Student Reimbursement Form

  • Students may use this form to receive reimbursement from the Enrichment Office (EO) for:
    • Food and/or supplies sponsored by student organization events; or
    • Other expenses being reimbursed to students by the EO such as conference fees, registration fees, etc.
    Students are asked to submit one PDF or Word document that includes all receipts. Individual receipts must itemize purchases; e.g., a restaurant receipt must list each item ordered with tax and total amount of bill. Receipts must indicate proof of payment. Once this form is submitted with receipts, the student will receive his/her reimbursement at the address he/she provides below in about three weeks. Questions? Contact Ana Gregory.
  • I. Student Information

    This is the person receiving the reimbursement.
  • MM slash DD slash YYYY
  • The check will be sent to the address above.
  • II. Reimbursement for Food for Student Organization Event

    Complete this section if you are requesting reimbursement for food for an event that your organization held.
  • MM slash DD slash YYYY
  • Drop files here or
    Max. file size: 100 MB.
    • Note on receipts: Submit your receipts in one PDF or Word document. Receipts must show proof of payment.
    • III. Reimbursement for Student Organization Supplies

      If you are requesting reimbursement for supplies for your organization, complete this section.
    • Drop files here or
      Max. file size: 100 MB.
      • Note on receipts: Submit your receipts in one PDF or Word document. Receipts must show proof of payment.
      • IV. Reimbursement for Conference Fees, Registrations, etc.

        If you are requesting reimbursement for conference fees or registrations, complete this section.
      • Drop files here or
        Max. file size: 100 MB.
        • Note on receipts: Submit your receipts in one PDF or Word document. Receipts must show proof of payment.
        • V. Organization Affiliation

          indicate the student organization that you are affiliated with in connection to the expenses submitted above. iF YOU ARE NOT affiliated with an organization, indicate "Individual not affiliated with student organization" below.
        • If needed, please include any clarifying information regarding your reimbursement above.