of the Department has approved this request:

You may send this application using the "submit form now" button below or print and mail to:  UND Student Financial Aid Office, 264 Centennial Drive Stop 8371 Grand Forks, ND 58202 or fax to: 701-777-4086.