This form allows EXITO to distribute stipends during the academic year. Each stipend form is specific to a Scholar.
Please review all information on the form to ensure accurate information. If anything is incorrect please make the correction and then sign.
Participant (Vendor) ID Number: This should be your PSU ID
Participant (Vendor) Name
Total Payment to Participant: This should be $10,755
Total Number of Payments: This should be 9
Payment Amount: This should be $1,195
The stipend form must be signed by 9/22 @ noon